With the development of the typical clinical form of prostatitis, its symptoms may be different and appear simultaneously.However, even in this situation, the individual characteristics of the organism, the type of pathogen, the stage of the disease, etc., must be taken into account.
First of all, it is necessary to understand that the disease has many clinical forms, which, despite the common "target organ" - the prostate gland, proceed in completely different ways.Symptoms characteristic of one form of the disease may be absent in the other.
Classification approaches in the division of disease forms
Based on WHO (World Health Organization) recommendations and industry protocols, it is generally accepted to divide the pathologies into the following types:
- Acute prostatitis without determining the etiological factor;
- Chronic prostatitis, etiologically related to bacteria;
- Chronic pelvic pain syndrome (CPPS) with signs of prostatitis;
- Chronic pelvic pain syndrome (CPPS) without signs of prostatitis;
- Asymptomatic chronic bacteriuria and leukocyturia in the absence of diseases of other organs of the urogenital system;
- Granulomatous prostatitis with signs of fibrosis;
- The combination of any form of prostatitis with other prostate changes, most often with BPH - benign prostatic hyperplasia.
This classification reflects all possible variants of organ pathology.And it is most correct 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 the disease, the symptoms have the most pronounced clinical manifestations.
General manifestations:
- An increase in body temperature in response to the inflammatory process.It is always present and can achieve significant values.How high the thermometer rises depends on the causative agent of the disease.
- General asthenia.It manifests as severe weakness, malaise, fatigue and a sharp decrease in physical activity.
- Reduced performance.An organism tired of inflammatory processes is unable to maintain its usual performance and solve problems that require high energy consumption.
- Laboratory test data.Changes occur in blood and urine tests that indicate the presence of an inflammatory process in the body.It is most often pronounced.But they are not specific, as they can be signs of any inflammation.Therefore, tests must be compared with symptoms.
Local symptoms of prostatitis:
- Pain.This is the most obvious symptom of prostatitis.But its severity is a consequence of the intensity of the inflammatory process and has characteristics associated with a specific infectious agent.Most often, pain in the perineum is projected by irradiation of the groin or testicles.
- Unpleasant feeling in the groin.Most often, it is one of the earliest manifestations and is quite short-lived, as it quickly gives way to pain.Initially, the discomfort appears during physical or sexual activity, and after a while it recurs even at rest.It is usually accompanied by increased itching, burning, and a feeling of fullness in the groin or during urination.
- Mucous discharge.They are not always mandatory and appear at the initial stage.It is usually transparent, much less often whitish.Most often, they appear after urination or on their own, appearing as spots on underwear.These reflect severe inflammation and involvement of the initial part of the urethra.
- Bleeding or blood stains.Most often they occur in the form of hematospermia - staining of the ejaculate with blood.If infected with hemolytic strains of bacteria, spontaneous mucous discharge mixed with blood is possible.
- Disturbances in the process of defecation.Due to its anatomical proximity, inflammation of the prostate also affects the final part of the gastrointestinal tract.It manifests itself mainly in constipation.It is essentially a defensive reaction, as stretching of the rectal ampulla leads to increased pain.
Basically, all local manifestations are symptoms of the initial stage of acute prostatitis.These are:
Prostate dysfunction and symptoms:
- Difficulty urinating.This is a defensive reaction of convulsions to painful impulses.It is also associated with an increase in the volume of the gland and an increase in pressure on the urethra.Initially, it manifests itself in the incomplete emptying of the bladder, which causes straining to urinate completely.After that, there is a weakness in the flow of urine, and in case of a pronounced inflammatory reaction, the development of paradoxical ischuria is possible - the inability to urinate independently when the bladder is full.
- Intimate violations.Initially, they are manifested in the form of discomfort during sexual contact and ejaculation, with changes in the seminal fluid.The level of sexual desire and general sexual activity decreases.Fear and active avoidance of intimacy may occur due to pain.
Symptoms and signs of prostatitis in the clinical picture of the chronic form
As the disease becomes chronic, the clinical picture also changes.Due to the changes taking place in the organ and the development of the body's protective reactions, some symptoms appear more clearly, while others practically do not bother the patient.In addition, regardless of the cause of chronicity, a fairly clear division appears in the clinical picture of the disease.In the exacerbation phase, the symptoms of the acute stage of the disease prevail;disorders of varying severity are present in the remission phase.Since the clinical picture of the acute disease was described above, here we consider the manifestations of the remission phase.
General manifestations of prostatitis in remission:
A general decrease in vitality and performance.It manifests itself in weakness and reduced physical activity.Over time, stress, shock and vibration tolerance is lost and intolerance to low ambient temperatures develops.
Local or regional symptoms of prostatitis:
- Unpleasant feeling in the groin.Most often, it is constantly present and is an analogue of pain during an acute process.The degree of discomfort can be different for each patient - from minor to maximum.Discomfort is what radically changes the patient's quality of life, since in order to avoid this, the patient often prefers to refuse intimacy.
- Physiological discharge.In the remission phase, these changes are most often detected only in the laboratory, but there are also physiological changes: a decrease in the volume of the seminal fluid, a change in its color or texture.
- Disturbances in the process of defecation.In this case, a state of chronic constipation develops as a defensive reaction.
Prostate dysfunction:
- Difficulty urinating.It reflects the gradual changes in the tissues of the prostate.The most common symptoms also include a decrease in the rate and volume of urine flow, as well as a feeling of incomplete emptying of the bladder.In order to overcome this feeling, the patient even tenses up.
- Violation of the intimate sphere.The inflammation and the fear of accompanying pain lead to a gradual decrease in the male's sexual activity and a weakening of the libido.Psychological barriers quickly lead to the development of permanent erectile dysfunction.
The main symptoms of clinical prostatitis, CPPS
The main symptom of chronic pelvic pain syndrome is pain that is constantly present and varies in intensity.The severity and frequency of pain manifestations is individual for every man: from mild pains to pain at rest and a burning sensation, which intensifies even more during urination or defecation.In light of this, the man's lifestyle changes, general and sexual activity decreases, and depressive states develop.
It is important to note that in the case of CPPS, the first symptoms of prostatitis may appear in this obliterated form, without a previous acute period.
The asymptomatic or asymptomatic form of the disease
There are cases when the pain of prostatitis, like other symptoms, is absent.This is how the asymptomatic form of the disease appears.Accidental finding during examinations and preventive examinations.It often happens that such an asymptomatic course of the disease is temporary.When the immune system is weakened, an acute process with a characteristic clinical picture may develop.
Rare forms of prostatitis
We are talking about the granulomatous form and in combination with other changes.What symptoms of prostatitis in men in this case indicate the disease?Initially, the clinic most often resembles the chronic form, but during careful examination by specialists, changes characteristic of these rare forms are revealed, which serve as the basis for an accurate diagnosis.
Characteristics of prostatitis treatment depending on the clinical form
Each clinical form requires its own therapy.It can only be prescribed by a doctor;self-medication can lead to complications and worsening of the disease.The therapy is selected individually, based on an accurate diagnosis.The standards of the relevant mandatory industry protocols are used.
In the acute form of the disease, the main goal of therapy is to prevent chronicity and complete recovery.
For all chronic forms, it is important to achieve the highest quality and the longest remission, as well as to prevent or significantly reduce the aggravation of the process.
Prevention of prostatitis is an integral part of treatment
The treatment includes not only the fight against the clinical forms of the disease, but also their prevention.Prevention of prostatitis is important both for maintaining health and for treatment.The preventive measures themselves are selected by the doctor for each individual patient.In summary, they look like this:
- Lifestyle changes in the form of giving up bad habits and improving general health;
- Normalization of physiological functions, including bowel movements;
- Stabilization of a man's intimate life;
- Continuous or continuous use of symptomatic drugs;
- Use of organotropic drugs.
From the point of view of clinical and preventive effectiveness, one of the best remedies is the drug from the extract of the prostate glands in the form of ampoules and prostatitis suppositories.The presence of a complex of specific biologically active compounds allows it to exert its effect directly on the glandular tissue.As a result, a chain of physiological changes begins, the purpose of which is to increase the intensity of healing processes and significantly reduce the frequency and severity of exacerbations of the chronic form of the disease.