Prostatitis can affect potency or cause infertility. The success of the treatment depends heavily on how quickly the treatment was started, so a man must independently pay attention to the first signs. Think about how prostatitis manifests itself in acute and chronic forms, and also provide information about its clinical manifestations and symptoms.
Signs of acute and chronic prostatitis
Acute prostatitis is most common in men of childbearing age who are sexually active. The first signs of the disease in this case appear unexpectedly, develop quickly and cannot go unnoticed.
With acute prostatitis, a man will feel:
- sharp, often throbbing pain in the perineum;
- Temperature rise to 39 ° C;
- Painful urination.
With a disease, the focus of the inflammatory process in the prostate is large, so nearby organs may be involved in the pathological process. For example, prostatitis can affect the rectum and cause painful bowel movements.
Chronic prostatitis is more often diagnosed in men of retirement age. The disease can proceed without any particular symptoms. Sometimes patients complain to the doctor of burning or itching when urinating, notice slimy or purulent discharge from the glans penis. Chronic prostatitis pain is either absent or insignificant, and the temperature rises to 37 degrees.
First symptoms
Doctors identify a number of manifestations that are considered harbingers of the disease. You are the signal for a man to see a doctor in the near future. The six symptoms listed below indicate a problem in the genitourinary system and are therefore grouped together - dysuric syndrome:
- Urine is excreted drop by drop, the man makes an effort.
- The beam is sluggish, the range is no more than 20 cm.
- Splashing of urine, crevices or involuntary interruption of the jet.
- Frequent urge to use the toilet at night.
- Painful urination.
- Feeling of an empty bladder.
If there is only one symptom - prostatitis, most likely we are not talking. However, if a man can notice two or three signs in himself, it is a reason to see a doctor. Most likely, an inflammatory process has started in the prostate.
The doctor will make a more accurate diagnosis after the rectal examination, TRUS, laboratory methods that together make a comprehensive examination. Based on the results of these measures, treatment is also selected, therefore self-medication is strictly prohibited.
Problems with urination can indicate prostate cancer, then the therapeutic tactics will be fundamentally different.
Certain manifestations do not always indicate prostatitis, but can indicate any other inflammatory process in the genitourinary system. However, when they do emerge, there is reason to be careful. Think about how a man will feel if he has inflammation in the prostate.
Violation of urination
Urination is disturbed in a patient with acute prostatitis. Usually a man may experience up to 15 urges to relieve one small need per day, this is due to the drinking regime. Average indicators - 4-5 times. With prostatitis, however, the picture changes. A man may experience the urge twice as often, but the amount of urine does not increase. This means that the kidneys are working smoothly, but the walls of the bladder are being squeezed by the prostate.
A narrowing of the prostatic urethra causes stranguria. This is a pathological condition that causes a man to experience severe pain while urinating. Ischuria (inability to use the bathroom) is also possible.
Temperature increase
The first sign of acute prostatitis is a rise in temperature to fever levels (38-39 degrees). This symptom is especially characteristic of purulent prostatitis and a harbinger of septic shock. As a severe infection process progresses, body temperature can drop to 35-36 ° C.
In some cases, this condition can be life threatening. It is especially dangerous for men with disseminated intravascular coagulation syndrome (disseminated intravascular coagulation).
The appearance of blood in the urine
This symptom is more often found in a laboratory test of urine, less often visually by the man himself. This is a dangerous manifestation of prostatitis, which is very difficult to fight. The cause of hematuria (the scientific name of the trait) can be:
- the location of the blood vessel in the area of the purulent-inflammatory process;
- the development of prostate cancer or adenoma;
- Urethral or prostate trauma on examination.
Such a manifestation is possible even with calculatory prostatitis, when stones and sand damage the tissues of the gland. Fortunately, hematuria with prostatitis is very rare in men.
Groin pain syndrome
Acute prostatitis, as well as cases of complications in a chronic form, can be accompanied by moderate to severe pain of various types. This is not the first sign of prostatitis, but it cannot be ignored. A distinction is made between the following types of complaints:
- shooting, sharp pain;
- painful or pressing sensations;
- Itching and burning sensation (more common in chlamydial prostatitis).
In some cases, men may experience pain in the anus as well. It increases when the man has a seated bowel movement and disappears when the man is resting.
Laboratory signs of the disease
It is possible to tell that a man started prostatitis only after laboratory tests of the blood and urine, as well as the results of ultrasound, CT, MRI and palpation. There are several known signs that can show inflammation in an organ:
- the appearance of leukocytes in the blood and urine;
- Identification 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;
- Pain in the prostate area during rectal exam;
- an enlargement of the gland on TRUS images, the presence of areas of increased echogenicity.
The presence of inflammation in the body can also be assessed by other parameters - an increase in ESR on 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.
In addition to TRUS, instrumental methods can also include an X-ray examination with a contrast agent. Signs of inflammation are clearly visible on the images of the prostate in different projections - areas with tissue structure disorders.
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From a practical point of view, the following first signs of prostatitis are important for a man - urination injuries and pain in the perineum. If the temperature rises at the same time, one speaks of acute bacterial prostatitis.
In any case, you need to make an appointment with a doctor, undergo an examination, and only then start treatment. It is forbidden to choose your own therapy yourself, focusing only on unpleasant manifestations.