Inflammation of the prostate can affect potency or cause infertility. The success of the treatment depends to a large extent on how quickly the treatment started, so the man should pay attention to the first signs on his own. Consider how prostatitis manifests itself in acute and chronic form and provide information on clinical manifestations and symptoms.
Signs of acute and chronic prostatitis
Acute prostatitis is most common in sexually active men of reproductive age. The first signs of the disease in this case appear unexpectedly, develop rapidly, and cannot go unnoticed.
In acute prostatitis, the man feels:
- sharp, often throbbing pain in the perineum;
- temperature rise to 39 ° C;
- pain while urinating.
In one disease, the focus of the inflammatory process in the prostate is extensive, so nearby organs may be involved in the pathological process. For example, prostatitis can affect the rectum, which can result in painful bowel movements.
Chronic prostatitis is more often diagnosed in men of retirement age. The disease can continue without any particular symptoms. Sometimes patients complain to the doctor about burning or itching while urinating, and they notice mucous or purulent discharge from the penis. In chronic prostatitis, the pain is absent or insignificant and the temperature rises to 37 degrees.
Initial symptoms
Doctors identify a number of manifestations that are considered to be predictors of the disease. These are signs for a man that he needs to see a doctor in the near future. The six symptoms listed below indicate a problem with the urinary system and are therefore grouped together into a dysuria syndrome:
- Urine is excreted in drops, the man strives for.
- The radius is sluggish, its range does not exceed 20 cm.
- Splashes of urine, rupture or unintentional rupture of the stream.
- Frequent urge to use the night toilet.
- Pain while urinating.
- Feeling empty bladder.
If there’s only one symptom - prostatitis, we’re probably not talking. However, if a man notices two or three signs in himself, this is a reason to see a doctor. It is likely that an inflammatory process has begun in the prostate.
After the rectal examination, TRUS, the doctor makes a more accurate diagnosis after laboratory methods, which together form a comprehensive examination. Based on the results of these measures, treatment is also selected, so self-medication is strictly prohibited.
Urinary problems can indicate prostate cancer, then the tactics of therapy will be fundamentally different.
Certain manifestations do not always indicate inflammation of the prostate, but may indicate other inflammatory processes in the urogenital system. However, when they do appear, there is reason to be careful. Consider how a man feels if he has prostatitis.
Violation of urination
In patients with acute prostatitis, the urinary process is disrupted. Normally, a man may feel up to 15 urges a day to alleviate a small need, due to a drinking pattern. Average indicators - 4-5 times. However, with prostatitis, the picture changes. A man feels 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 compressed by the prostate.
Narrowing of the prostate urethra causes stranguria. It is a pathological condition in which a man feels severe pain while urinating. Ischuria is also possible (inability to use the toilet).
Temperature rise
The first sign of acute prostatitis is a rise in temperature to a febrile level (38-39 degrees). This symptom is particularly characteristic of purulent prostatitis and is a sign of septic shock. As a 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 disseminated intravascular coagulation (disseminated intravascular coagulation) syndrome.
Appearance of blood in the urine
This symptom is more commonly seen in laboratory tests of urine, and less often visually. This is a dangerous manifestation of prostatitis that is very difficult to overcome. The cause of hematuria (scientific name of the property) may be:
- the location of the blood vessel in the area of the purulent inflammatory process;
- development of prostate cancer or adenoma;
- damage to the urethra or prostate during the test.
In addition, such a manifestation is possible in the case of calculous prostatitis, where stones and sand damage the tissue of the gland. Fortunately, hematuria with prostatitis is very rare in men.
Groin pain syndrome
Acute prostatitis as well as complications in chronic form can be accompanied by other types of pain, from moderate to severe. This is not the first sign of prostatitis, but it cannot be ignored. The following types of inconveniences are distinguished:
- shooting, sharp pains;
- painful or depressed feelings;
- itching and burning sensation (more common in chlamydia).
In some cases, men may also feel pain in the anus. With bowel movements, she grows in a sitting position and disappears when the man is at rest.
Laboratory signs of the disease
Only laboratory blood and urine tests, as well as ultrasound, CT, MRI, and palpation results, indicate that a man has started inflammation of the prostate. There are several signs that can cause inflammation in an organ:
- appearance of leukocytes in the blood and urine;
- identification of the pathogenic microflora in urine and prostate secretions;
- an increase in the number of leukocytes against a decrease in the number of lecithin particles in the prostate juice;
- pain in the prostate area during rectal examination;
- increase in gland size in TRUS images, presence of areas with increased echogenicity.
In addition, 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, and the presence of immobile sperm in the ejaculate.
Various bacteria are found in the urine - Trichomonas, chlamydia, E. coli, etc.
Among the instrumental methods, in addition to TRUS, a contrast X-ray examination can also be included. Signs of inflammation on different projections of the prostate will show signs of inflammation - areas with tissue abnormalities.
Conclusion
From a practical point of view, the following first signs of prostatitis are important for a man - urinary incontinence 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 see a doctor, have an examination and only then start treatment. It is forbidden to choose your own therapy on your own, focusing only on the unpleasant manifestations.