Could It Be Prostatitis? Your Urological Symptoms - Urology

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Could it be prostatitis?


Hello, Doctor: I have been experiencing symptoms that started about two weeks ago.
1.
After urination, when the muscles relax, I still feel a sensation in the glans penis similar to the urge to urinate, and I can still expel a few drops of urine after shaking.
2.
After masturbation, I notice a clear fluid continues to leak out for several minutes (this has happened three times), which did not occur before.
3.
I still feel the urge to urinate after finishing (sometimes my bladder feels slightly distended).
4.
I experience discomfort in the muscles around the prostate area during urination, which is hard to describe (the discomfort worsens when sitting and is somewhat relieved when standing).
I wonder if this could be related to prolonged sitting at home and if it might be prostatitis?

Zhao, 10~19 year old female. Ask Date: 2021/06/16

Dr. Du Shixi reply Urology


Hello: The likelihood is low, but a medical examination is necessary for a proper diagnosis.
Currently, it's important to get enough rest, engage in gentle exercise, stay hydrated, and avoid spicy and irritating foods.
Wishing you good health.

Reply Date: 2021/06/16

More Info


Prostatitis, or inflammation of the prostate gland, can manifest through a variety of symptoms, many of which you have described in your question. Understanding these symptoms in the context of your overall health is crucial for accurate diagnosis and effective treatment.
1. Symptoms and Their Implications: The symptoms you are experiencing, such as a lingering sensation of needing to urinate after you've just finished, discomfort in the pelvic area, and the presence of clear fluid after ejaculation, can indeed be associated with prostatitis. The sensation of irritation or discomfort in the glans penis (the tip of the penis) during or after urination is also a common complaint among those with prostatitis. The fact that you feel a need to urinate again shortly after voiding, along with a sensation of bladder fullness, may indicate that your bladder is not emptying completely, which can be a sign of prostate issues.

2. Potential Causes: Prostatitis can be caused by bacterial infections, but it can also occur without any identifiable infection, known as chronic pelvic pain syndrome (CPPS). In your case, since you have not reported any urinary tract infections or other bacterial infections, it is possible that you are experiencing CPPS, which can be triggered by various factors including stress, prolonged sitting, or even certain dietary choices.

3. Lifestyle Factors: You mentioned that you have been sitting at home for extended periods. Prolonged sitting can contribute to pelvic discomfort and may exacerbate symptoms of prostatitis. It is advisable to incorporate regular movement into your daily routine. Simple activities such as standing up, stretching, or taking short walks can help alleviate discomfort and improve circulation in the pelvic area.

4. Diagnosis: To confirm whether you have prostatitis, a healthcare provider may perform a physical examination, including a digital rectal exam (DRE) to assess the prostate's size and tenderness. Additionally, urine tests, blood tests, and possibly imaging studies may be conducted to rule out other conditions. If prostatitis is suspected, a prostate-specific antigen (PSA) test may also be performed to check for inflammation or other prostate issues.

5. Treatment Options: Treatment for prostatitis varies depending on the underlying cause. If a bacterial infection is confirmed, antibiotics will be prescribed. For non-bacterial prostatitis, treatment may focus on symptom relief and could include anti-inflammatory medications, pelvic floor physical therapy, or lifestyle modifications such as dietary changes and stress management techniques.
6. When to Seek Help: If your symptoms persist or worsen, it is important to follow up with a healthcare provider. They may recommend further evaluation or a referral to a urologist, who specializes in urinary tract and male reproductive system issues.

In conclusion, while your symptoms could be indicative of prostatitis, a thorough evaluation by a healthcare professional is essential for an accurate diagnosis and appropriate treatment plan. Maintaining an active lifestyle, managing stress, and being mindful of your body’s signals can significantly contribute to your overall well-being. If you have any further questions or concerns, do not hesitate to reach out to a healthcare provider for personalized advice.

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