Urological Issues: Symptoms and Concerns Explained

Q: Urological Issues: Symptoms and Concerns Explained

Hello： The information provided here is for reference only and cannot replace a doctor's examination, tests, or diagnosis. <br>It is unlikely to be cancer, but it is necessary to check for inflammation and obtain supporting evidence through tests. <br>It is recommended to consult

Urinary system issues

Hello, doctor.
Around this time last year, I was struggling with prostatitis.
I chose to go to a small hospital for diagnosis and treatment.
At that time, my symptoms included frequent urination, difficulty urinating, nocturia, and a sensation of incomplete bladder emptying.
After taking medication for three weeks, my symptoms improved, and the doctor decided I could stop the medication.
A few months later, around January or February of this year, I started experiencing some unusual symptoms intermittently.
For instance, I still find myself needing to use the restroom frequently, especially after drinking a large beverage, with a frequency of about every ten minutes, which is quite different from before I had prostatitis.
Recently, while showering, I felt a soreness when I washed my genital area and pressed near the perineum close to the scrotum.
I also noticed that sometimes when I press on the dorsal side of the penis near the scrotum, I experience a similar sensation.
Occasionally, I even feel a slight contraction of the penis, and there is a similar sensation deep within the penis.
I am a bit worried that this could be related to some tumors or cancer, or that the inflammation has recurred.
Could you please help clarify why this might be happening? Thank you.

Shizi, 10~19 year old female. Ask Date: 2021/11/27

Dr. Du Shixi reply Urology

Hello: The information provided here is for reference only and cannot replace a doctor's examination, tests, or diagnosis.
It is unlikely to be cancer, but it is necessary to check for inflammation and obtain supporting evidence through tests.
It is recommended to consult a urologist at a major hospital.
Currently, it is advisable to stay hydrated and avoid spicy foods and alcohol.
Regular exercise, such as walking, is encouraged.
If engaging in sexual activity, it is essential to practice safe sex.
Wishing you good health.

Reply Date: 2021/11/27

More Info

When it comes to understanding urological issues, particularly symptoms like frequent urination, discomfort, and pain in the genital area, it’s essential to approach the situation with a comprehensive understanding of potential underlying conditions. Your experience with prostatitis last year, characterized by symptoms such as frequent urination, difficulty urinating, nocturia (nighttime urination), and a sensation of incomplete bladder emptying, is not uncommon. Prostatitis can be caused by bacterial infections or can be non-bacterial in nature, often linked to pelvic floor muscle tension or other non-infectious factors.

Given that your symptoms improved after a course of medication, it suggests that the initial treatment was effective. However, the recurrence of symptoms, such as increased urinary frequency and discomfort in the perineal area, raises valid concerns. It’s important to note that urological symptoms can be multifactorial, and several conditions could be contributing to your current experience.

1. Recurrent Prostatitis: It is possible for prostatitis to recur, especially if the underlying cause was not fully addressed. Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a common condition that can lead to persistent symptoms even after treatment.

2. Bladder Irritability: Conditions such as interstitial cystitis or bladder overactivity can lead to similar symptoms, including frequent urination and urgency. These conditions can sometimes develop after an episode of prostatitis.

3. Pelvic Floor Dysfunction: Tension or dysfunction in the pelvic floor muscles can lead to discomfort and urinary symptoms. This can occur after an episode of prostatitis or due to stress and anxiety.

4. Infections: While less common, urinary tract infections (UTIs) can also cause similar symptoms. If you have any additional symptoms like fever, chills, or unusual discharge, it would be prudent to consult a healthcare provider.

5. Tumors or Other Serious Conditions: While it’s natural to worry about more serious conditions such as tumors or cancer, these are less common, especially in younger individuals. However, persistent or worsening symptoms should always be evaluated by a healthcare professional to rule out any serious conditions.

Given your symptoms, it is advisable to seek a follow-up appointment with a urologist. They may recommend further diagnostic tests, such as a urinalysis, ultrasound, or even a prostate-specific antigen (PSA) test, depending on your age and risk factors. A thorough examination can help determine if there is an infection, inflammation, or another underlying issue that needs to be addressed.

In the meantime, consider lifestyle modifications that may help alleviate some symptoms. Staying hydrated, avoiding irritants such as caffeine and alcohol, and practicing relaxation techniques can be beneficial. Additionally, pelvic floor physical therapy may help if pelvic floor dysfunction is contributing to your symptoms.

In summary, while your concerns about the recurrence of symptoms are valid, a thorough evaluation by a healthcare professional is essential to determine the underlying cause and appropriate treatment. Don’t hesitate to reach out for help; managing urological issues often requires a collaborative approach between you and your healthcare provider.

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