Is frequent and urgent urination a symptom of prostatitis?

Written by Wang Shuai
Urology
Updated on September 06, 2024
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Frequent urination and urinary urgency are both symptoms of urinary irritation. There are many reasons that can cause frequent urination and urgency, and these symptoms alone cannot diagnose prostatitis. Initially, it is crucial to conduct routine urine tests and ultrasounds to preliminarily determine the specific causes of frequent urination and urgency. Besides prostate diseases, common causes include urethritis, urethral stones, urethral tumors, urethral stricture, bladder stones, or even stones in the ureter, all of which can lead to frequent urination and urgency. Therefore, if symptoms of frequent urination and urgency occur, it is necessary to visit the hospital's urology department promptly for relevant examinations to determine the specific causes.

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Written by Wang Shuai
Urology
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Is urinary retention prostatitis?

Urinary hesitation is just a symptom, with various underlying causes. It cannot be determined whether it is due to prostatitis solely based on the symptom of urinary hesitation. In addition to prostatitis, prostate enlargement, prostate cancer, bladder diseases, or dysfunction of the detrusor muscle can also lead to urinary hesitation. Upon experiencing urinary hesitation, it is advisable to promptly visit the urology department of a hospital for diagnosis through ultrasonography, CT scans, routine prostate fluid analysis, and even urodynamic testing to determine the specific cause of the urinary hesitation. If it is caused by prostatitis, the routine analysis of prostate fluid often indicates a reduction in lecithin bodies. If it is bacterial prostatitis, there will also be an increase in white blood cells.

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Written by Wang Shuai
Urology
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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 Wang Shuai
Urology
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Prostatic calcification refers to the presence of calcium deposits in the prostate gland.

Prostatic calcification caused by prostatitis primarily refers to the fibrous calcification deposits that occur in the local tissue of the prostate after the prostatitis has healed. Simply put, it refers to the scar tissue left after a prostate infection. Under color ultrasound examination, it appears as a strong echo cluster, and under CT examination, it appears as a high-density shadow. The presence of prostatic calcification lesions usually does not cause discomfort for most patients and is often discovered during routine ultrasound examinations during physical check-ups. For those cases where there are no discomfort symptoms associated with prostatic calcification lesions or spots, no special treatment is needed, as they do not pose a significant risk to health.

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Written by Chen Feng
Urology
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Can you have sexual intercourse with prostatitis?

Whether patients with prostatitis can have sexual intercourse depends on the type of prostatitis. Prostatitis includes acute prostatitis and chronic prostatitis. Acute prostatitis has a sudden onset and typically presents with more pronounced clinical symptoms, especially pain and discomfort in the perineal and lower abdominal areas. It also causes the swollen prostate to compress the urethra, leading to difficulty in urination. Therefore, it is generally not recommended for patients with acute prostatitis to have sexual intercourse, as it can exacerbate symptoms and hinder recovery. Chronic prostatitis has a longer course and milder symptoms. Patients with chronic prostatitis can generally have sexual intercourse, but it is not recommended for those with severe symptoms.

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Written by Zhang Da Wei
General Surgery
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Location of prostatitis pain

Prostate disease is a relatively common condition in the department of urology, and it is divided into acute and chronic phases. Generally, when pain occurs, it can cause edema around the prostate, which may lead to some painful symptoms of expansion. The main areas that may cause pain are the lower abdomen, bilateral groin, inner thighs, or scrotum and testicles. In severe cases, there might be a sensation of heaviness and pain in the lumbosacral area, or even around the anus. Therefore, when these symptoms appear, the first step should be to determine whether they are related to prostatitis, through diagnostic tests such as color ultrasound or analysis of prostate fluid. This can confirm whether the pain is caused by prostatitis. It is also important to improve pain management and treat the condition promptly to help prevent recurrent attacks and the development of a chronic disease.