Pain in the prostate in various circumstances | Pain in the prostate

Pain in the prostate in various circumstances

If prostate pain occurs immediately after ejaculation, this may be an indication of an inflammatory process in the area of the prostate gland. This so-called prostatitis can occur in acute or chronic form and can be caused both bacterially (caused by intestinal germs or venereal diseases) and abacterially (chronic pelvic pain syndrome). In addition to the pain in the prostate gland, fever, bloody sperm, pain when urinating and defecating, and a feeling of pain and pressure in the perineal region can occur.

If the pain in the prostate has been present for a longer period of time or is increasing in intensity, it may also be a progression of the inflammation with abscess formation. An enlargement of the prostate, the so-called prostate adenoma, can also lead to a narrowing of the seminal ducts due to the increase in size of the prostate gland and thus to pain during and after ejaculation.Typical of this is a weakened and interrupted urine stream when urinating. Another possible cause of pain during ejaculation can be prostate cysts.

Similar to the prostate adenoma, the narrowing of the seminal ducts causes the symptoms, in this case by the cysts. A painful ejaculation with sensation of pain and pressure in the area of the prostate may also be caused by psychological factors. Problems in the partnership, experienced abuse, stress and numerous other factors can play a role here.

Prostate cancer can also cause pain in the prostate gland during ejaculation. Since prostate cancer usually does not have early symptoms, pain in the prostate after ejaculation can be a late symptom of an already advanced disease. If pain in the prostate gland reappears together with a burning sensation when urinating and an increased urge to urinate, bacterial inflammation of the prostate gland (prostatitis) may be a possible cause.

Depending on the accompanying symptoms, such as pain radiating into the perineal area, genitals and groin, and fever, the disease of the prostate may already be advanced. At an advanced age, the increase in size of the prostate can lead to discomfort and sometimes pain in the prostate when urinating. In addition, there is a more frequent urge to urinate, a weaker urine stream and “night dripping”.

Constipation and hard stool put a strain on the prostate and can therefore lead to pain in the area of the prostate gland during and after defecation. Therefore, a diet rich in fiber is recommended, which softens the stool and makes it more regular. Prostatitis, a (bacterial) inflammation of the prostate gland, can also lead to painful bowel movements.

Abscesses, i.e. purulent accumulations on the prostate gland, can also lead to painful bowel movements during or after bowel movements. Prostate pain when sitting can have various causes. If the symptoms occur in phases and especially at rest, i.e. when sitting, lying or standing, the cause could be chronic pelvic pain syndrome.

This usually occurs in phases and lasts from days to weeks. Further symptoms can be pain radiating into the groin, testicles and penis as well as an increased urge to urinate. If the prostate pain is new, it can be acute prostatitis.

In this case, the inflammation of the prostate leads to an unpleasant feeling of pressure in the perineal region, which becomes more pronounced when sitting. Furthermore, pain during urination, defecation and ejaculation as well as fever can occur. The irritation of the prostate, the so-called prostate odynia, can also cause discomfort of the prostate when sitting.

In this case, the prostate can be overstressed and mechanically irritated by sitting for too long and thus cause pain. If pain in the prostate occurs after alcohol consumption, it can be a case of (chronic) prostatitis, whereby the alcohol can act as an irritation trigger and thus lead to an aggravation of the symptoms. In addition, alcohol, even in the absence of inflammation of the prostate gland, can cause pain, burning or discomfort in the area of the prostate in some men.

This may be the case especially if you drink alcohol frequently or heavily. The exact reasons for this are not yet known. It is assumed that alcohol as a toxic substance leads to a state of irritation.

In this case, it is recommended to limit its consumption or to refrain from it altogether. Night-time pain of the prostate can be caused by an inflammation of the prostate. This usually occurs during the day.

In addition, pain may occur during urination, whereby the urge to urinate may be increased at night and thus worsen the symptoms. An increased urge to urinate at night can also occur in the case of prostate adenoma, where the difficulty in urinating can be manifested by pain in the area of the prostate. If the prostate is irritated, for example after a bicycle ride, the symptoms can also reappear the following night or lead to an increase in pain.

This causes the prostate gland to swell and can lead to discomfort. If pain in the prostate occurs mainly in the cold, prostate inflammation is a possible cause. The cold plays a role as an inflammatory stimulus and aggravates existing complaints or makes the disease symptomatic for the first time.

Cold in itself can also be a possible trigger for acute prostatitis.In addition, cold can cause swelling of the prostate gland due to reduced blood supply to the pelvis, thus causing the symptoms. This resulting irritation of the prostate gland can therefore also lead to pain from and in cold. Pain in the prostate gland after or during sporting activity can be caused by an inflammation of the prostate gland.

This event can be acute or, if chronic and thus longer lasting, can have a wave-like character with increasing and decreasing pain intensity. Prostatodynia, an irritation of the prostate gland, which can also occur after extreme sporting exertion or mechanical irritation, can also lead to pain after sport. Many men complain of pain in the perineal area and the prostate after long or frequent cycling tours.

This occurs especially when the saddle is chosen incorrectly. The wrong saddle position leads to micro injuries of the prostate gland due to pressure and thus to prostate irritation. Pain and discomfort are the result.

If the prostate gland is permanently incorrectly loaded and stressed, it can swell and lead to inflammation (prostatitis). Potency and fertility can also be reduced. It is recommended to use saddles with recesses in the perineal area or padded cycling shorts.

Pain after prostate surgery is a normal and frequent consequence up to a certain intensity and duration. Since the prostate tissue was irritated during the operation, it swells and can cause discomfort in addition to the resulting wound cavity. The pain as a possible side effect of the operation will be discussed during the consultation before the operation.

The pain can occur when sitting, urinating or defecating. The doctor can usually prescribe painkillers on prescription or recommend over-the-counter preparations from the pharmacy. For pain during bowel movement caused by the irritation of the prostate, laxatives can be prescribed if necessary.

Care should be taken to keep the stool soft, to laxate regularly and not to press. Depending on the procedure, the duration of the symptoms varies. The healing process often takes 4-6 weeks, but the pain usually lasts much shorter and decreases in intensity over time. In general, if the pain persists and cannot be controlled despite medication, the patient should consult his/her urologist. In addition, the patient should drink enough water and take care to take it easy on his/her body to promote the healing process.