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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Written by Wang Shuai

Urology

1min 3sec

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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

51sec

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Prostatitis: Diagnosis Methods

For the diagnosis of prostatitis, it is necessary to diagnose through the patient's medical history, clinical manifestations, and related examinations. People with prostatitis often have obvious symptoms such as frequent urination, urgency, incomplete urination, pain and heaviness in the perineum and lower abdomen. A routine prostate fluid examination will reveal a decrease in lecithin bodies and possibly an increase in white blood cells. If there is an increase in white blood cells, bacterial prostatitis should be considered. Further prostate fluid culture and drug sensitivity testing are needed to identify the pathogen causing prostatitis and the drugs it is sensitive to. Then, based on the test results, sensitive antibiotics are used for treatment for about 4 weeks. (Please use medication under the guidance of a doctor.)

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Written by Chen Feng

Urology

48sec

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Is nonbacterial prostatitis easy to treat?

Sterile prostatitis is generally difficult to treat, with most cases presenting as chronic alterations, also known as chronic prostatitis. These patients show symptoms of prostatitis even though no bacteria are found in the prostate fluid. Symptoms include frequent, urgent, and painful urination, and a white discharge may drip from the urethral opening after urinating. Treatment generally involves symptomatic management. If pain symptoms are significant, pain relief medication may be necessary. Some patients may experience anxiety symptoms due to the long-term nature of the condition, requiring the use of anti-anxiety medications. Additional supportive treatments might include warm sitz baths or prostate massage, usually extending over a long treatment period.

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Written by Chen Feng

Urology

56sec

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What causes prostatitis?

Common causes of prostatitis include: First, iatrogenic procedures, which include the insertion of a catheter or conducting cystoscopic examinations. Generally, during these procedures, equipment is inserted retrograde into the bladder through the urethra, which may carry bacteria back into the urethra, causing a retrograde bacterial infection and leading to prostatitis. Second, patients with cystitis or urethritis have a higher amount of bacteria in their urine, which may also infect the prostate gland retrogradely and lead to prostatitis. When prostatitis occurs, it is generally necessary to use antibiotics to control the infection. During treatment, it is also important to drink plenty of water. Drinking more water increases urine production, which can help flush the bladder and urethra timely, aiding in the recovery from the condition.

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Written by Zhou Zi Hua

Oncology

36sec

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The difference between prostate cancer and prostatitis

Prostatitis and prostate cancer have different causes. Prostatitis is caused by the invasion of pathogens into the prostate, whereas prostate cancer is mostly related to genetics, lifestyle and dietary habits, and genetic mutations. Their clinical manifestations are inconsistent; prostatitis mainly presents as pain or abnormal urination, while prostate cancer primarily shows symptoms of compression and metastasis. Of course, their treatment methods are also different.