Prostatitis is a common men's disease. People who sit frequently are prone to prostatitis. Prostatitis can cause symptoms of frequent and urgent urination, as well as some radiating pain, among which low back pain is the most common. Timely treatment can avoid a series of complications. 1. Radiating pain of prostatitis The pain caused by the symptoms of chronic prostatitis is not limited to the urethra and perineum, but also radiates to the vicinity. The most common symptom of male prostatitis is lower back pain. In addition, the penis, spermatic cord, testicles and scrotum, lower abdomen, groin area (thigh root), thigh, rectum, etc. can also be affected. 2. Complications of prostatitis 1. The complications that acute prostatitis may cause are as follows (1) Acute urinary retention: Acute prostatitis causes local congestion, swelling, and compression of the urethra, resulting in difficulty in urination or acute urinary retention. (2) Acute seminal vesiculitis or epididymitis and vas deferensitis: Acute inflammation of the prostate can easily spread to the seminal vesicles, causing acute seminal vesiculitis. At the same time, bacteria can retrogradely enter the wall and outer sheath of the vas deferens through the lymphatic vessels, causing epididymitis. (3) Spermatic lymph node enlargement or tenderness: The prostate gland and spermatic lymph nodes have communicating branches in the pelvis. When the prostate gland is acutely inflamed, the spermatic cord will be affected, causing the spermatic lymph nodes to swell and become tender. The above symptoms are not present in all cases. Some cases only have fever and urethral burning sensation in the early stage, which may be mistaken for a cold. Acute bacterial prostatitis may also be complicated by orchitis, seminal vesiculitis and vas deferens. 2. Complications of chronic prostatitis include (1) Impact on sexual function and fertility: The main manifestation is sexual dysfunction, such as short intercourse time or premature ejaculation, which may be related to inflammatory stimulation of the prostate. The relationship between impotence and prostatitis is still uncertain. Chronic prostatitis does not directly damage the neurovascular function of penile erection. Long-term discomfort creates psychological pressure on patients, causing them to be inhibited and worried. In particular, patients who are not familiar with the disease often think that there is a problem with their sexual function. Over time, they may develop psychological impotence. Hematospermia may occur when prostatitis is complicated by seminal vesiculitis. The main component of semen is prostatic fluid, and sperm discharged from the testicles and epididymis must be nourished and transported by seminal plasma, including prostatic fluid, to have the ability to combine with the egg. The semen of patients with chronic prostatitis often shows low sperm motility and a high mortality rate. The incidence of infertility in patients with prostatitis is significantly higher than that in the normal population. (2) Impact on the whole body: In addition to local urinary system symptoms, chronic prostatitis can also manifest as allergic iritis, arthritis, endocarditis, myositis, etc. |
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