Symptoms of prostatitis: signs of acute and chronic course

• Signs
• Secondary signs
• Prostate inflammation

Prostatitis is a fairly widespread disease among men (women are not affected by this disease, since the prostate gland is an organ exclusively of the male genitourinary system). Only one out of five representatives of the stronger sex never encounters such a problem in their lives.

• Prostatitis is a disease of the male genitourinary system, the obligatory attribute of which is an inflammatory process localized in the prostate gland.
• Prostatitis today is so widespread that with almost one hundred percent certainty every man who has crossed the threshold of 45 years can be considered sick to one degree or another.
• Why do problems with men's health become more active at this age?
• In fact, it all starts much earlier, the modern rhythm of life, oversaturated with stress, an inactive lifestyle, working in an office in front of a computer, poor nutrition, systematic alcohol consumption and sexual intercourse with frequently changing partners without the use of contraception - all these are the very factors , the presence of which gradually leads to inflammation of the prostate.
• The symptoms of prostatitis that a man first notices are usually the following:

• At the beginning of the disease, when the prostate has just begun to increase in volume, it only slightly squeezes the ureter, which surrounds it like a ring on a finger. Thus, one of the first symptoms of prostatitis will be considered a slight narrowing of the ureter, and, consequently, some obstruction of the passage of urine - difficulty urinating.
• The resulting problem is frequent urination. At first, this manifestation does not cause concern; a man who has never woken up at night before may get up to empty his bladder once or twice at night and chalk it up to an extra cup of tea at dinner. But, over time, the intervals between the urge to urinate will be significantly reduced.
• The presence of pain in the lower abdomen is also one of the first symptoms of prostatitis. They can have different sensations: pulling, pressing, bursting, they usually bother you at the end of the day or after any strength loads.
• Minor erectile dysfunction and premature ejaculation, of course, cause both the man and his partner some anxiety, but this is also often attributed to fatigue and stress.

note

Such, seemingly insignificant, disorders of the male genitourinary system, without proper attention, both from the patient and the doctor, will certainly result in big problems, whose name is chronic prostatitis.

Inflammation of the prostate gland can occur either in an acute, bacterial form, or, in the case of an advanced disease, in its complicated, chronic form.

Symptoms of prostatitis in the acute phase of the bacterial form:

• High body temperature, staying around 39 degrees for a long time.
• Chills.
• General weakness, body aches, painful condition.
• Headache.
• Nausea, in particularly difficult cases, leading to frequent vomiting.
• Severe pain in the perineum, lower abdomen, and also periodically in the lower back and testicles. Often the pain intensifies at the time of bowel movement, and mucous discharge from the urethra may also appear during defecation.
• During a rectal digital examination, the doctor may detect an increase in the volume of the prostate gland, a change in its structure - various formations and scars are often palpable.
• Frequent, difficult, painful urination. Due to the fact that the inflamed prostate pinches the urethra too much, a man has to strain to start urinating; for the same reason, in some cases the bladder does not empty completely, which does not bring proper relief after visiting the toilet.
• Sharp pain during ejaculation.

If prostatitis is not treated at this stage, it is guaranteed to develop into a chronic stage.

Chronic prostatitis is divided into three main types:

• Chronic infectious prostatitis.
• Chronic non-infectious prostatitis.
• Chronic asymptomatic prostatitis.

1. It is discovered in most cases by chance, when taking blood tests and finding an increased number of leukocytes or bacteria in it, or when taking biopsy material from the prostate.
2. In some cases, inflammation of the prostate is detected during open surgical interventions in the prostate gland, or during surgery on the prostate gland itself.
3. Symptoms of prostatitis in its chronic non-bacterial form:

• Abacterial prostatitis has another name, namely “chronic pelvic pain syndrome.” The soreness is constant, monotonous, but varies both up and down. The localization of pain is variable, it can be the prostate itself, the perineum, pain in the tailbone, testicles, or male genital organ. During bowel movements, pain is concentrated in the anus and rectum. An increase in pain intensity occurs even with minor exertion.
• Sexual desire disorders , decreased libido, unstable erection that periodically disappears during the process of copulation, as well as early ejaculation. In order to prevent the situation from worsening, it is recommended to immediately consult a doctor, since with timely treatment there is a high probability of complete restoration of the man’s sexual viability.
• Urinary dysfunction . The urge to empty the bladder is quite frequent, but it is not always possible to completely empty it - you have to make an effort. The stream of urine becomes much thinner, this is due to the presence of initial sclerosing changes in the ureter in the area of ​​the prostate gland.
• Depression, mild or severe depression , apathy, insomnia, or, conversely, drowsiness, as well as attacks of anger are possible manifestations of psychological disorders in men suffering from prostatitis.

Symptoms of prostatitis in its chronic infectious form:

• The pain syndrome in this case depends entirely on the degree of exacerbation of the disease at a particular moment. At the peak concentration of bacteria, the pain is dull, drawing, continuous, localized in the groin area, scrotum, lower abdomen, intensified in a sitting position (especially when standing on a hard surface), during urination, defecation and ejaculation.
• During remission, during the period of weakening or complete disappearance of other symptoms of prostatitis in its chronic bacterial form, impaired urination , or rather tension when trying to empty the bladder and the inability to do this completely, is the only symptom that remains with a man with this disease. At the moment of exacerbation, a man is often completely deprived of the ability to urinate, since the inflamed prostate simply blocks the passage of urine through the urethra, or urine flows out literally drop by drop.
• Distension and pain in the bladder also often accompany this disease in the acute phase. Stagnation of urine favors the development of infections and the formation of salt microcrystals that injure the mucous wall of the bladder. When urinating, white threads and flakes are observed in the urine.
• Often there is a prolonged erection during sleep , but at the time of intercourse it often weakens so much that it is not possible to complete sexual intercourse. If this does happen, then sharp pain may be observed during or immediately after the onset of orgasm, and blood impurities may be noticed in the ejaculate.
• Against the background of all these symptoms, especially during an exacerbation, men are often susceptible to psycho-emotional disorders of varying degrees of severity . In most cases, they are depressed, apathetic, unsure of themselves, their thoughts are occupied with the complexity of treatment and fatigue from constant pain. At the same time, increased excitability and even aggressiveness are noted when discussing topics related to the patient’s health condition.
• Patients experience a complete picture of general intoxication : increased fatigue, weakness, headaches, decreased immunity, patients often refuse to eat and constantly want to sit down or lie down.

With clinical exacerbation of prostatitis, there may be cases of an acute reaction to the inflammatory process in the prostate gland, without an accurate diagnosis, as well as proper, adequate and timely treatment, leading to complications such as blood poisoning and even local areas of suppuration in the body of the prostate.

That is why, at the first signs of illness, it is recommended to immediately contact a urologist, and not to independently prescribe all kinds of traditional medicine, suppositories, tablets and other drugs, after reading reviews on the Internet. Treatment at home is possible only after consultation with a specialist, because the cost is your health.

Signs of prostatitis - what to look for?

General signs of prostatitis have their own characteristics at each specific stage of the disease. For example, in the acute form of advanced inflammation of the prostate, not only purulent inflammation can develop in this glandular-muscular organ, but also abscess cavities can form. Often this condition is accompanied by a fairly high, non-decreasing temperature, pain in the lower abdomen, suprapubic region, perineum and upper thighs. Frequent urge to urinate, but the outflow of urine is significantly difficult, since the urethra is compressed by the prostate gland to such an extent that in some cases only medical intervention can help empty the bladder.

These signs of prostatitis are more likely to be characteristic of people at risk: patients with extremely reduced immunity, patients with drug addiction and alcoholism, cancer patients.

In most men, inflammation of the prostate gland does not manifest itself clearly.

The latent signs of prostatitis are manifested only by some mild disturbances: frequent urination, periodic discharge from the urethra, burning and itching in the ureter, decreased potency, decreased sperm quality, and, as a consequence, the inability to conceive, as well as pain in the pubic area, perineum and genitals.

If you do not pay attention to these signs of prostatitis, various negative consequences may result, for example, significant changes in the body of the prostate itself, up to the need for surgical intervention.

The first signs of prostatitis in men:

• An increase in body temperature, as this is a natural reaction of the body to the inflammatory process.
• An increase in the frequency of the urge to urinate (especially at night).
• Uncomfortable sensations in the urethra: a burning sensation, irritation, pain when urinating.
• The appearance of white thread-like formations in the urine.
• Pain in the lower abdomen.
• Decreased potency, painful sensations during ejaculation.

The first signs of prostatitis in men in chronic form are almost identical to the signs of the acute phase of the disease, but they are additionally accompanied by a significant decrease in pleasure from sexual intercourse, the so-called “blurred” orgasm, in which the previous sharpness of sensations is absent and complete satisfaction does not occur. Men may also notice how, during bowel movements, mucus is released from the urethra.

Secondary signs of prostate inflammation in men

Alas, having discovered the first signs of prostatitis, the vast majority of men do not rush to the clinic, hoping that everything will somehow return to normal. However, over time, the symptoms will only worsen, and more unpleasant symptoms will certainly be added to the disease.

Secondary signs of prostate inflammation in men:

• Pain when urinating . In extremely advanced cases, blood may appear in the urine.
• Emptying the bladder requires great effort . The stream of urine is thin and intermittent, the bladder feels full after visiting the toilet; sometimes only a doctor can help cope with stagnation of urine.
• Decreased quality of erection up to the appearance of temporary impotence.

The symptoms of various diseases periodically coincide. How to distinguish the symptoms of prostatitis from the symptoms of other diseases of the male genitourinary system? The most reliable and correct way is to go to the clinic to see a specialist who will examine you, take all the necessary tests and conduct a detailed examination. Bladder cancer, prostate adenoma, cystitis, urethritis, inflammation of the prostate - their symptoms largely repeat each other.

Cystitis, urethritis and prostatitis have equally frequent and painful urination with a burning sensation, especially at the end of the process, and difficulty emptying the bladder. In all cases with these diseases, the urine may be cloudy and contain blood. Weakness, nausea, and fever are often felt.

Adenoma (benign tumor) of the prostate gland and prostatitis together have the following signs of the disease: the prostate is enlarged in size, pressing on the urethra, it prevents the complete and easy emptying of the bladder, the patient experiences a false urge to urinate. The stream of urine is thin, intermittent, does not have the proper pressure, there are frequent cases of stagnation in the bladder, disturbances in night sleep due to frequent visits to the toilet.

Bladder cancer and prostate inflammation: the symptoms of these two diseases are also largely similar. Painful urination, pain in the lower abdomen, blood in the urine, a feeling of fullness in the bladder after visiting the toilet and chronic fatigue.

How, then, can one distinguish the symptoms of prostatitis from the symptoms of other diseases, since they are so similar in their manifestations?

The fact is that during the examination, the doctor identifies and examines the entire picture of the disease as a whole, supplementing it with tests, non-invasive diagnostic data and the presence of other symptoms characteristic only of specific diseases. And only after being completely confident in the correctness of the diagnosis, the doctor prescribes antibiotics, procedures and other therapeutic measures.

Source: http://prostatitoff.net/simptomy/

The first signs of prostatitis in men: symptoms and treatment of the initial stage

• Urologist-andrologist 1st category Petr Viktorovich
• 48583
• Update date: December 2019

If a man has the first signs of prostatitis, he should immediately consult a doctor.

Even minor discomfort, indicating the development of a disease of the genitourinary system, can have serious complications. The ability to recognize the first symptoms of the inflammatory process allows you to timely diagnose the pathology and begin its treatment.

Therefore, every man should familiarize himself with them in order to avoid serious problems that prostatitis leads to.

Causes of prostatitis

Previous or untreated tuberculosis can serve as a factor in the appearance of prostatitis

In most cases, inflammation of the prostate gland occurs due to pathogenic pathogens entering the internal organ.

A man may experience the initial stage of pathology due to poor blood circulation in the pelvic area. Because of this, the functioning of the prostate and other organs is disrupted. If the problem is not dealt with in a timely manner, the person will develop prostatitis.

Complications that appear after such pathologies can lead to the development of an inflammatory disease:

• angina;
• flu;
• tuberculosis;
• gonorrhea;
• urethritis.

These diseases are caused by infections, the pathogens of which can reach the genitourinary system.

Prostatitis also begins for other reasons. Prostate disease is often caused by damage to soft tissues and pelvic organs, disruptions in the blood circulation in this area, as well as a sedentary lifestyle. This same group of unfavorable factors includes chronic diseases, hypothermia and hormonal imbalance.

How to suspect the onset of the disease

If a man has not had prostatitis before, he may be at risk of acute inflammation of the prostate gland. Its development begins with an increase in general body temperature. It can rise to 40 degrees.

This symptom is accompanied by severe chills. At the same time, difficulties in the process of urination begin to appear. It becomes painful and uncomfortable.

After visiting the toilet, a man does not feel significant relief.

At this stage of the development of an exacerbation, swelling of the prostate occurs, which provokes urine retention in the body. A man who develops the initial stage of acute prostatitis will complain of constant pain in the perineum, anus and groin.

Pain

With pathology, the lower back hurts a lot

Men who have experienced an inflammatory disease know that pain is the first symptom characteristic of prostatitis. They can accompany infectious and non-infectious pathologies. The first variant of the disease is more common among representatives of the stronger sex who have sexually transmitted infections.

Due to the disease, the man suffers from severe pain and cramping in the urethra. The appearance of a burning sensation in the same organ cannot be ruled out. These symptoms are especially pronounced at the time of urination.

Patients begin to experience pain in the perineum and testicles. The pain syndrome can spread to the joints. In this case, the pain is nagging and dull. The pain increases significantly when a doctor performs a rectal examination of the prostate.

The non-infectious form of prostatitis most often occurs in older people. It is caused by leading a sedentary lifestyle, which leads to stagnant processes in the body. Due to illness, men may complain of pain in the lower back and perineum. They radiate into the scrotum and pelvis. The pain syndrome with this disease suddenly appears and goes away as well.

Discharge

The initial signs of acute prostatitis are not limited to pain. As with the chronic course of the disease, men experience abnormal discharge, indicating inflammation.

Unnatural discharge from the genitals indicates that pathogenic bacteria are present in the body, namely cocci, proteus and E. coli. These are the most common pathogens that can cause prostatitis.

There are several types of discharge, the presence of which in a person can suspect the development of prostatitis:

• Spermatorrhoea. This is the name for the release of droplets of sperm, which cannot be controlled. This phenomenon has nothing to do with a man’s arousal or orgasm. Such discharge usually occurs during exercise, urination and defecation. They are considered quite scarce and flow out very slowly.
• Prostate discharge. They can be observed even in a man who is in good health. Therefore, they are considered to be the norm. This liquid contains mucus cells that have died. The amount of discharge increases significantly if the prostate gland becomes inflamed.
• Purulent masses. They appear by the time the disease becomes advanced. Pus may contain blood impurities. Because of this, it turns brown. The mass itself is colored green or yellow.

Purulent discharge is considered the most dangerous, as it indicates a strong progression of the inflammatory process, which reaches its final point. Pus appears after pathogenic microflora appears in the lower part of the urethra. Because of this, stagnation of secretory fluid occurs and clogging of the excretory ducts.

Signs of chronic prostatitis

If the disease is not detected and treated in time, the consequences can be very sad.

The first signs of chronic prostatitis in men are difficult to notice, since they are mild until a certain point in the development of the disease. Therefore, many patients fail to start treatment in a timely manner, since they do not realize that an exacerbation of prostate inflammation has begun.

In most cases, chronic prostatitis is asymptomatic and latent. The clinical picture of the disease turns out to be mild and almost erased. Due to this, the patient does not feel obvious signs of illness, so he sees no point in contacting a specialist and undergoing treatment.

Due to inexperience, a man may confuse symptoms of prostatitis such as deterioration in general health and impaired potency with banal fatigue. In fact, they are the first bell and a reason for immediately contacting a urologist. If you miss this moment, the pathology will continue to progress, and then the person will be bothered by frequent relapses.

Experts recognize chronic prostatitis by the following complaints from men:

1. Changing the duration of sexual intercourse.
2. Decreased sensations during sex and orgasm.
3. Pain in the perineum, groin and pubic area, which is mild.
4. The appearance of discharge from the genital organ, especially in the morning after waking up.

If a man does not start treatment, then chronic prostatitis progresses. Its active development leads to a narrowing of the lumen of the urethra. As a result, difficulties arise in the process of emptying the bladder. It becomes difficult at the beginning and at the end of urination.

Due to the development of the inflammatory process, the nerve endings are actively irritated. This explains why men have a constant need to visit the toilet. Frequent urination worries them most at night. In this case, urine is released in minimal portions.

A patient with chronic prostatitis will certainly pay attention to what changes have occurred in his sex life. Due to the pathological process, sexual desire is suppressed. As a result, the disease leads to infertility, which not everyone can successfully treat.

Signs of acute prostatitis

Symptoms of this form of pathology are accompanied by severe pain with little need

The initial stage of acute prostatitis and subsequent stages of its development are accompanied by severe symptoms that cannot be ignored. The disease is characterized by the appearance of the following signs of illness:

1. Sharp pain during urination.
2. Symptoms of body intoxication.
3. Problematic urination.
4. Frequent urge to go to the toilet, especially at night.

These are common signs of acute prostatitis, which are the external manifestation of the disease. To confirm the diagnosis, the patient needs to undergo a full diagnosis of the body.

Test results will show an increased level of leukocytes, the presence of traces of pus and mucus in the biological material.

During palpation, the patient will feel severe pain, which also indicates the development of prostate inflammation.

During acute inflammation in men, body temperature rises. They are worried about a feverish state. As a rule, antipyretic drugs are ineffective for this pathology.

What other diseases have similar symptoms?

If a man is suspected of developing prostatitis, he is immediately offered to undergo differential diagnostics. It allows you to distinguish inflammation of the prostate gland from other pathological conditions that have similar symptoms.

Without diagnosis, a doctor will not be able to distinguish prostatitis from diseases such as urethritis, pyelonephritis, orchitis, cystitis and epididymitis.

Diseases that have similar symptoms to prostatitis can be differentiated by a number of differences between them:

• Epididymitis and orchitis are characterized by damage to the testicle and its epididymis. Due to the pathology, the man has obvious swelling of the scrotum and its redness. When you contact it, you feel the heat of the skin. When touching the testicles, the patient feels severe pain;
• Urethritis is an inflammation of the urethra. During its development, it is extremely rare for men to experience an increase in body temperature. The pain syndrome is localized in the genital organ. If pain is observed in the lower abdomen, then the patient is suspected of cystitis;
• Cystitis is often confused with urethritis. Often these two pathological processes develop in parallel to each other. When sick, a man constantly feels the need to visit the toilet. At the end of the urination process, a couple of drops of blood may be released;
• Pyelonephritis is accompanied by pain in the lumbar area and impaired urination. A patient with this disease experiences an increase in general body temperature. Blood loss during urination cannot be ruled out.

Chronic prostatitis can be confused with prostate adenoma or a malignant tumor in this organ. In the latter case, the patient will experience significant blood loss during urination and a noticeable deterioration in general health.

Treatment methods

The treatment regimen is prescribed by the doctor individually, based on all previous tests.

Knowing what the first signs of male prostatitis are, a person can promptly identify them and consult a doctor.

Treatment of acute or chronic prostatitis begins after diagnostic measures. The fight against the disease in most cases is carried out on an outpatient basis.

Manifestations of prostatitis at 1 and other stages of development are treated according to one of the two basic principles of complex therapy:

• antibacterial course, which provides for the rehabilitation of inflammatory foci;
• a health course aimed at normalizing blood flow and strengthening it in the prostate gland.

Drug therapy for prostatitis is usually based on antibiotics. They help defeat pathogenic microflora and prevent the development of secondary infection. Additionally, the doctor prescribes anti-inflammatory drugs and painkillers.

The patient can use folk remedies in the fight against prostatitis only with the permission of the attending physician. At the same time, he should not forget to take traditional medications, since the success of the treatment course depends on this.

For each man who has been diagnosed with chronic or acute prostatitis, an individual course of therapy is selected. When choosing drugs and physiotherapeutic procedures, the urologist must take into account the patient’s current condition, his complaints, the severity of symptoms and the stage of development of the pathology.

Multivitamin complexes can be used as an auxiliary therapy. Their action is aimed at strengthening the protective functions of the body, which has been weakened due to the fight against the inflammatory process.

A man who has contracted prostatitis, after recovery, should take care to prevent recurrence of inflammation.

Attentive attitude to one’s own health helps to consolidate the results that were achieved during drug and physiotherapeutic treatment.

This also affects the achievement of stable remission, which a person with chronic prostatitis needs.

Source: https://muzhik.guru/prostatit/pervye-priznaki-prostatita/

Symptoms of prostatitis in men and its treatment

Prostatitis affects more than half of the male population. This disease is characterized by the development of an inflammatory process in the prostate gland. The disease occurs in acute or chronic form.

It occurs in young men - 20-45 years old. But not everyone knows how prostatitis manifests itself and why inflammation develops.

Not taking the disease seriously makes it one of the most common among men.

Many patients, when symptoms of prostate inflammation appear, prefer traditional methods of treating prostatitis, which is extremely undesirable. If the need arises, the doctor himself will prescribe certain alternative medicines for treatment. And at the initial stage it is necessary to use certain medications.

Causes of the disease

The inflammatory process in the prostate most often occurs against the background of a bacterial infection. There are no exact causes of prostatitis, since the likelihood of inflammation of the prostate tissue increases with weakening of the immune system. The causative agents of the pathology can be staphylococci, Escherichia coli, enterococci, and Pseudomonas aeruginosa.

These infectious agents are found on the mucous membranes and skin of a healthy person, but can cause the development of an inflammatory process if predisposing factors occur:

• inadequate sexual life: rare sexual intercourse, interrupted sexual intercourse with incomplete ejaculation;
• hypothermia;
• passive lifestyle;
• congestion in the pelvic organs;
• frequent urological diseases, sexually transmitted infections;
• stress;
• wearing tight clothing that compresses the male genitals;
• chronic intoxication with alcohol, drugs, chemical agents;
• perineal injuries;
• decreased immunity.

The main symptoms of prostatitis depend primarily on the form of the disease (acute, chronic). It is recommended to treat prostate inflammation in a timely manner, otherwise the disease will drag on and periodically recur. Therefore, every man should know how prostatitis begins and what signs you should pay attention to first.

Etiology of chronic prostatitis

Chronic prostatitis develops against the background of untreated acute inflammation of the prostate. During the period of remission, a man is bothered by mild pain in the perineum, which intensifies with urination, defecation and intimacy. Slight mucous discharge from the urethra may appear when straining.

The causes of exacerbation of chronic prostatitis can be any factor: stress, forced restriction of emptying the rectum or bladder, wearing tight underwear, sexually transmitted infections.

Even short-term congestion in the pelvis can be the cause of the development of the disease.

Forms and symptoms of acute prostatitis

The form of the disease determines what signs of prostatitis will be present in men. Primary acute inflammation appears in the gland. The disease has three forms: catarrhal, follicular and parenchymal. The latter is the most difficult. Men often have no idea what symptoms of prostatitis indicate the beginning of the development of the inflammatory process.

So what signs of prostatitis should you pay special attention to? Initial manifestations of the disease:

• nagging pain in the perineum and pubic area;
• discomfort during urination, after intimate contacts;
• weakness, weakness;
• slight increase in temperature.

The catarrhal stage of prostate inflammation is considered the mildest, but home treatment is still contraindicated. Delay can lead to the development of a chronic inflammatory process. No advice from healers or friends should be used without first consulting a doctor, since the most effective and correct treatment can be prescribed by a urologist.

Inflammation of the follicular form is more acute. Severe pain occurs in the perineum and penis, discomfort can cover the entire lumbar region.

The main symptom of this form of prostatitis in men is excruciating pain, which does not allow complete emptying of the rectum and bladder. Against the background of this type of inflammation of the prostate, acute urinary retention develops and the patient’s quality of life is disrupted.

If treatment is not started in a timely manner, the disease can progress to the next stage - parenchymal.

Parenchymal form of the disease

Symptoms of prostatitis in men of the parenchymal form:

• serious condition of the patient;
• frequent urination at the beginning of the disease quickly progresses to dysuria (complete urinary retention);
• appetite is reduced, the patient is thirsty;
• flatulence, inability to empty the intestines due to severe pain;
• mucous discharge may appear from the rectum;
• Body temperature is elevated and stays around 39C.

One of the signs of prostatitis in men of this severe form is sharp pain in the prostate gland when palpated.

Palpation examination of the patient at this stage of the inflammatory process is difficult due to the serious condition and discomfort in the genital area.

If qualified treatment is not started at this stage, the disease may be complicated by the spread of infection to neighboring organs, the appearance of an abscess, or the development of a chronic inflammatory process.

Urinary retention requires urgent medical attention. The disease is characterized by an acute onset with a deterioration in general health and intense pain in the pubic area. Body temperature usually rises.

Joint and muscle pain may occur due to severe intoxication.

Course of chronic prostatitis

When symptoms of chronic prostatitis appear, men do not always go to the hospital. Aching pain can be tolerated relatively easily and patients do not rush to consult a urologist.

Despite the fact that chronic prostatitis in men has less pronounced symptoms than the acute form of inflammation, the disease directly threatens the patient’s reproductive and sexual abilities.

And the treatment of the chronic form of the pathology takes longer, and in some cases even requires surgical intervention.

Symptoms of prostatitis in chronic men:

• pain syndrome of a constant nature, aching pain, localized above the pubis, in the perineal area, tends to increase during urination, after sexual intercourse;
• slightly difficult urination, intermittent urine flow - the main symptom of chronic prostatitis;
• the appearance of discharge from the urethra after heavy work or bowel movements;
• sexual dysfunction.

With chronic prostatitis, the temperature usually remains normal. But during an exacerbation, a febrile syndrome may appear. Typically, a temperature of 37 C° with prostatitis indicates a sluggish inflammatory process. It is quite dangerous, especially for a man’s reproductive health.

Chronic inflammation occurs more unnoticed, usually manifesting itself only by frequent urination and erectile dysfunction.

Remissions are followed by relapses, but many men prefer not to contact a urologist with their delicate problem, which indicates an extreme degree of irresponsibility.

The disease can lead to infertility even in young men, and in older men, prostate cancer is sometimes hidden behind the symptoms of prostate inflammation.

Diagnostic methods

When men experience the first signs of prostatitis, the urologist conducts an external examination, examines the prostate through the rectum, determining the size of the affected organ, its structure and density. During palpation, doctors should be as careful as possible.

Additional diagnostic methods for symptoms of prostate inflammation in men:

• examination of prostate secretions;
• laboratory diagnostics;
• PCR research;
• Ultrasound of the prostate;
• uroflowmetry;
• magnetic resonance, computed tomography of the pelvic organs.

It is recommended to undergo an examination as soon as signs of prostate inflammation appear. This will prevent complications, which often include erectile dysfunction, hyperplasia and infertility. The study of the causes and symptoms of prostatitis is the responsibility of a urologist. It is worth contacting him if even minor signs of prostate disease appear.

Features of treatment

Many patients make one common mistake - they start using folk remedies, delaying the development of the disease and increasing the risk of complications.

The treatment regimen is selected strictly on an individual basis, only after identifying the pathogen and determining the true cause of the development of inflammation with the cessation of the damaging factor - smoking, pyelonephritis, erectile dysfunction, hypothermia.

Inflammation of viral etiology is treated with antiviral drugs. Inflammation of the prostate caused by chlamydial infection requires taking antibacterial drugs. Much attention is paid to strengthening the immune system.

In no case should treatment be carried out at home, since it is impossible to cure the disease in its acute form only with the help of traditional medicine. Chronic inflammatory process requires the intervention of experienced specialists. Modern treatment drugs allow you to quickly and effectively relieve the inflammatory process and avoid the development of dangerous complications.

Drug therapy

The following drugs are used to treat prostate inflammation:

• antibacterial, antifungal, antitrichomonas drugs (depending on the cause of the disease);
• antispasmodics, analgesics;
• physiotherapeutic methods.

Therefore, urologists recommend contacting doctors as soon as the first signs of prostatitis appear in a man. This will buy you time. Treatment with improvised means at home is strictly contraindicated.

Every man with prostate disease requires effective urological care. Qualified urologists use proven medications and modern treatment techniques. Treatment uses antibacterial drugs that easily penetrate prostate tissue. In case of intoxication, detoxification therapy is indicated.

Physiotherapeutic treatment is also used. It is used when the signs of prostatitis disappear, as well as to prevent relapses. Any technique used by specialists must be selected taking into account the individual characteristics of a man’s health condition.

Prostate massage

Patients with chronic inflammation of the prostate undergo gland massage. This procedure should be performed only by experienced specialists, as it is a powerful therapeutic agent that improves the outflow of purulent-inflammatory secretions from the ducts.

Prostate massage is a complex therapeutic and diagnostic procedure that should only be performed by professionals. It is carried out through the rectum.

Massage frees the ducts from the accumulation of pus, relieves congestion, and reduces the manifestations of infectious and inflammatory processes.

Possible complications

If you do not pay attention to the signs and symptoms of prostatitis, the infection may spread to other organs of the pelvic area, intense pain with difficulty urinating, and the appearance of blood and pus in the urine. In advanced forms, the temperature rises with prostatitis in men, and health noticeably worsens.

The main complications of prostatitis:

• vesiculitis (inflammation of the seminal vesicles);
• prostate sclerosis;
• prostate abscess;
• prostate cysts;
• infertility;
• impotence;
• purulent infections of neighboring organs.

Any of the complications can disrupt reproductive function and provoke sexual disorders. Chronic inflammation is especially dangerous. Against this background, urethral strictures often occur, and the qualitative and quantitative indicators of seminal fluid decrease. And this threatens the development of infertility in the future.

But the most dangerous complication is considered to be hyperplasia of the gland with an increased risk of growth of malignant tumors. A man often does not even realize the growth of adenoma and cancerous tumors until they reach an impressive size and difficulty urinating.

Preventive actions

Prevention of inflammation of the prostate gland is aimed at eliminating the influence of negative external and internal factors. It is recommended to avoid unprotected sexual intercourse, which leads to the development of sexually transmitted diseases, complicated by damage to prostate tissue, as well as hypothermia and radiation exposure to the body.

Avoid excessively tight pants and underwear that put pressure on the pelvic area.

Stagnant processes in the genitourinary organs contribute to the active reproduction of pathogenic microorganisms and the progression of infectious diseases. It is also important to empty your bladder promptly.

One of the methods of prevention is measured and regular sex life. Prolonged abstinence leads to blood stagnation and causes an inflammatory reaction.

Early seeking help from a urologist at the first clinical manifestations of prostate diseases can prevent the chronic course of inflammatory processes and dangerous complications. Treating acute prostatitis is much easier and simpler than dealing with a protracted course of the disease.

Source: https://smartprost.ru/simptomy-prostatita/

Acute prostatitis

Acute prostatitis is an infectious and inflammatory lesion of the prostate gland, accompanied by swelling and the formation of purulent foci in the prostate tissue. Manifestations depend on the stage of the pathology (catarrhal, follicular, parenchymal, abscess) and may include dysuric disorders, pain in the perineum, fever, and intoxication. Diagnosis is based on data from palpation of the prostate, ultrasound and Doppler ultrasound of the prostate gland, examination of urethral discharge and prostate secretion. Treatment involves the appointment of antimicrobial therapy, NSAIDs, antispasmodics, analgesics, immunomodulators, and physiotherapy.

Acute and chronic prostatitis are the most common and socially significant male diseases.

In clinical andrology, prostatitis is diagnosed in 30-58% of men of reproductive and working age (30-50 years).

The course of acute prostatitis is accompanied by disorders of sexual function and fertility, disturbances of the psycho-emotional state and social maladjustment.

Acute prostatitis

The causative agents of acute prostatitis are predominantly nonspecific infectious agents that penetrate the prostate tissue - gram-negative (Escherichia coli, Klebsiella, Proteus) or gram-positive (staphylococci, enterococci, streptococci). Often the disease is provoked by pathogens of urogenital infections - chlamydia, trichomoniasis, ureaplasmosis, gonorrhea, mycoplasmosis, candidiasis, etc.

Most often, the penetration of microbial agents into prostate tissue occurs through the transcanalicular route - through the excretory ducts of the gland, which open in the wall of the posterior urethra. Therefore, urethritis of any origin is very often complicated by acute prostatitis.

The introduction of pathogens into the gland is significantly facilitated by increased intraurethral pressure (strictures, urethral stones), endourethral manipulations (bougienage of the urethra, catheterization of the bladder, urethroscopy, cystoscopy, etc.).

In addition, the pathology may be a consequence of hematogenous penetration of the infection, which is facilitated by the conditions of the blood supply to the prostate with a widely developed system of arterial and venous anastomoses.

During hematogenous introduction, microbes can enter the prostate tissue from distant purulent foci with tonsillitis, sinusitis, caries, cholecystitis, bronchitis, pyoderma, etc.

Lymphogenous infection of the prostate gland from the intestine is possible with anal fissures, proctitis, colitis.

Non-infectious factors contributing to the development of acute prostatitis include persistent congestive (stagnant) phenomena in the pelvic veins and impaired drainage of the prostate acini.

Congestion can be caused by dysrhythmia of sexual life and sexual disorders - the practice of interrupted sexual intercourse, absence or irregularity of sexual activity, excessive sexual activity, etc.

Pathological deposition of blood in the venous bed of the small pelvis can be observed with a sedentary lifestyle, frequent constipation, hypothermia, chronic (mainly alcoholic) intoxication, and varicose veins of the pelvis.

The disease begins with catarrhal inflammation - changes in the mucous and submucosal layer of the excretory ducts of individual lobes of the gland.

Subsequently, swelling of the walls of the ducts contributes to the stagnation of mucopurulent secretion in the prostate follicles and the progression of inflammation, and therefore focal suppuration of the lobules can develop - acute follicular prostatitis.

With multiple lesions of the lobules and diffuse involvement of the parenchymal and interstitial tissue of the prostate in the purulent-inflammatory process, the pathology passes into its next stage - parenchymal. If small abscesses merge into a large lesion, a prostate abscess is formed, which can open into the urethra, perineum, rectum or bladder.

Clinical manifestations correspond to the stages of the process. Common symptoms include pain, urinary problems and intoxication. In the acute catarrhal stage, heaviness and pain are felt in the perineum.

Dysuric disorders are characterized by a painful increase in urination, especially at night. Body temperature remains within normal limits, but may be slightly elevated; there is no intoxication.

Upon palpation examination, the prostate is unchanged or slightly enlarged, somewhat painful. Examination of prostate secretions reveals an increase in leukocytes and accumulation of mucopurulent threads.

Treatment started in the catarrhal stage of acute prostatitis leads to recovery in 7-10 days.

Follicular stage

The follicular form is more pronounced, accompanied by dull aching pain in the perineum, radiating to the penis, anus or sacrum. Against this background, urination is painful and difficult, up to the development of acute urinary retention.

The act of defecation is also difficult due to severe pain. Due to an increase in body temperature to 38°C, the general condition is disturbed.

Palpation per rectum reveals an enlarged, dense, tense, asymmetrical prostate, sharply painful in certain areas upon digital examination.

Urine collected after palpation of the gland contains large quantities of leukocytes and purulent threads, forming a cloudy sediment. Carrying out a massage to obtain prostate secretions in the follicular stage of the disease is contraindicated. With vigorous treatment, acute follicular prostatitis can resolve favorably; otherwise, it passes to the next, parenchymal stage.

Parenchymal stage

The clinic of acute parenchymal prostatitis is developing rapidly. Characterized by severe hyperthermia (up to 39-39.5°C and above) with chills, general weakness, suppressed appetite, and thirst. At first, urination becomes more frequent and difficult, then it may stop completely.

Attempts to empty the bladder or bowel are accompanied by intense pain. Painful tenesmus, constipation, and flatulence develop. The pain spreads to the rectum, is pulsating in nature, forces the patient to take a forced position - lying with his legs tucked.

With the development of reactive inflammation of the rectum, mucus is released from the anus.

Sometimes, due to severe swelling of the perirectal tissue and pain, a rectal examination cannot be performed. In the urine there is pronounced leukocyturia, pyuria.

The outcome of acute parenchymal prostatitis can be resolution of the disease, the formation of a prostate abscess, or chronic prostatitis.

Recognition and staging of acute prostatitis is carried out by a urologist and is based on a comprehensive physical, laboratory and instrumental examination.

Examination of the prostate through the rectum allows one to determine the size, consistency, homogeneity, and symmetry of the gland; pain reaction, foci of destruction, signs of purulent melting of tissues. Palpation of the gland is performed very carefully without rough pressure or massaging movements.

In the resulting prostate secretion, an increase in the number of leukocytes and amyloid bodies and a decrease in the number of lecithin grains are detected.

Increased leukocyturia is noted in the third portion of urine and in urine collected after palpation of the prostate. To isolate the pathogen, it is necessary to carry out bacterial culture of urine and urethral discharge with an antibiogram, PCR studies of scrapings, and blood culture for blood culture. The nature and severity of dysuric disorders is assessed using uroflowmetry.

Ultrasound of the prostate gland with moderate pain syndrome can be performed transrectally; in case of severe pain reaction - transabdominal.

When planning surgical tactics for destructive forms of pathology, it is advisable to perform a CT or MRI of the pelvis.

The leading role belongs to etiotropic therapy. It is necessary to prescribe antimicrobial (antibacterial, antiviral, antitrichomoniacal, antimycotic) drugs as early as possible to suppress the proliferation of microorganisms in the gland and tissues of the urethra.

In order to reduce spasms and painful urination, analgesics, antispasmodics, rectal suppositories with anesthesin or belladonna, and thermal microenemas are prescribed.

In complex therapy of pathology, NSAIDs, enzymes, immunomodulators, vitamins, and infusions of solutions are used.

Physiotherapy is carried out after acute symptoms have subsided. For the purpose of anti-inflammatory, anti-edematous, analgesic effects, improving microcirculation and local immunity, rectal electrophoresis, UHF therapy, microwave therapy, and prostate massage are used.

Bed rest, a gentle diet, and sexual rest are indicated. In case of urinary retention, catheterization of the bladder is avoided, giving preference to trocar cystostomy.

When abscessing the prostate gland, there is a need for surgery - opening and draining the abscess cavity.

As a rule, timely and justified etiotropic therapy leads to relief of signs of the disease. Abscessation of the prostate or chronic inflammation occurs in advanced cases.

Prevention should include sanitation of infectious foci in the body, endovesical and endourethral manipulations in accordance with aseptic standards, timely treatment of STDs and urethritis, normalization of sexual life and physical activity.

Source: https://www.KrasotaiMedicina.ru/diseases/zabolevanija_urology/acute-prostatitis

Main manifestations of prostatitis: necessary diagnosis and therapy

The occurrence of acute and chronic prostatitis is observed in men with predisposing causative factors. As a rule, the symptoms of the pathology are quite pronounced, which allows timely selection of treatment when visiting a medical institution.

Signs of chronic prostatitis in men include dysuric symptoms in the form of urination disorders and intoxication manifestations. Treatment of clinical signs includes the use of various medications and physiotherapeutic procedures.

It is important to note that the approaches used in treatment should not only eliminate the symptoms a man has, but also act on the original causes of the disease.

Possible reasons

• negative effects of cold, which can be general or local;
• insignificant physical mobility during the day, which may be associated with a person’s professional activity;
• dysfunction of the large intestine, leading to chronic constipation;
• lack of regular sexual activity, including an excessive number of sexual acts;
• any chronic infectious diseases;
• pathology of the urinary system, in particular infectious diseases;
• chronic stress, poor nutrition, heavy physical activity and other conditions leading to impaired immune activity;
• bad habits that cause chronic intoxication of the body: smoking, alcohol abuse, drug addiction, etc.

It is important to note that in modern medicine, all of these factors do not cause the development of the disease, but contribute to the occurrence of inflammatory changes in the prostate gland.

The main role in the occurrence of prostatitis is played by congestion in the ducts of the prostatic glands and the bloodstream of the pelvic organs.

In the case of bacterial prostatitis, the most common pathogens are Escherichia coli, Staphylococcus aureus, Proteus and other microorganisms. Some patients have a mixed infection.

When this form of the disease is detected, treatment must include broad-spectrum antibiotics.

Clinical signs

The onset of the disease is possible at any age – from 30 years and older. Signs of prostatitis in men depend on whether the patient has developed an acute or chronic form of the disease.

Acute variant of the course

• catarrhal inflammation in the prostate leads to the appearance of the first signs of the disease in a man: urination becomes more frequent and may be accompanied by discomfort or mild pain. Pain syndrome can be observed in the lumbar and perineal area, which can lead to incorrect diagnoses;
• with further progression of inflammation, the follicular form of pathology develops. The pain syndrome intensifies, and pain sensations can radiate to the rectum or genital area. There is difficulty urinating: the stream of urine is weak, and after going to the toilet the feeling of fullness of the bladder remains. There are signs of intoxication: a slight increase in body temperature and general weakness;
• When inflammation passes from the ducts to the prostate parenchyma with the development of purulent changes, the symptoms of the disease become pronounced. The man has acute urinary retention, an increase in body temperature to 38.5-39.5 degrees and chills. The pain syndrome is characterized by severe, throbbing pain in the pelvic area.

The acute version of prostatitis always manifests itself with severe symptoms, which explains the timeliness of patients seeking medical help.

Symptoms of the chronic form

The appearance of symptoms of chronic prostatitis is possible against the background of acute inflammation in the tissues of the prostate gland. However, as a rule, most patients do not pay attention to the primary infection due to the absence of any significant clinical manifestations.

Basically, with erased acute prostatitis, a slight increase in body temperature to 37-37.5 degrees is possible, which can be mistakenly associated with a cold or general fatigue.

The signs of prostatitis and prostate adenoma are similar, which makes it difficult to make an accurate diagnosis in a timely manner. Patients with chronic inflammation of the prostate complain of pain and discomfort in the pelvic area, as well as pain when going to the toilet.

When prostatitis occurs against the background of sexually transmitted infections (gonorrhea, trichomoniasis, chlamydia, etc.), manifestations of inflammation in the prostate gland can be hidden by symptoms of the underlying pathology.

In this case, men experience pain when urinating, the appearance of mucous or purulent discharge from the urethra, and discomfort in the genital area. Against this background, the development of the initial manifestations of prostatitis may not be noticed.

As inflammation progresses, signs of exacerbation of chronic prostatitis include a sharp increase in pain, a burning sensation in the perineum and urethra, fever, headache and general weakness.

In addition, patients often experience erectile dysfunction, emotional lability and anxiety.

Source: https://prostatitaid.ru/prostatit/osnovnye-proyavleniya.html