What should I do about nocturnal penile tumescence?

Patient's question:

Nocturnal penile erection, worsens when lying down, wakes up about three times each night, each time with an erection, gets an erection even without the urge to urinate, feels a sense of fullness in the penis during the day but does not get an erection during the day, and also has a feeling of incomplete urination.

Doctor's answer:

Hello! This is likely chronic prostatitis, which can lead to abnormal penile erection.
Recommendations:
It is recommended to have a routine prostate examination at a regular hospital. If it is indeed prostatitis, a combination of traditional Chinese and Western medicine therapy can be used. Chinese medicine primarily focuses on clearing heat and detoxifying (e.g., Longqing Pian, Qingre Jiedu Jiaonang), while Western medicine can be used for anti-inflammatory treatment (e.g., erythromycin, sparfloxacin), improving urination symptoms (e.g., naftopidil), and may also include acupuncture and prostate massage. It is advisable to seek treatment at a regular hospital in your area. Prostatitis is prone to recurrence, so it is recommended to drink more water and exercise regularly.
If you have any other questions, feel free to ask. I am happy to assist you. Wishing you a speedy recovery!

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