Patient's question:
The symptoms of the illness include: blood in urine after urination, abdominal distension and pain, lower back pain, urine splitting, and a prolonged lack of sexual desire.Doctor's answer:
Prostatitis is the most common urological outpatient disease among young and middle-aged men, with approximately 60% of men experiencing chronic prostatitis to some degree in their lifetime. The clinical manifestations are largely similar: frequent urination, urgent urination, pain during urination, a feeling of incomplete urination, damp scrotum, pain and discomfort in the perineum, pelvic pain, bladder area pain, pain and discomfort in the head of the penis and testicles. Some may also experience reduced sexual function, premature ejaculation. Patients with prolonged illness may suffer from tension, anxiety, depression, lack of confidence in work, decreased energy, fatigue, and insomnia.Treatment for Prostatitis: The cause of this disease is currently unclear, involving factors such as inflammation of the prostate itself, pelvic floor nerve hypersensitivity, patient depression and anxiety, and excessive focus on their condition. Treatment should be tailored to the individual, emphasizing personalized care. For example, if the primary symptoms are urinary issues without other discomforts, laboratory tests of prostatic fluid may reveal inflammation. In such cases, α-receptor antagonists and antibiotics are recommended for 4-6 weeks. If the prostatic fluid is normal, only α-receptor antagonists are needed. If there are psychological abnormalities, tricyclic antidepressants can be prescribed along with appropriate social interaction, with focus shifted to work and study, and masturbation should be avoided. If there is tenderness in the pelvic area, non-opioid analgesics can be added, and muscle relaxants like Mirtazapine may be used when necessary.