Is urinary retention prostatitis?

Written by Wang Shuai
Urology
Updated on September 04, 2024
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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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What causes prostatitis?

Prostatitis commonly occurs in young males, with various causes, the most common being bacterial infection. If it is bacterial prostatitis caused by bacterial infection, it is often seen in patients who previously suffered from urethritis, seminal vesiculitis, etc., and did not receive timely treatment. The bacteria spread along the reproductive tract to the prostate, causing prostatitis. Additionally, patients with long-term indwelling catheters are also prone to acute prostatitis. Furthermore, prostatic needle biopsies can lead to the condition. Nonbacterial prostatitis is mostly caused by poor lifestyle habits, such as prolonged alcohol consumption, sitting for long periods, holding urine, long-term driving, long-term cycling, and staying up late, all of which can lead to nonbacterial prostatitis.

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Written by Wang Shuai
Urology
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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.

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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 Chen Feng
Urology
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How to determine if you have prostatitis

To determine whether one has prostatitis, it is necessary to make a comprehensive judgment based on symptoms and relevant examinations. Prostatitis is divided into acute prostatitis and chronic prostatitis. Acute prostatitis tends to be severe and is mainly characterized by frequent, urgent, and painful urination. Patients may also experience pain and discomfort in the pubic and perineal areas. Due to the swelling of the prostate compressing the urethra, most prostatitis patients will have difficulty urinating, a thinning urine stream, or even intermittent urine flow. Examination of the patient's urine generally shows an increase in white blood cells. Chronic prostatitis has a longer course and also presents symptoms of frequent, urgent, and painful urination, with a white discharge dripping from the urethral opening after urination. Examination of the patient's prostate fluid generally shows abnormal changes, such as an increase in white blood cells in the prostate fluid.

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Written by Wang Shuai
Urology
53sec home-news-image

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.