Final answer:
The patient is exhibiting symptoms of prostatitis, which is the inflammation of the prostate gland caused by bacterial infection. It can cause perineal discomfort, burning, urgency, frequency with urination, and pain with ejaculation.
Step-by-step explanation:
The symptoms described by the patient, including perineal discomfort, burning, urgency, and frequency with urination, as well as pain with ejaculation, are consistent with prostatitis. Prostatitis is the inflammation of the prostate gland and can occur due to bacterial infection. It can cause various urinary symptoms and discomfort. Treatment for prostatitis typically involves antibiotics and anti-inflammatory medications.