Prostatitis can affect potency or cause infertility.The success of the treatment depends mainly on how quickly the treatment was started, so the man should independently pay attention to the first signs.Let's see how prostatitis manifests itself in acute and chronic forms, and also provide information about clinical manifestations and symptoms.
Signs of acute and chronic prostatitis
Acute prostatitis most often occurs in men of reproductive age who are sexually active.The first signs of the disease in this case appear suddenly, develop rapidly and cannot go unnoticed.
With acute prostatitis, a man will feel:
- sharp, often throbbing pains in the perineum;
- temperature increase to 39 ° C;
- pain during urination.
When the disease appears, the focus of the inflammatory process in the prostate gland is extensive, so nearby organs can be involved in the pathological process.For example, prostatitis can affect the condition of the rectum, leading to painful bowel movements.
Chronic prostatitis is detected more often in men of retirement age.The disease can occur without specific symptoms.Sometimes patients complain to the doctor about burning or itching during urination, or notice mucous or purulent discharge from the head of the penis.Pain in chronic prostatitis is either absent or insignificant, and the temperature rises to 37 degrees.
Initial symptoms
Doctors identify a number of manifestations that are considered harbingers of the disease.They are the signal for a man to visit a doctor in the near future.The six symptoms listed below indicate a problem in the genitourinary system and are therefore combined into one group - dysuric syndrome:
- Urine is released in drops, the man makes an effort to do this.
- The plane is slow, the range is no more than 20 cm.
- Splashing of urine, rupture or involuntary interruption of flow.
- Frequent urge to go to the toilet at night.
- Pain during urination.
- Feeling of an empty bladder.
If there is only one symptom - prostatitis, most likely we are not talking about it.However, if a man can notice two or three signs, this is a reason to consult a doctor.Most likely, an inflammatory process has started in the prostate.
The doctor will make a more accurate diagnosis after a rectal examination, TRUS and laboratory methods, which together constitute a comprehensive examination.Based on the results of these measures, treatment is selected, therefore self-medication is strictly prohibited.
Problems with urination can also indicate prostate cancer, in which case treatment tactics will be fundamentally different.
Some manifestations do not always indicate prostatitis;they may indicate some other inflammatory process in the genitourinary system.However, when they do appear, there is reason to be cautious.Let's consider what a man will feel if he has inflammation in the prostate.
Urination disorders
A patient with acute prostatitis has difficulty urinating.Normally, a man can feel up to 15 urges to relieve himself a day, this is due to his drinking regime.Average indicators are 4-5 times.However, with prostatitis, the picture changes.A man may feel the desire twice as often, but the volume of urine will not increase.This means that the kidneys are working without failure, but the walls of the bladder are being compressed by the prostate.
Narrowing of the prostatic urethra causes incontinence.This is a pathological condition in which a man feels severe pain during urination.It is also possible to develop ischuria (inability to go to the toilet).
Increase in temperature
The first sign of acute prostatitis will be an increase in temperature to febrile levels (38-39 degrees).This symptom is particularly characteristic of purulent prostatitis and is a harbinger of septic shock.As the severe infectious process progresses, 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 (distributed intravascular coagulation).
The appearance of blood in the urine
This sign is most often detected 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 fight.The cause of hematuria (scientific name of the symptom) can be:
- the location of blood vessels in the area of the purulent-inflammatory process;
- development of prostate cancer or adenoma;
- trauma to the urethra or prostate during the examination.
This manifestation is also possible with calculous prostatitis, when stones and sand damage the tissue of the gland.Fortunately for men, hematuria with prostatitis is very rare.
Hip pain syndrome
Acute prostatitis, as well as cases of complications in the chronic form, can be accompanied by pain of a different nature, from moderate to severe.This is not the first sign of prostatitis, but it cannot be ignored.The following types of unpleasant sensations are distinguished:
- shooting, sharp pains;
- feeling of pain or pressure;
- itching and burning (more often with chlamydial prostatitis).
In some cases, men may also experience pain in the anus.It intensifies during defecation, in a sitting position and goes away if the man is at rest.
Laboratory signs of the disease
It can be said that a man has developed prostate only after a laboratory test of blood and urine, as well as based on the results of ultrasound, CT, MRI and palpation.There are several well-known signs that indicate inflammation in an organ:
- appearance of leukocytes in 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 grains in the prostate fluid;
- sensitivity 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.
Also, 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 immobile sperm in the ejaculate.
Various bacteria can be found in the urine - Trichomonas, chlamydia, E. coli, etc.
Among the instrumental methods, in addition to TRUS, radiographic examination with contrast can be used.In the photos of the prostate in different projections, signs of inflammation will be clearly visible - areas with tissue structure disorders.
CONCLUSION
From a practical point of view, the following first signs of prostatitis are important for a man - problems with urination and pain in the perineum.If the temperature rises at the same time, we can talk about acute bacterial prostatitis.
In any case, you should make an appointment with a doctor, undergo an examination and only then start treatment.It is forbidden to choose your therapy based only on unpleasant symptoms.