Prostatitis usually does not require surgery, but it may have some impact on fertility. It is recommended to seek medical evaluation promptly and prioritize non-surgical options such as medication.

1. Indications for Surgery: Most cases of prostatitis can be improved with conservative treatments such as medication and physical therapy. Surgery may only be considered in very rare cases, such as when complicated by severe benign prostatic hyperplasia or abscess.

2. Potential impact on fertility: Chronic prostatitis may affect semen quality, such as leading to decreased sperm motility, thus increasing the difficulty of conception. However, this is not absolute; many patients can still conceive normally after proper treatment.
In general, the focus of prostatitis treatment is on controlling inflammation and relieving symptoms. If you are planning to have children, you should inform your doctor so that a more comprehensive plan can be developed. At the same time, maintaining a healthy lifestyle, such as avoiding prolonged sitting and having regular sleep patterns, will have a positive effect on both recovery and reproductive health.