Prostatitis can affect potency or cause infertility.The success of the treatment largely depends on how quickly the treatment was started, so the man must independently pay attention to the first signs.Let's see how prostatitis manifests itself in acute and chronic forms and provide information on clinical manifestations and symptoms.
Signs of acute and chronic prostatitis
Acute prostatitis most often occurs in sexually active men of reproductive age.In this case, the first signs of the disease appear unexpectedly, develop quickly, and cannot go unnoticed.
In case of acute prostatitis, a person feels:
- sharp, often throbbing pain in the perineum;
- an increase in temperature to 39 ° C;
- pain during urination.
When the disease occurs, the focus of the inflammatory process in the prostate is extensive, so nearby organs can be involved in the pathological process.For example, prostatitis can affect the condition of the rectum, which can lead to painful bowel movements.
Chronic prostatitis is more common in men of retirement age.The disease can also occur without any particular symptoms.Sometimes patients complain to the doctor that they feel burning or itching during urination, or that they notice a mucous or purulent discharge from the head of the penis.In chronic prostatitis, pain is absent or insignificant, and the temperature rises to 37 degrees.
Initial symptoms
Doctors identify many manifestations that are considered harbingers of the disease.These are signs for a man to see a doctor in the near future.The six symptoms listed below point to a problem with the urinary system, so they are combined into one group - dysuria syndrome:
- Urine is released in drops, the man makes efforts to do so.
- The beam is sluggish, the range is no more than 20 cm.
- Splashing of urine, splitting or involuntary jerkiness of the stream.
- Frequent urge to go to the toilet at night.
- Pain during urination.
- Feeling of an empty bladder.
If there is only one symptom - prostatitis, then we probably don't talk about it.However, if a man notices two or three signs, this is a reason to consult a doctor.An inflammatory process has probably started in the prostate.
The doctor makes a more accurate diagnosis after rectal examination, TRUS and laboratory methods, which together represent a comprehensive examination.Treatment is selected based on the results of these measures, so self-medication is strictly prohibited.
Urinary problems can also indicate prostate cancer, in which case the treatment tactics will be fundamentally different.
Certain manifestations do not always indicate prostatitis;they can indicate any other inflammatory process in the urogenital system.However, when they appear, there is reason to be cautious.Let's see what a man will feel when he has prostatitis.
Urinary disorders
Patients with acute prostatitis have difficulty urinating.In general, a man may feel up to 15 urges to relieve himself a day, this is due to the drinking regime.The average indicators are 4-5 times.However, with prostatitis, the picture changes.A man feels the urge twice as often, but the amount of urine does not increase.This means that the kidneys are working properly, but the walls of the bladder are compressed by the prostate.
Constriction of the prostatic urethra causes nausea.It is a pathological condition in which a man feels severe pain while urinating.The development of ischuria (inability to go to the toilet) is also possible.
Temperature rise
The first sign of acute prostatitis is a rise in temperature to a feverish level (38-39 degrees).This symptom is particularly characteristic of purulent prostatitis and is a sign of septic shock.As the serious infectious process progresses, the body temperature may drop to 35-36 °C.
In some cases, this condition can be life-threatening.It is especially dangerous for men with DIC syndrome (disseminated intravascular coagulation).
The appearance of blood in the urine
This sign is detected more often during the laboratory examination of urine, less often - visually by the person himself.This is a dangerous manifestation of prostatitis, which is very difficult to overcome.Hematuria (scientific name of the symptom) can be caused by:
- the location of the blood vessel in the area of the purulent-inflammatory process;
- development of prostate cancer or adenoma;
- damage to the urethra or prostate during the examination.
This manifestation is also possible in calculous prostatitis, when stones and sand damage the glandular tissue.Fortunately, hematuria associated with prostatitis is very rare in men.
Groin pain syndrome
Acute prostatitis, as well as complications occurring in a chronic form, can be accompanied by other types of pain, ranging from moderate to severe.This is not the first sign of prostatitis, but it cannot be ignored.We distinguish the following types of discomfort:
- shooting, sharp pains;
- painful or pressing sensations;
- itching and burning sensation (more often in case of chlamydial prostatitis).
In some cases, men may also experience pain in the anus.It intensifies during defecation and sitting and goes away when the man is at rest.
Laboratory signs of the disease
Only after laboratory tests of blood and urine, as well as based on the results of ultrasound, CT, MRI and palpation, can it be said that a man has developed prostatitis.There are several well-known symptoms that indicate inflammation of an organ:
- the appearance of leukocytes in the blood and urine;
- detection of pathogenic microflora in urine and prostate secretions;
- an increase in the number of leukocytes against the background of a decrease in the number of lecithin particles in the prostate juice;
- tenderness in the prostate area during rectal examination;
- an increase in the size of the gland on TRUS images, the presence of areas with increased echogenicity.
In addition, the presence of inflammation in the body can be judged by other parameters - an increase in ESR in blood tests, a shift in the leukogram, the presence of non-motile sperm in the ejaculate.
Various bacteria are found in urine - Trichomonas, chlamydia, E. coli, etc.
Among the instrumental methods, in addition to TRUS, contrast radiography can also be used.Signs of inflammation - areas with tissue structural abnormalities - will be clearly visible on the image of the prostate in different projections.
Conclusion
From a practical point of view, the following first signs of prostatitis are important for a man - urination problems and pain in the perineum.If the temperature rises at the same time, then we can talk about acute bacterial prostatitis.
In any case, you need to see a doctor, undergo an examination, and only then can you start treatment.It is forbidden to choose your own therapy based only on unpleasant symptoms.