What are the symptoms of prostatitis?

Written by Chen Feng

Urology

Updated on November 13, 2024

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Prostatitis is generally divided into acute prostatitis and chronic prostatitis. Acute prostatitis mainly manifests as frequent urination, urgent urination, and painful urination. Patients will also experience pain and discomfort in the perineal area and the suprapubic area. Due to the swelling of the prostate gland in acute prostatitis patients, it compresses the urethra, causing difficulty urinating, thinning of the urine stream, and even an inability to urinate. Some patients may also experience fever. Chronic prostatitis has a longer course and also presents with symptoms of frequent urination, urgent urination, and painful urination. After urinating, patients may notice a white discharge from the urethral opening, and they may also experience pain and discomfort in the perineal area and the suprapubic area. Some patients may also experience sexual dysfunction, such as erectile dysfunction, premature ejaculation, or frequent nocturnal emissions.

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Can prostatitis heal itself?

Prostatitis can have a certain degree of self-healing capability. Generally, mild prostatitis can be managed by improving lifestyle habits, such as by increasing water intake, enhancing overall lifestyle habits, engaging in regular exercise, and maintaining controlled sexual activity, among others, which can all benefit the self-healing of the prostate. Additionally, when prostatitis occurs, it may be observed initially before considering medication. In cases of nonbacterial prostatitis, oral medication is generally not necessary; rather, treatments such as sitz baths can be used to achieve therapeutic goals. For bacterial prostatitis, it can generally be treated with anti-inflammatory medications to achieve some improvement. Of course, the best way to facilitate self-healing of prostatitis is by improving daily lifestyle habits. (Specific medications should be taken under the guidance of a physician.)

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Written by Wang Shuai

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Is frequent urination alone prostatitis?

Frequent urination is just a symptom of urinary irritation, and there are many causes of frequent urination. Prostatitis is just one of the causes. Additionally, infections in the urinary system, such as urethritis, or the presence of stones or tumors in the bladder, can also lead to symptoms of frequent urination. Therefore, after experiencing frequent urination, it is essential to first visit the urology department at a hospital for routine urine tests and an ultrasonic scan of the urinary system. If necessary, conduct routine examinations of prostate fluid to identify the specific cause of the frequent urination. If it is due to a urinary tract infection, it is crucial to use antibiotics promptly. If it is caused by stones or tumors in the urethra, surgical treatment may be required in a timely manner.

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Urology

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What department should I go to for prostatitis?

Prostatitis commonly occurs in young males. After the onset of prostatitis, patients generally exhibit symptoms such as frequent urination, urgent urination, and painful urination. Some patients may also experience heaviness and pain in the perineal and anal region. It is important to timely visit the urology department of a hospital, where diagnosis can be confirmed through routine examination of prostate fluid, culture and antibiogram of prostate fluid, prostate ultrasonography, and even digital rectal examination of the prostate. Treatment should be based on the results of these examinations. If the prostatitis is bacterial, sensitive antibiotics should be used for regular treatment. If the patient has significant urinary discomfort, medications that improve urinary symptoms can be added to the treatment. If the patient also experiences significant pelvic pain, the use of non-steroidal anti-inflammatory pain medications can be considered. (Please take medications under the guidance of a doctor.)

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Written by Wang Shuai

Urology

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What causes prostatitis?

Prostatitis is commonly found in young males, with the main clinical symptoms being frequent urination, urgent urination, and a sensation of incomplete bladder emptying. Prostatitis is primarily divided into bacterial prostatitis and non-bacterial prostatitis. Bacterial prostatitis is mainly caused by local infections, such as in patients with urethritis or epididymitis who have not received timely treatment, leading to the development of bacterial prostatitis. Some cases are due to prostate biopsies or the use of liquid catheters. Non-bacterial prostatitis, on the other hand, is largely associated with poor lifestyle habits, such as prolonged sitting, withholding urine, long-term alcohol consumption, frequent sexual activity, and extended periods of cycling or driving, which can lead to the onset of non-bacterial prostatitis.

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Symptoms of prostatitis pain

Patients with prostatitis, in addition to experiencing urinary discomfort symptoms such as frequent urination, urgency, and incomplete emptying, also experience pain symptoms, primarily manifested as pelvic pain. The pain is mainly located in the perineum, anal area, lower abdomen, and some patients may also experience pain in the sacral and even testicular areas. The pain is generally a persistent discomfort similar to gastrointestinal bloating and is usually not severe. However, in cases of acute bacterial prostatitis, the pain can be intense. If these symptoms occur, prostatitis should be strongly considered, and it is advisable to visit a hospital's urology department for preliminary assessment through ultrasound, routine prostate fluid analysis, and rectal examinations, followed by targeted treatment.