What are the symptoms of prostate disease?

Prostate disease usually presents with symptoms such as frequent urination, urgency, difficulty urinating, and perineal pain. Prostate diseases mainly include prostatitis, benign prostatic hyperplasia, prostate cancer and other types.

1. Frequent urination and urgent urination

Frequent urination refers to a significant increase in the frequency of urination, especially frequent urination at night. Urgency refers to the sudden and strong desire to urinate that is difficult to delay. These symptoms may be related to prostatic hyperplasia compressing the urethra or prostatitis irritating the bladder neck. In terms of lifestyle habits, it is recommended to reduce caffeine and alcohol intake and avoid holding in urine. If it is caused by prostatitis, the doctor may prescribe tamsulosin hydrochloride sustained-release capsules, Qianlieshutong capsules, celecoxib capsules and other drugs to relieve symptoms.

2. Difficulty urinating

It manifests as delayed initiation of urination, thinning or interruption of urine flow, and even the need for abdominal straining to urinate. Benign prostatic hyperplasia may cause mechanical obstruction of the urethra, while chronic prostatitis may cause functional voiding disorders. Depending on the cause, doctors may use finasteride tablets, doxazosin tablets and other drugs to improve obstruction, or relieve inflammation through prostate massage and physical therapy.

3. Perineal pain

The pain is usually located in the perineum, lumbosacral or suprapubic area and may be accompanied by post-ejaculation discomfort. Bacterial prostatitis can cause local congestion and edema, while non-bacterial inflammation is associated with pelvic floor muscle spasm. Hot compresses can help relieve muscle tension, and your doctor may prescribe indomethacin suppositories, methylcobalamin tablets and other drugs to control pain and neurological symptoms.

4. Hematuria or hematospermia

Prostatic hyperplasia or inflammation may cause capillary rupture and terminal hematuria. Hematospermia is mostly caused by bleeding from the seminal vesicles or prostate tubules. This symptom may also occur when prostate cancer invades the urethra or seminal vesicles. The cause needs to be clarified through prostate-specific antigen testing and imaging examinations. Doctors may choose hemostatic tablets and Yunnan Baiyao capsules as auxiliary treatments.

5. Sexual dysfunction

These include difficulty in erection, pain during ejaculation, or loss of sexual desire. Chronic prostatitis may affect neurovascular function, and temporary dysfunction may occur after prostate surgery. Psychological counseling combined with drug treatment such as Tadalafil tablets and Shugan Yiyang capsules may improve symptoms.

Patients with prostate disease need to maintain a regular sexual life to promote the discharge of prostatic fluid and avoid sitting for long periods of time and riding bicycles to oppress the perineum. Add tomatoes, pumpkin seeds and other foods rich in antioxidants to your diet, and limit spicy foods. If the above symptoms occur, it is recommended to seek medical advice as soon as possible and confirm the diagnosis through digital rectal examination, ultrasound and other examinations to avoid delaying treatment.