Prostatitis: Symptoms, Treatment, and Urine Protein Concerns - Urology

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Prostatitis


Hello Doctor, I went to see a physician who diagnosed me with prostatitis.
He prescribed Urief 8 mg, which I have been taking for a month and a half, but I am still not fully recovered.
During this time, I have been masturbating almost once a week.
Recently, I noticed that after urinating (about 5 to 10 minutes later), there are small bubbles in my urine (not every time).
I believe this might be protein in my urine.
I have the following questions: 1.
Is it possible that my masturbation is preventing my recovery? 2.
Can prostatitis cause protein in the urine? 3.
I researched and found that everyone excretes a small amount of protein in their urine daily, but it should be less than 150 mg.
Is it possible for this 150 mg to be visible to the naked eye? Thank you, Doctor.

Ken, 20~29 year old female. Ask Date: 2022/12/29

Dr. Du Shixi reply Urology


Hello: 1.
Is it possible that my ongoing issues are due to masturbation? --> No.
2.
Can prostatitis cause proteinuria? --> No.
3.
I checked online and found that everyone excretes a small amount of protein in their urine daily, but it is less than 150 milligrams.
Is it possible to see this 150 mg with the naked eye? --> No.
Wishing you good health.

Reply Date: 2022/12/29

More Info


Prostatitis, particularly nonbacterial prostatitis or chronic pelvic pain syndrome (CPPS), can be a challenging condition to manage due to its multifaceted nature. Symptoms often include pelvic pain, urinary difficulties, and sexual dysfunction, which can significantly impact a patient's quality of life. Understanding the relationship between prostatitis and urinary protein, as well as the implications of self-stimulation (masturbation) on recovery, is crucial for effective management.

1. Impact of Masturbation on Prostatitis Recovery: While there is no direct evidence linking masturbation to the exacerbation of prostatitis symptoms, it is essential to consider individual responses. Some patients report that sexual activity, including masturbation, can temporarily relieve pelvic discomfort due to the release of tension. However, for others, it may lead to increased irritation or discomfort. If you notice that your symptoms worsen after masturbation, it might be worth discussing this with your healthcare provider to tailor a management plan that suits your needs.

2. Prostatitis and Urinary Protein: Prostatitis can lead to inflammation in the pelvic region, which may affect the urinary system. Inflammation can sometimes cause the kidneys to leak small amounts of protein into the urine, a condition known as proteinuria. While prostatitis itself is not a primary cause of significant proteinuria, the inflammatory response associated with it could potentially contribute to minor elevations in urinary protein levels. However, it is essential to differentiate between transient proteinuria, which can occur due to various benign reasons, and persistent proteinuria, which may indicate underlying kidney issues.

3. Understanding Urinary Protein Levels: The threshold of 150 mg of protein in urine is a standard reference for normal kidney function. Typically, this amount is not visible to the naked eye. Proteinuria that can be seen (such as foamy urine) usually indicates higher levels of protein, often exceeding 300 mg per day. If you are observing foamy urine consistently, it is advisable to consult your healthcare provider for further evaluation. They may recommend a urinalysis to quantify protein levels and assess kidney function.


Recommendations for Managing Prostatitis and Urinary Concerns:
- Follow-Up with Your Healthcare Provider: Regular follow-ups are crucial for monitoring your condition. If symptoms persist despite treatment, your doctor may consider alternative therapies or further investigations to rule out other potential causes of your symptoms.

- Lifestyle Modifications: Maintaining a healthy lifestyle can help manage prostatitis symptoms. This includes staying hydrated, avoiding irritants such as caffeine and alcohol, and practicing stress-reduction techniques.

- Medication Adherence: Continue taking prescribed medications, such as Urief (which contains the active ingredient solifenacin), as directed. If you experience side effects or feel that the medication is not effective, communicate this with your doctor.

- Diet and Exercise: A balanced diet and regular physical activity can improve overall health and may help alleviate some symptoms associated with prostatitis.

- Avoid Self-Diagnosis: While it is tempting to search for answers online, self-diagnosis can lead to unnecessary anxiety. Always discuss your concerns with a healthcare professional who can provide personalized advice based on your medical history and current condition.

In conclusion, while prostatitis can lead to various urinary symptoms, including potential proteinuria, it is essential to approach this condition holistically. Regular communication with your healthcare provider, adherence to treatment, and lifestyle modifications can significantly improve your quality of life and help manage symptoms effectively. If you have ongoing concerns about urinary protein or the impact of masturbation on your condition, do not hesitate to seek further medical advice.

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