Prostate Swelling: When to Seek Medical Advice - Urology

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Prostate enlargement


Hello, doctor.
I sometimes feel a sensation of fullness and slight itching in my prostate.
Could this be prostatitis? However, I do not experience frequent urination, and my bathroom visits are normal without pain or interruptions.
Should I see a doctor for this?

Niming, 20~29 year old female. Ask Date: 2017/02/22

Dr. Du Shixi reply Urology


Hello: If prostate swelling occurs daily, you should seek medical attention.
If it happens occasionally, just pay attention to your diet.
Drink plenty of plain water, and avoid alcohol and spicy or irritating foods.
Walking for half an hour each day and avoiding prolonged sitting or standing can be helpful.
Thank you for your inquiry.

Reply Date: 2017/02/22

More Info


When it comes to prostate health, understanding the signs and symptoms is crucial for timely medical intervention. Your question about feeling a sensation of swelling or itchiness in the prostate area, without experiencing frequent urination or pain during urination, raises several important points.

Firstly, the prostate gland can become swollen or inflamed due to various conditions, including prostatitis (inflammation of the prostate), benign prostatic hyperplasia (BPH), or even prostate cancer. The symptoms you describe—feeling of swelling and itchiness—could potentially indicate prostatitis, but they are not definitive. Prostatitis can present with a range of symptoms, including pain in the pelvic area, discomfort during urination, and sometimes flu-like symptoms, but it can also be asymptomatic or present with mild symptoms.

The absence of frequent urination and pain during urination is a positive sign, as these are often key indicators of more severe prostate issues. However, the sensation of swelling or itchiness should not be ignored. It could be a sign of inflammation or irritation, which might require further evaluation.
In general, if you are experiencing any unusual sensations or symptoms related to your prostate, it is advisable to consult a healthcare professional, particularly a urologist. They can perform a thorough evaluation, which may include a digital rectal exam (DRE), prostate-specific antigen (PSA) blood test, and possibly imaging studies if necessary. These assessments can help determine whether there is an underlying condition that needs treatment.

Moreover, it is essential to consider other factors that could contribute to your symptoms. Lifestyle choices, such as diet, exercise, and hydration, can significantly impact prostate health. For instance, a diet high in processed foods and low in fruits and vegetables may exacerbate prostate issues. Regular physical activity and maintaining a healthy weight can also contribute positively to prostate health.

If you are experiencing itchiness, it could also be related to non-prostate issues, such as skin irritation or infections. Therefore, a comprehensive evaluation is necessary to rule out other potential causes.

In summary, while your current symptoms may not indicate a severe issue, it is always better to err on the side of caution when it comes to health matters. Consulting a healthcare provider can provide peace of mind and ensure that any potential issues are addressed early on. Regular check-ups and open communication with your healthcare provider about any changes in your symptoms are key to maintaining prostate health.

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