With the development of the typical clinical form of prostatitis, the symptoms can be different and at the same time appear simultaneously.However, even in this situation, it is necessary to take into account the individual characteristics of the organism, the type of pathogen, the stage of the disease, etc.
First of all, it is necessary to understand that there are several clinical forms of this disease, which, despite the common "target organ" - the prostate gland, proceed in a completely different way.And the characteristic symptoms of one form of the disease may not be present in another.
A classification approach in dividing the form of the disease
Based on WHO (World Health Organization) recommendations and industry protocols, it is generally accepted to divide into the following types of pathology:
- Acute prostatitis without specifying etiologic factors;
- Chronic prostatitis, etiologically associated with bacteria;
- Chronic pelvic pain syndrome (CPPS) with signs of prostate inflammation;
- Chronic pelvic pain syndrome (CPPS) without signs of prostate inflammation;
- Asymptomatic chronic bacteriuria and leukocyturia in the absence of diseases of other organs of the genitourinary system;
- Granulomatous prostatitis with signs of fibrosis;
- Combination of any form of prostatitis with other prostate lesions, often with BPH - benign prostatic hyperplasia.
This classification reflects all possible pathological variants of the organ.And it is most accurate to describe the most common symptoms of prostatitis from the point of view of describing each clinical form.
Signs of prostatitis in the clinical picture of the acute form
In the acute form of this disease, the symptoms have the most significant clinical manifestations.
General manifestations:
- An increase in body temperature in response to the inflammatory process.It is always there and can reach significant value.How high the thermometer rises depends on the causative agent of the disease.
- General asthenia.It manifests itself as severe weakness, malaise, fatigue and a sudden decrease in physical activity.
- Decreased performance.The body, tired with the inflammatory process, cannot maintain normal performance and solve problems that require high energy production.
- Laboratory test data.Changes occur in blood and urine tests that indicate the presence of an inflammatory process in the body.Often they are mentioned.But they are not specific, because it can be a sign of any inflammation.Therefore, tests must be compared with symptoms.
Local symptoms of prostatitis:
- ill.It is the most obvious symptom of prostatitis.But the severity is a consequence of the intensity of the inflammatory process and has characteristics related to certain infectious agents.Often, the pain is projected in the perineum with radiation to the groin or testicles.
- Discomfort in the groin.Often, one of the earliest manifestations and relatively short, because it quickly gives way to pain.At first, discomfort appears during physical or sexual activity, and after a while it recurs during rest.Usually accompanied by increased itching, burning, a feeling of fullness in the groin or during urination.
- Mucus discharge.They are not always mandatory and appear at an early stage.Usually transparent, less often whitish.It appears most often after urination or is present independently, appearing as dirt on underwear.They are a picture of severe inflammation and involvement of the early part of the urethra.
- Bleeding or blood stains.Often it occurs in the form of hematospermia - staining of the ejaculate with blood.When infected with hemolytic bacterial strains, spontaneous discharge of mucus mixed with blood is possible.
- Disturbances in defecation.Due to its anatomical proximity, inflammation of the prostate gland also affects the end of the gastrointestinal tract.Mainly indicated by constipation.Basically, it is a defensive reaction, because distension of the rectal ampulla leads to increased pain.
At their core, all local manifestations are early-stage symptoms of acute prostatitis.These include:
Prostate dysfunction with its symptoms:
- Difficulty urinating.It is a protective reaction of spasms in response to painful impulses.It is also associated with an increase in the number of glands and increased pressure on the urethra.Initially, it manifests itself as an incomplete emptying of the bladder, which causes a strain to complete urination.After that, the weakness of urine flow occurs, and with a clear inflammatory reaction, the development of paradoxical ischuria is possible - the inability to urinate freely when the bladder is full.
- Intimate violation.At first they manifest themselves in the form of discomfort during sexual intercourse and ejaculation with changes in the seminal fluid.The level of sexual desire and overall sexual activity decreases.There may be fear and active avoidance of intimacy due to pain.
Symptoms and signs of prostatitis in the clinical picture of the chronic form
When the disease becomes chronic, the clinical picture also changes.Due to changes in the organ itself and the formation of protective reactions in parts of the body, some symptoms appear more clearly, while others practically do not bother the patient.In addition, regardless of the chronic cause, a fairly clear division appears in the clinical picture of this disease.In the exacerbation phase, symptoms of the acute stage of the disease occur;in the remission phase, disturbances of varying degrees of severity are present.Since the clinical picture of the acute disease is described above, the manifestations in the remission phase will be considered here.
General manifestations of prostatitis that has experienced remission:
General decline in fitness and performance.Manifested by weakness and decreased physical activity.Over time, tolerance to stress, shock and vibration is lost, and intolerance to low ambient temperatures develops.
Symptoms of local or regional prostatitis:
- Discomfort in the groin.Often it is always present and is an analogue of pain during the acute process.For each patient, the level of discomfort may vary - from minimal to maximal.Discomfort that causes radical changes in the patient's quality of life, because to avoid it, the patient often prefers to reject intimacy.
- Physiological secretions.During the remission phase, these changes are most often detected only in the laboratory, but there are also physiological changes: a decrease in the amount of seminal fluid, a change in its color or consistency.
- Disturbances in defecation.In this case, the condition of chronic constipation develops as a defensive reaction.
Prostate dysfunction:
- Difficulty urinating.It is a reflection of changes that develop gradually in the tissue of the prostate gland.The most common symptoms also include a decrease in the speed and volume of urine flow, as well as a feeling of incomplete bladder emptying.To overcome this sensation, the patient exerts additional pressure.
- Violation of the intimate sphere.Inflammation and the fear of pain that comes with it leads to a gradual decrease in male sexual activity and weakens libido.Psychological barriers quickly lead to the formation of persistent erectile dysfunction.
The main symptoms of clinical prostatitis, CPPS
The main symptom of chronic pelvic pain syndrome is constant pain of varying intensity.For each man, the severity of pain manifestations and their frequency are individual: from mild pain to significant pain and burning during rest, which increases during urination or defecation.Against this background, men's lifestyle changes, general and sexual activity decreases, and depression develops.
It is important to note that with CPPS, the first symptoms of prostatitis can appear only in this suppressed form, without a previous acute period.
Asymptomatic or asymptomatic form of the disease
There are cases when prostatitis pain, like other symptoms, is not present.This is how the asymptomatic form of the disease occurs.It is an accidental discovery during the examination and preventive examination.It often happens that the asymptomatic course of the disease is temporary.When the immune system is weak, an acute process with a characteristic clinical picture may develop.
A rare form of prostatitis
We are talking about the granulomatous form and combined with other changes.What symptoms of prostatitis in men in this case indicate this disease.At first, the clinic is most often similar to the chronic form, but after careful examination by specialists, characteristic changes for this rare form are revealed, which serve as the basis for an accurate diagnosis.
Features of treatment of prostatitis depend on the clinical form
Each clinical form requires its own therapy.Only a doctor can prescribe it;Self-medication can lead to complications and worsen the disease.The selection of therapy is carried out individually, based on an accurate diagnosis.Relevant mandatory industry protocol standards are used.
In the acute form of the disease, the main goal of therapy is to prevent chronification and complete healing.
For all chronic forms, it is important to achieve the highest quality and the longest remission and to prevent or significantly reduce the frequency of exacerbation of the process.
Prevention of prostatitis as part of treatment
Treatment includes not only combating the clinical form of the disease, but also its prevention.Prevention of prostatitis is important for maintaining health and for treatment.The preventive measures themselves are chosen by the doctor for each patient individually.In a nutshell they look like this:
- Lifestyle changes in the form of abandoning bad habits and improving general health;
- Normalization of physiological functions, including bowel movements;
- Stabilization of men's intimate life;
- Continuous or course use of symptomatic drugs;
- Use of organotropic drugs.
In terms of clinical effectiveness and prevention, one of the best drugs is the drug from the extract of the prostate gland in the form of ampoules and suppositories for prostatitis.The presence of a complex of certain biologically active compounds allows it to act directly on glandular tissue.As a result, a chain of physiological changes is launched, aimed at increasing the intensity of the recovery process, as well as significantly reducing the frequency and severity of exacerbations of the chronic form of the disease.