Symptoms of prostatitis pain

Written by Wang Shuai
Urology
Updated on September 04, 2024
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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.

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Written by Wang Shuai
Urology
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How to treat prostatitis with frequent urination

Patients with prostatitis often experience symptoms such as frequent urination and incomplete bladder emptying. For these symptoms, it's important to visit a urology department at a hospital promptly. Through routine prostate fluid analysis, culture of prostate fluid, and susceptibility testing, the specific cause of prostatitis can be determined, allowing for targeted treatment. If the prostatitis is bacterial, antibiotic treatment is necessary. Commonly used antibiotics include quinolones and cephalosporins. At the same time, medications that improve urinary discomfort such as alpha-blockers or phytotherapeutic drugs can be used to alleviate symptoms like frequent urination by relaxing the urethral smooth muscle, improving symptoms of frequency and incomplete emptying. Physical treatments like warm sitz baths, microwave therapy, and shortwave therapy can also be employed. During treatment, it's crucial to eat a light diet, avoid spicy and irritating foods, avoid sitting for long periods, and avoid holding in urine. (Please use medications under the guidance of a doctor.)

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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 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 Zeng Zhong
Urology
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What is the best treatment for prostatitis?

The treatment of prostatitis requires following the treatment plan and course prescribed by the diagnosing doctor, taking medications on time and in the correct dosage. Generally, it is necessary to first conduct a bacterial culture and drug sensitivity test on the prostatic fluid. Based on the results, the pathogenic bacteria and sensitive antibiotics are identified, and then sensitive antibiotics are selected for oral treatment. At the same time, patients should adopt a light diet, avoid spicy and stimulating food, avoid alcohol, avoid prolonged sitting, and avoid holding in urine. A warm water sitz bath can be taken daily.

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Written by Wang Shuai
Urology
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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.