Prostatitis can affect potency or cause infertility.The success of the treatment largely depends on how quickly the treatment is 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 on clinical manifestations and symptoms.
Symptoms 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 unexpectedly, develop rapidly and go unnoticed.
With acute prostatitis, a man will feel:
- sharp, often throbbing pain in the perineum;
- temperature rise up to 39 ° C;
- pain when urinating.
When the disease occurs, the focus of the inflammatory process in the prostate gland is extensive, so nearby organs may be involved in the pathological process.For example, prostatitis can affect the state of the rectum, leading to painful bowel movements.
Chronic prostatitis is more often detected in retired men.This disease may occur without any special symptoms.Sometimes the patient complains to the doctor about burning or itching when urinating, or seeing mucus 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.
Early symptoms
Doctors identify a number of manifestations that are considered to be imposters of the disease.They are a signal for a man to visit a doctor in the near future.The six symptoms listed below indicate problems in the genitourinary system and are therefore combined into one group - dysuric syndrome:
- Urine is released in drops, the man tries to do it.
- The jet is moist, its range is no more than 20 cm.
- A splash of urine, separation or involuntary flow art.
- Frequent urges to go to the toilet at night.
- Pain during urination.
- Feeling of an unreserved bladder.
If there is only one symptom - prostatitis, most likely we are not talking about it.However, if a man can see two or three signs, this is a reason to consult a doctor.Most likely, the inflammatory process has started in the prostate.
The doctor will make a more accurate diagnosis after a rectal examination, TRU, 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, where treatment tactics will be different.
Certain manifestations do not always indicate prostatitis;They can indicate other inflammatory processes in the genitourinary system.However, when they appear, there is reason to be cautious.Let's consider what a man will feel if he has inflammation in the prostate.
Urinary disorders
Patients with acute prostatitis have difficulty urinating.Usually, a man can feel up to 15 urges to relieve himself every day, this is due to the drinking regime.The average indicator is 4-5 times.However, with prostatitis the picture changes.A man may feel the urge twice as often, but the amount of urine will not increase.This means that the kidneys are working without failure, but the bladder wall is being compressed by the prostate.
Narrowing of the prostatic urethra causes a foreigner.This is a pathological condition in which a man feels severe pain when urinating.It is also possible to develop Ischuria (inability to go to the toilet).
Temperature rise
The first sign of acute prostatitis will be an increase in temperature to fever level (38-39 degrees).These symptoms are mainly characteristic of purulent prostatitis and are passengers of septic shock.When the infectious process is severe, 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 more often detected during a laboratory examination of urine, less often - visually by the man himself.This is a dangerous manifestation of prostatitis, which is very difficult to combat.The cause of hematuria (the 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 exam.
This manifestation is also possible with postpartum prostatitis, when stones and sand damage the tissue of the gland.Fortunately for men, hematuria with prostatitis is very rare.
Groin Pain Syndrome
Acute prostatitis, as well as cases of complications in a 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 should not be ignored.The following types of unpleasant sensations are distinguished:
- shooting, sharp pain;
- pain or pressing sensation;
- Itching and burning (more often with chlamydial prostatitis).
In some cases, men may also experience pain in the anus.It increases during urination, in a sitting position and disappears if the man rests.
Laboratory Signs of Disease
It is possible to say that a man has developed prostatitis only after laboratory tests of blood and urine, as well as based on the results of ultrasound, CT, MRI and palpation.There are several known signs that indicate inflammation in the organs:
- 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 grains in 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.
Also, the presence of inflammation in the body can be assessed by other parameters - an increase in ESR in a blood test, a shift in the leukogram, the presence of immobile sperm in the ejaculate.
Various bacteria can be found in urine - Trichomonas, Chlamydia, E. coli, etc.
Among the instrumental methods, in addition to TRU, radiographic examination with contrast can be used.On the image of the prostate in a different projection, signs of inflammation will be clearly visible - areas with tissue structural 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 need to make an appointment with a doctor, undergo an examination and simply start treatment.It is forbidden to choose your own therapy based on unpleasant symptoms.