What are the symptoms of prostatitis in men?

Common symptoms of prostatitis include abnormal urination, local pain, sexual dysfunction, etc. The specific manifestations are related to the type of inflammation. The main symptoms include frequent urination and urgency, perineal swelling and pain, discomfort during ejaculation, general fatigue, and fever in the acute phase.

1. Abnormal urination:

Typical symptoms in the early stage are frequent urination and urgency, with urination up to 10-20 times a day, and a significant increase in waking up at night. Some patients have difficulty urinating, thinning of the urine line, or dribbling after urination. Chronic prostatitis may be accompanied by a burning sensation in the urethra. These symptoms are related to enlargement of the prostate compressing the urethra and inflammation irritating the trigone area of ​​the bladder.

2. Local pain:

The pain is mostly concentrated in the perineum, pubic area or lumbosacral area, presenting as dull pain or swelling, which worsens after sitting for a long time. Acute bacterial prostatitis may present with severe pain that radiates to the inner thigh. Some patients have a sense of pressure in the rectal area during defecation, which is related to the anatomical location of the prostate and rectum adjacent to each other.

3. Abnormal sexual function:

Painful ejaculation or hematospermia are common, and chronic inflammation may lead to loss of sexual desire and erectile dysfunction. Some patients experience premature ejaculation or persistent perineal soreness after ejaculation, which is related to prostate congestion and abnormal nerve reflexes. However, it should be noted that these symptoms are not specific to prostatitis.

4. Systemic symptoms:

Acute bacterial prostatitis is often accompanied by chills and high fever, and the body temperature can reach above 39°C. Chronic patients often present with symptoms of autonomic nervous system dysfunction such as long-term fatigue, insomnia, and anxiety. A small number of people with abnormal immunity may experience systemic reactions such as joint soreness.

5. Symptoms of complications:

As the disease progresses, seminal vesiculitis may worsen, and epididymitis may cause swelling and pain in the scrotum. If left untreated for a long time, bladder neck obstruction or renal function damage may occur, but such serious complications are less common under modern medical conditions.

It is recommended that people with symptoms avoid sitting and cycling for long periods of time and take a sitz bath with warm water for 15 minutes every day to promote local blood circulation. It is necessary to avoid spicy alcohol in the diet and increase the intake of zinc-containing foods such as tomatoes and pumpkin seeds. Moderate aerobic exercise such as brisk walking and swimming can improve pelvic blood circulation, but you should stay in bed during the acute stage. Regular prostate massage can help discharge secretions in patients with chronic inflammation, but it must be performed by a professional physician. When symptoms last for more than two weeks or are accompanied by fever, you need to seek medical attention promptly for prostate fluid examination and bacterial culture.