The main complications of acute prostatitis are:
(1) acute urinary retention: acute prostatitis causes local congestion, swelling and oppression of the urethra, resulting in difficulty in urination or acute urinary retention.
(2) Acute seminal vesiculitis or epididymitis and vas deferens: the acute inflammation of the prostate can easily spread to the seminal vesicle, causing acute seminal vesiculitis. At the same time, bacteria can retrogradely enter the wall and outer sheath of vas deferens through lymphatic vessels, resulting in epididymitis.
(3) Enlargement or tenderness of spermatic cord lymph nodes: there are communicating branches between prostate and spermatic cord lymph in pelvis. Acute inflammation of prostate affects spermatic cord, causing enlargement of spermatic cord lymph nodes and tenderness.
(4) Sexual dysfunction: prostate congestion, edema or formation of small abscess in acute inflammatory stage, including ejaculation pain, painful erection, depression, pain, impotence, blood essence, etc.
(5) Others: severe acute prostatitis can be accompanied by renal colic.
The above symptoms do not exist in all cases. Some cases have only fever and burning sensation of urethra in the early stage, which are mistaken for colds. Acute bacterial prostatitis can also be complicated with orchitis, seminal vesiculitis and vasitis.
(1) Impact on sexual function and fertility: it is mainly characterized by decreased sexual function, such as short rooming time or premature ejaculation, which may be related to inflammatory stimulation of the prostate. The relationship between impotence and prostatitis is uncertain. Chronic prostatitis does not directly damage the nerve vascular function of erection.
Long term discomfort produces psychological pressure on patients, causing them to restrain and worry, especially for patients who can’t understand the disease, they often think that their sexual function is wrong. Mental impotence may occur over time. Blood essence can appear when prostatitis is complicated with seminal vesiculitis.
The main component of is prostate fluid, and the sperm discharged from testis and epididymis must be nourished and transported by seminal plasma, including prostate fluid, in order to have the ability to combine with eggs. Patients with chronic prostatitis often have low sperm motility and high mortality. The incidence of infertility in patients with prostatitis was significantly higher than that in normal population.
(2) Effects on the whole body: in addition to the symptoms of local urinary system, chronic prostatitis can also be manifested as allergic iritis, arthritis, endocarditis, myositis, etc.
Patients with chronic prostatitis often show obvious mental symptoms. Patients are nervous and have great mental pressure. In the long run, it can lead to general fatigue, insomnia, dreaminess, easy fatigue, hypochondriasis and anxiety. These patients often pay too much attention to their health. And look for evidence from many aspects to prove that no matter how patiently doctors explain, it is difficult to change their hypochondriac psychology.
Although patients are often skeptical of doctors’ interpretation and treatment, their psychology of seeking treatment is quite urgent. The relationship between prostatitis and mental symptoms is not clear. Why mental tension leads to prostatitis and how prostatitis produces mental and neurological symptoms are worthy of further study. There is a direct internal relationship between mental and neurological symptoms and individual personality characteristics, so the degree of mental symptoms can vary greatly among different individuals with chronic prostatitis.