Prostatitis is one of the most common urological diseases, accompanied by inflammation of the prostate tissue.According to official data from medical statistics, prostatitis is diagnosed in every tenth patient.This is due to the complexity of the early diagnosis of pathology and the frequent course of the disease in a hidden form.As for the age category of men who are at risk, prostatitis was previously considered the elderly disease.In recent years, the ailment is rapidly young.This is due to a sedentary lifestyle, malnutrition, stresses present in the life of a modern person.According to doctors, the treatment of the disease should begin as early as possible.To do this, you must know how pathology arises, what first signs of prostatitis in men need to pay close attention.
Types of inflammation of the prostate and classification of signs
Signs of the inflammatory process in the prostate are very diverse, which is associated with the presence of several types in the disease:
- Spicy.Often is purulent.Signs of inflammation in men, both general and specific, are expressed as much as possible, and the pathogen is the pathogenic (pathogenic) flora.Therefore, treatment in most cases consists in prescribing antibiotics.
- Chronic.It can be the outcome of an acute process if the treatment of a man was carried out incorrectly or untimely.Bright symptoms that accompany the purulent process go away, the signs of the disease are much weaker.In remission, characteristic features of the process can disappear completely.With exacerbation of chronic prostatitis, symptoms are enhanced, but more often with less intensity than in the acute course of the disease.
Chronic prostatitis in men can initially form without previous signs of acute inflammation.In this case, prostatitis is more often stagnant, that is, arising from a sedentary lifestyle, the presence of chronic diseases affecting the blood circulation in the pelvic organs.To know and be able to distinguish between the first signs of prostate inflammation in men is very important, because this affects the choice of further treatment.If in the case of bacterial prostatitis, which the symptoms of general intoxication will indicate, treatment must include antibiotic therapy (tablets, injections, candles), then with a stagnation process, treatment of congestion comes to the first place, that is, modification of the image and therapy of concomitant ailments.Among the signs of prostatitis, common and specific one can distinguish.The latter, in turn, are divided into several groups:
- Pain syndrome.
- Urination disorders.In another way, this group of signs is called "dysuric disorders."
- Disorders in the genital area.
- Changes from the nervous system.
- External manifestations.
- Infertility.
General signs of the disease
The general symptoms of prostatitis usually mean generally spacing reactions, indicating the development of an acute inflammatory process in the body.Naturally, in chronic prostatitis, these phenomena are absent (except in cases of pronounced exacerbation).Signs of the active inflammatory process are:
- Increased body temperature.The degree of increase is associated with the severity of inflammation.In acute bacterial prostatitis, especially accompanied by the formation of an abscess, the temperature can reach 39-40 ° C.This condition is accompanied by other pronounced signs of the disease.The first sign of viral inflammation of the prostate gland can also be an elevated temperature.
- General weakness, headache.
- Chills.Breaking chills is characteristic of bacterial prostatitis.
- Lomota in the muscles.
The general manifestations of inflammation are rarely the only marker of prostatitis.But there are exceptions.For example, a chronic sluggish form of the disease with low severity of specific features sometimes leads to subfebrilet (increasing body temperature to 37.2-37.3 ° C).The diagnosis of the disease in a similar situation can be established only after examination and additional studies, including sowing the prostate secret for pathogenic microorganisms.
Specific signs of the disease
Consider the specific signs of inflammation of the prostate gland, allowing to make an accurate diagnosis and prescribe effective treatment of pathology.
Pain syndrome
The leading and often the first sign of inflammation of the prostate is pain.The nature of the pain can vary significantly.There are stitching, aching, cutting pains of characteristic localization.If this is an acute process, then they can significantly affect the life of men, lead to sleep and performance.In chronic prostatitis during remission, pain is weak, and sometimes completely absent.A typical localization of pain in prostatitis is a small pelvis.A man can feel pain in the crotch, below the abdomen, lower back.Often they emit in the penis, scrotum, testicles.Pain can be accompanied by urination and defecation, as well as intensify during an erection and ejaculation.A characteristic first sign of the calculous form of the disease can be pain, the intensity and time of the occurrence of which depends on the movement.They appear or intensify, if a man quickly goes, jumps, leans.A similar sign is due to mechanical irritation of the walls of the ducts.
Urination disorders
No less frequent signs of prostate inflammation are various disorders of the urination.Dysuria is manifested by the need for frequent urination, a sense of incomplete emptying of the bladder, and false urination calling.The very nature of urination can also change: a man complains of a sluggish or intermittent stream of urine, the need to make efforts in order to help normally.A formidable, though not the first, sign of inflammation of the prostate is an acute urinary retention.The symptom develops with acute inflammation, accompanied by severe edema of the prostate gland.In case of exacerbation of chronic prostatitis, urinary retention, but less intensity, may also take place.More often, a man simply cannot hold a large amount of urine, and there is a need for a frequent visit to the toilet.Dysuria and pain syndrome are the most common first manifestations of any form of prostatitis.It is they who most often are initial and prevail in the clinic in acute prostatitis or exacerbation of chronic.
Disorders in the genital sphere
Unpleasant for most representatives of the stronger sex, although rarely, the manifestation of prostatitis is sexual dysfunction.Disorders of the intimate sphere are often the result of a chronic inflammatory process and are of a different nature.First of all, there are problems with an erection.It can become sluggish, or a man cannot fully complete sexual intercourse.Ejaculation is disturbed: premature is more common.Over time, the usual severity of sensations is erased.The problem from purely physiological becomes psychological.Disorders of sexual desire (libido disorders) are developing, problems with orgasm arise.
Changes from the nervous system
These signs negatively affect the general condition of the nervous system, provoking a decrease in mood, depression, sleep disturbance.A man ceases to feel his own fullness.Constant being in a state of stress and depression with their own condition can provoke aggressive behavior, irritability, and a tendency to conflicts in a number of men.In such a clinical situation, treatment only of prostatitis does not lead to the normalization of a psychological state.In this case, an experienced psychologist is required, who can prescribe a course of antidepressants, is possible even after the treatment of the underlying disease.
External manifestations
Along with the disorders of the sexual sphere with prostatitis, a change in sperm is found.For example, purulent prostatitis will be accompanied by a change in color, smell of seed fluid.Depending on the pathogen that caused the process, the biological fluid can become yellow, green, yellow-green.Sometimes discharge from the hole of the urethra and outside intercourse appears.They are also distinguished by color, smell and other characteristics, although mucous, transparent discharge that appears in the morning hours is more common.A man can detect pathological impurities in the urine after urination.These are mucous threads, also more often in the morning portion of urine.Various pathological impurities in a number of situations remain the first and only manifestation of the inflammatory process.Impurities in sperm can have a bloody character, which serves as a sign of calculusal form of inflammation.The condition is called erythrospermia.This phenomenon arises due to the trauma of the walls with stones.As the first sign of prostatitis is rare, therefore, when blood impurities in sperm appear, all other diseases should always be excluded.
Male infertility
The only sign of a chronic sluggish inflammatory process can be infertility.Often, already during the examination of a man about the impossibility of involving a child in a representative of the stronger sex, an old inflammatory process is found, which led to a violation of the process of normal sperm formation.During the examination in men, a decrease in full -fledged sperm, as well as a decrease in mobility of male germ cells, is found.
Clinic dependence on stage and type of disease
The dependence of the clinical picture of the disease on the type of prostatitis and its stage is well known.Consider it in detail.
Clinic in acute bacterial prostatitis
Acute bacterial prostatitis develops due to the penetration of pathogenic and conditionally pathogenic bacteria into the prostate gland.This type of prostatitis requires timely treatment, otherwise the consequence of the disease can be blood poisoning.
Signs:
- chills and elevated body temperature;
- pulling and sharp pain in the lower back, groin and perineum;
- frequent urination;
- insufficiency of independent emptying of the bladder;
- painful urination;
- discharge from the urethra.
Manifestations in chronic bacterial prostatitis
The development of chronic bacterial prostatitis is facilitated by constant hypothermia, untimely urination, and long sexual abstinence.In the absence of timely therapy, chronic bacterial prostatitis can provoke cystitis.
Signs:
- pain in the bottom of the abdomen, perineum, scrotum;
- violation of potency;
- violation of urination.
Symptoms of chronic non -bacterial prostatitis
Chronic non -bacterial prostatitis is the most common form of male urological diseases.Most often, this ailment is a reflection of extragenital diseases.
Signs:
- pain syndrome in the pelvic area, which can last 3-6 months;
- periodic pains in the urethra, bladder, penis;
- The absence of signs of the inflammatory process in the secret of prostate, seed fluid and urine.
Symptoms with stagnant prostate
The main reason for the occurrence of congestive prostatitis is the stagnation of the secret of the prostate and venous blood in the pelvis.
Signs:
- lethargy of orgasmic sensations;
- weakened erection;
- slight difficulty in urination;
- aching pain in the perineum;
- rapid urination in the morning;
- Libido decrease.
Signs of the asymptomatic course of the disease
This form of prostate pathology is not associated with a bacterial infection and does not have pronounced symptoms.Asymptomatic inflammation of the prostate can only be detected by a high level of leukocytes and bacteria in the urine, as well as during biopsy.Whatever the form of prostatitis in a man is detected, the process at any stage can lead to the development of formidable complications.They may become the inflammatory processes of any urinary system (kidneys, bladder), which in turn will lead to the appearance of urolithiasis or even to the development of chronic renal failure.Therefore, so that severe complications do not occur, the disease must be treated in a timely manner, and for timely treatment, of course, you need to be able to recognize the first signs of the disease and turn to a specialist in time.