Patient's question:
I recently feel that my urination is a bit abnormal. I don't drink much water, and I always feel the urge to urinate. When I go, it's just a little bit. I went to the hospital for a check-up, and the doctor said I have prostatitis.Doctor's answer:
Here is the English translation of the provided text, with line breaks preserved as instructed:I. Acute bacterial prostatitis presents with urinary pain, prostatic swelling that can easily affect urination and lead to urinary retention. The inflammation may spread to the epididymis, causing epididymitis. If an abscess forms, it may rupture into the rectum or perineum. Hematogenous infection can also lead to acute pyelonephritis concurrently.
II. Chronic bacterial prostatitis exhibits urinary irritation symptoms and pain or discomfort in different areas. Severe cases may involve lower back pain, radiating perineal and testicular pain, "white discharge" from the urethral meatus, sexual dysfunction, and the presence of white blood cells and fat-body-containing phagocytes in prostatic massage fluid.
III. Chronic non-bacterial prostatitis does not involve recurrent urinary tract infections and often features prostatic fluid leakage from the urethra. Abnormal urine flow, irritative voiding dysfunction, perineal and lumbosacral pain, etc.
IV. Prostatodynia presents as pelvic floor tensional pain, perineal pain, painful ejaculation, suprapubic discomfort, penile pain, testicular pain, lower back pain, post-voiding dribbling, hesitancy during urination, a feeling of constriction, difficulty urinating, and depression. Psychological stress can exacerbate symptoms, and some patients may also experience intermittent "pulsatile" urination.
V. Benign prostatic hyperplasia causes frequent urination, urinary difficulty, urinary retention, hematuria, urinary tract infections, bladder stones, and renal function impairment. Long-term urinary difficulty may lead to or worsen inguinal hernia, hemorrhoids, and rectal prolapse. In cases with significant residual urine or urinary retention, a palpable mass due to excessive bladder distension may be present in the lower abdomen, along with severe hydronephrosis.
VI. Early-stage prostate cancer shows no obvious symptoms. Prostate cancer can develop toward the rectum, similar to rectal cancer, presenting with constipation, abdominal pain, rectal bleeding, and intermittent diarrhea. Advanced prostate cancer invading the bladder trigone often leads to uremia. Severe prostate cancer may cause hard, infiltrative, and edematous penile lesions, accompanied by abnormal penile erections. Prostate cancer can metastasize, with the most common sites being local lymph nodes, the pelvis, and the spine.
Failing to maintain good hygiene habits in daily life can lead to prostatitis, which is very harmful to the body. Therefore, we must maintain healthy lifestyle habits to stay away from the troubles of diseases.