About half of the male patients visiting the urologist suffer from chronic prostatitis. Problems caused by a specific pathology worsen the quality of life, lead to depression and mental disorders.However, a clear understanding of the functions of the prostate gland and the mechanism of development of inflammation allow us to correctly determine symptoms and cure the disease in a timely manner.
The meaning of the term "prostatitis"
By this term, it is customary to understand the development of the inflammatory process in the tissues of the prostate gland.Since it is present only in the male body, the disease is common among this category of the population.Its main function is the development of a specific fluid, which is involved in the following processes:
- forms and supports a certain environment in the urethra;
- dilutes sperm;
- ensures the viability of sperm;
- Protects the genitourinary system from infection.
Under the influence of a number of factors, the secretion of the secret slows down, which in itself becomes a violation.Prostate epithelium cells periodically deserve, but due to congestion are not excreted, but accumulated, forming microlytes - small pebbles.Covered by mucus, they clog the glandular ducts, leading to the formation of small abscesses.During this period, the body still continues to function normally, external negative manifestations are absent.
The progression of the process (accumulation of dense formations, an increase in the concentration of purulent contents) leads to an increase in the organ and compression of the ureter, blood vessels, and nerve endings.This is one of the causes of the disease.
Symptoms of the disease based on patient complaints
Already at the stage described above, the first signs are manifested, which a man cannot but notice.Based on these changes, you can independently identify the development of inflammation at home.Of course, such a diagnosis is indicative, but is considered a serious reason for contacting a specialist.
Self -diagnosis at home
What are the first signs of prostatitis in men?
Difficult outflow of urine.The compression of the urethral canal increased in size by the tissues of the prostate leads to its narrowing and, as a result, to prevent the outflow of urine.The patient has to apply a certain effort during urination.
Far output of urine.The calls to empty the bladder are becoming more frequent.At first, this happens at night, later during the day.Watching it on an extra cup of tea, the man continues to ignore the violations.
Pain in the lower abdomen.The symptom is a consequence of the accumulation of microlytes.The sensations become unpleasant and are crushed, pulling or bursting painful.By evening or after physical exertion, their increase may occur.
Violations of erection and ejaculation.The syndrome occurs against the background of stagnant phenomena and rarely appears.Driving this on fatigue and stress, the patient also ignores this sign.
Often the patient complains of a general deterioration in the condition, an increase in body temperature, which is also a sign of a developing process.
The first signs of prostatitis in men require treatment, otherwise the process will go into a protracted form.
Symptoms of acute inflammation
The insidiousness of prostatitis lies in the fact that, without characteristic manifestations at the beginning, it begins a sharp and rapid development, but then quickly chronic.
In order not to miss the moment and start treatment in time, a clear idea of the symptoms of acute form is necessary.
- Fever, chills.
- An increase in body temperature to critical values (39 ° C).
- Severe pain in the perineum, lumbar and inguinal region.
- Urination disorders - frequent and false urges, a difficult outflow of urine or its temporary cessation.
- Pronounced intoxication - headache, weakness, aches in joints and muscles, tachycardia.
- Transparent or whitish discharge from the urethra.
The rectal finger examination becomes impossible due to the formation of pain syndrome.Moreover, it is contraindicated, since in the process of examination there may be a dissemination (spread) of infection with blood flow and the development of sepsis.
Manifestations of chronic relapse
In a sluggish form, pathological processes of different types of disease can occur.However, based on complaints of patients and diagnostic data, experts distinguish the following signs of chronic general order prostatitis:
- Discomfort, moderate pains in the crotch, radiating to the sacrum, lower back, scrotum, weakness and ache in the body.
- Severity and rubber in the urinary canal during intercourse or urination.The presence of purulent-seer discharge from the urethra.
- Frequent urination, accompanied by a sense of incomplete emptying at the end of the process.
- The inability of fertilization associated with the lack of mobility of sperm, their agglutination or an increase in the acidity of the secret.
- Violation of the ejaculation (premature or, conversely, prolonged), pain or erased sensations with orgasm.
Types of the disease and the concomitant signs
Urologists distinguish several stages of chronic inflammation of the gland, each of which corresponds to certain manifestations.
A characteristic feature for all species is a moderate pain syndrome in the pelvic floor.
| The form of prostatitis | Symptoms |
|---|---|
| Chronic bacterial | Dysuria, premature ejaculation |
| Pedal pain syndrome | Lack of other manifestations, except pain |
| Inflammatory | Expressed problems with urination, discomfort in the genitalia |
| Stagnant | In some cases, dysuria, discomfort |
| Asymptomatic | There are no clinical manifestations |
Professional diagnostics
The doctor may already determine the presence of inflammation of the prostate during the first visit of a man.However, it is possible to determine the etiology, stage and complexity only with the help of instrumental and laboratory research.
Primary examination of the doctor
The history of the anamnesis is a survey of the patient and the analysis of external symptoms is one of the important stages of diagnosis.During the conversation, the doctor determines the presence of clinical signs and the cause of the development of the pathological process.Here, the patient’s lifestyle, bad habits, the use of contraceptive methods and the presence of a sexual partner are important.At the same time, he draws attention to the probability of existing diseases of close relatives and hereditary predisposition.
The next step is a rectal finger examination of the prostate gland.
Palpation is carried out to determine such parameters as:
- the size of the organ;
- structure and contours;
- the presence of seals;
- pain.
Laboratory tests
The next step is to conduct analyzes.This category is quite extensive, so only a urologist determines the need for each of them.
OAM Khrateusterizes the general condition of the urinary system organs. The increased content of red blood cells, leukocytes and protein, as well as the presence of mucus and other impurities, indicates an extensive course of the inflammatory process.
The urethral smear is a painful and unpleasant procedure, which, however, allows you to determine the presence of infection and establish its variety.
The bacteriological sowing of urine allows you to identify the localization of the lesion, a variety of infection and the type of pathogen.
The cytological analysis of the seed fluid is performed to determine its physicochemical properties, mobility, activity and concentration of sperm, as well as the level of the dog.The biomaterial fence is carried out directly in the laboratory after the prostate massage.
The condition of the procedure is sexual abstinence during the day.In case of suspicion of chronic processing, this type of research is carried out systematically.
Symptoms detected using instrumental diagnostic methods
Hardware methods are recognized as the most effective, which is due to the receipt of accurate and detailed information about the physical characteristics of the prostate gland and the alleged pathological changes in its tissues.They significantly facilitated the work of doctors.
Of the whole variety of species, as a rule, only an ultrasound study is carried out, and the rest of the methods are used if it is necessary to obtain additional results.
Ultrasound is carried out to visualize the gland and determine its general condition, size, consistency.The transrectal method is considered more informative - Truzi.A special sensor is introduced into the rectum, which allows you to determine how the organ looks, identify tumors, adhesions, calculi, calcinates, cystic formations, and other pathological deviations.
MRI is prescribed to determine the type of prostatitis and more in -depth clarification of the previously obtained results, especially if some details remained unclear.
Urofloometry determines the speed of urine current, the time for achieving its maximum value, the volume of urine.It is performed using a special device.
Cistoscopy with a thin probe makes it possible to assess the condition of the bladder and urethral channel, as well as identify the alleged and existing pathological changes.
The biopsy is carried out in case of suspicion of the oncological nature of the disease in order to exclude it.
The dangers of the asymptomatic course of the disease
Prostatitis, which has no symptoms, develops in patients of the older age group.
The reasons for its appearance are:
- frequent hypothermia;
- constipation and hypodynamia;
- weakened immunity;
- decrease in sexual activity;
- The presence of chronic pathologies.
The provoking factors are:
- Age of a man;
- reduction in hormone production;
- Weakening of the protective functions of the prostate
- Degenerative processes in its fabrics.
The lack of treatment due to the impossibility of timely detection of the disease entails the occurrence of such consequences:
- Persistent erectile dysfunction;
- prostate tissue fibrosis;
- development of renal and liver failure;
- urolithiasis;
- benign hyperplasia of the prostate gland, adenoma, cancer.
Untimely seeking a doctor: complications
The danger of prostatitis lies in its rapid transition to a chronic form with greased symptoms and the absence of a clinical picture expressed, as in an acute course.
This form may not manifest for a long period of time, which leads to irreversible processes in the tissues of the gland and various kinds of complications:
- vesiculite, rear urethritis;
- prostate abscess;
- sclerosis of the gland tissue and obstruction of the erypricious ducts;
- polycystic formations;
- development of calculous form;
- impotence and infertility, problems with conception;
- pathologies of the urinary system - cystitis, pyelonephritis, urolithiasis;
- Nervous-psychogenic disorders-apathy, prolonged depression, decrease in self-esteem.
Ways to alleviate the patient's condition
Features of the choice of therapeutic tactics depends on the type of disease, form of origin, features of leakage.
Symptomatic treatment
Acute manifestations of the disease are extremely painful for the patient.Therefore, the priority task is to eliminate them.For this, drug treatment is used.With prostatitis, drugs are prescribed in men depending on severe symptoms:
- Antibacterial drugs to eliminate the pathogen.
- Diuretics are drugs to stabilize the work of the bladder in order to improve the outflow of urine.
- Analgesics - to eliminate pain in the head, joints and muscles.
- Antispasmodics and alpha-1-adrenal ships-for relaxing smooth muscles.
An effective dosage form is considered to be rectal suppositories.Candles are used to relieve acute symptoms:
- With an antibiotic that eliminate painful cramps and fight infectious manifestations.
- With NSAIDs, leveling inflammatory processes.
- Analgesic with analgesic, which improve blood microcirculation, and restore the normal state of the prostate.
Elimination of the cause of inflammation
After stopping acute symptoms, it is necessary to begin therapy of the main manifestations.Treatment in this case is aimed at eliminating the infection and restoring blood circulation.The following groups of drugs are used for these purposes:
- antibiotics in tablets;
- anti -inflammatory drugs;
- immunomodulators;
- phytopreparations.
If acute manifestations are absent, but signs of prostatitis in men are preserved, the patient continues to treat with physiotherapy, traditional medicine (pumpkin seeds, ginger, and other drugs), alternative methods (treatment with leeches, bakers of bees, manual therapy).A positive result is often achieved only after appropriate power correction.
Prevention of primary prostatitis and symptoms of exacerbation of a chronic form
Modern medicine successfully copes with the elimination of prostatitis, even despite the long period of treatment.
For men who transferred an acute form or barely recovered from the chronic current, it is important to comply with preventive measures:
- Life change change:
- regular walks;
- active sports;
- Refusal of bad habits.
- Restoration of normal sexual behavior:
- the choice of a reliable partner;
- rejection of random ties;
- regular sexual relations;
- Protected sexual intercourse.
- Compliance with a diet:
- rejection of fatty, fried, spicy foods;
- The use of healthy and natural products.
- Preventive examination by a doctor:
- Regular - once every six months - examinations;
- passing a course of supportive therapy;
- Performing gymnastic exercises.
In modern conditions of life, inflammation of the prostate gland is not a sentence.Despite the severity and complexity of the current, a variety of clinical species, the disease can be perfectly treated.However, in order to avoid dangerous consequences and the development of serious complications, it is necessary to contact specialists in a timely manner.And for this you need to know all the features of the signs and symptoms of prostatitis.