The symptoms of prostatitis can be divided into: urination problems, pain problems, sexual dysfunction, and systemic symptoms.
The first prostate problem that most patients with prostatitis encounter is urination, which is also the most common symptom in patients with chronic prostatitis. Doctors regard urination problems as a warning of chronic prostatitis.
The urination problems of prostatitis patients are usually as follows: frequency of urination, urgency of urination, pain of urination, endless urination, burning sensation of urination, dysuria, urinary retention and nocturnal urination.
Urgent urination refers to a feeling of urgency during urination, which can't be easily controlled due to impatience. When the urge to urinate comes, it is necessary to urinate as soon as possible. "If patients do not urinate, they may experience compression and fullness, and some patients may experience abdominal pain due to urgent urination.". Urgent urination is the initial symptom in most patients with prostatitis. After suffering from prostatitis, the patient's prostate compresses the posterior urethra and causes bladder irritation, resulting in urgency of urination. Patients with symptoms of urgency in urination generally have symptoms of prostate hyperplasia.
Normally, men urinate an average of 4-6 times during the day and 0-2 times after bedtime at night. If the frequency of urination increases significantly beyond the above range, it can be considered frequent urination. Urinary frequency can be divided into physiological and pathological frequency. The frequency of urination caused by excessive drinking water, mental stress, or cold weather is a physiological frequency of urination, which is not accompanied by symptoms such as urgency of urination, and at the same time, the amount of urination each time is quite large; The frequency of urination caused by diseases of the genitourinary system or other systems of the body is pathological.
Pathological frequent urination is characterized by a small amount of urine each time, but a significant increase in the number of urinations, and can have symptoms such as urgency and pain in urination. In patients with chronic prostatitis, the muscle fiber tension of the smooth muscle of the bladder decreases, resulting in a decrease in the elasticity of the bladder. The amount of urine stored in the bladder cannot reach the normal amount, but it has already generated the same pressure as the normal amount, which is the reason for frequent urination. Urgent urination often occurs with frequent urination, but frequent urination does not necessarily occur with urgent urination.
Inadequate urination refers to feeling that the bladder is full and full, and the urge to urinate is urgent. After urinating, the feeling of fullness cannot be relieved, and the feeling that urine has not been discharged completely. Inadequate urination is often accompanied by frequent urination, urgency, pain in urination, and symptoms of urethral bleeding. The biggest causes of urinary insufficiency are prostate disease and urinary tract infections.
Prostatitis can lead to a decrease in the neurosensory threshold, a state of excitation in the urinary consciousness center, resulting in endless urination, and a decrease in urine volume. "Prostatic hyperplasia also often leads to symptoms of urinary insufficiency. The prostate is located deep and surrounded by layers of organs and muscles. The portion of the hyperplasia of the prostate is pressed inward, resulting in urethral obstruction and inability to empty urine, which can lead to symptoms of urinary insufficiency.".
Urodynia refers to pain in the urethra, bladder, and perineum when urinating. The degree of pain varies from mild to severe, with many patients feeling a burning sensation, and severe patients experiencing pain such as a knife cut. Patients with chronic prostatitis often have pain in the perineum or suprapubic region of the pelvis.
Due to the high level of androgen in young men and the high secretion of prostate fluid, frequent prostate congestion can cause the expansion of the glandular ducts. During urination, due to the passive contraction of prostate smooth muscle, it is easy to cause the overflow of prostate fluid. Especially at night, due to the continuous passive erection of the penis, it further stimulates the secretion of glandular fluid, leading to the appearance of white urine droplets when urinating in the morning. Or because the prostate gland is compressed during defecation, intermittent urine dripping can occur during urination. Most of the white spots after urination are caused by chronic prostatitis. The white secretion flowing out is prostate fluid.
Urethral cauterization refers to the phenomenon of burning the urethra due to a short amount of yellow urine during urination. In addition, there is often a burning sensation in the vulva, and when there is a burning sensation in the vulva, the urine that comes out of urination must be dark yellow. Urethral burning is one of the main symptoms of chronic prostatitis. Chronic prostatitis can cause bladder irritation and urethral irritation, both of which are extremely sensitive and can cause irritation during urination.
Urinary retention means that the bladder is full of urine and cannot be discharged automatically. There are many causes of symptoms, many diseases, trauma, surgery or anesthesia and other factors can cause urinary retention. Urinary retention is divided into acute and chronic urinary retention. The symptoms of urinary retention in patients with chronic prostatitis are acute urinary retention. The disease occurs suddenly. The urine fills rapidly in the bladder in a short time, causing swelling. At the same time, the lower abdomen swells and bulges. The sense of urination is urgent, but the patient cannot urinate by himself. One of the characteristics of acute urinary retention is that the patients had normal urination before, without a history of dysuria.