With the development of a typical clinical form of prostatitis, its symptoms can be different and appear at the same time.But even in this case, 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 the disease, which proceed in completely different ways despite the common "target organ" - the prostate gland.And the symptoms characteristic of one form of the disease may not be present in another.
Classification approaches in the division of forms of diseases
Based on WHO (World Health Organization) recommendations and industry protocols, it is generally accepted to divide the pathology into the following types:
- Acute prostatitis without determining the etiological factor;
- Chronic prostatitis etiologically associated with bacteria;
- Chronic pelvic pain syndrome (CPPS) with symptoms of inflammation of the prostate gland;
- Chronic pelvic pain syndrome (CPPS) without symptoms of prostatitis;
- Asymptomatic chronic bacteriuria and leukocyturia in the absence of diseases of other organs of the genitourinary system;
- granulomatous prostatitis with signs of fibrosis;
- The combination of any form of prostatitis with other prostate lesions, 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.
Symptoms of prostatitis in the clinical picture of the acute form
In the acute form of the disease, its symptoms have the most obvious clinical manifestations.
General manifestations:
- An increase in body temperature in response to the inflammatory process.It is always present and can reach significant values.How much the thermometer rises depends on the causative agent of the disease.
- General asthenia.It manifests itself as severe weakness, weakness, fatigue and a sharp decrease in physical activity.
- Decreased performance.The body, tired from the inflammatory process, cannot maintain its normal performance and solve problems that require high energy output.
- Laboratory test data.There are changes in blood and urine tests that indicate the presence of an inflammatory process in the body.Often they are pronounced.But they are non-specific, because they can be a sign of any inflammation.Therefore, tests should be compared with symptoms.
Local symptoms of prostatitis:
- Pain.This is the most obvious sign of prostatitis.However, its severity is a result of the intensity of the inflammatory process and has characteristics associated with a specific infectious agent.Often the pain is projected in the perineum with radiation to the groin or testicles.
- Discomfort in the groin.The most frequent, one of the earliest manifestations and is quite short-lived, because it quickly gives way to pain.At first, discomfort occurs during physical or sexual activity, and after a while it recurs at rest.It is usually accompanied by increased itching, burning, and a feeling of fullness in the groin or when urinating.
- Mucus discharge.They are not always mandatory and appear at the initial stage.It is usually transparent, less whitish.They most often appear after urination or exist independently, appearing as spots on underwear.They are a reflection of severe inflammation and involvement of the primary part of the urethra.
- Bleeding or blood stains.Often they occur in the form of hematospermia - blood staining of the ejaculate.When infected with hemolytic strains of bacteria, spontaneous mucous discharge mixed with blood is possible.
- Disorders in the defecation process.Due to its anatomical proximity, inflammation of the prostate gland also affects the last part of the gastrointestinal tract.It mainly manifests itself with constipation.In fact, this is a defensive reaction, because the expansion of the rectal ampulla leads to an increase in pain.
Based on them, all local manifestations are symptoms of the initial stage of acute prostatitis.These include:
Prostate dysfunction with symptoms:
- Difficulty urinating.This is a protective reaction of spasms in response to painful impulses.It is also associated with an increase in the volume of the gland and an increase in pressure in the urethra.Initially, it manifests as incomplete emptying of the bladder, which causes straining to urinate completely.Subsequently, the weakness of urine flow occurs and the development of paradoxical ischuria with an obvious inflammatory reaction is possible - the inability to urinate independently when the bladder is full.
- Intimate violations.First, they manifest themselves in the form of discharge with discomfort and changes in seminal fluid during intercourse.The level of sexual desire and general sexual activity decreases.There may be fear of intimacy and active avoidance 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 changes in the organ itself and the formation of protective reactions by the body, some symptoms are more obvious, 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 phase of the disease prevail;in the phase of remission, there are disorders of different degrees of severity.Since the clinical picture of an acute disease is described above, the manifestations in the remission phase will be considered here.
Common manifestations of prostatitis in remission:
A general decrease in vitality and performance.It is manifested by weakness and a decrease in physical activity.Over time, tolerance to stress, shock and vibration is lost, and intolerance to low ambient temperatures develops.
Local or regional symptoms of prostatitis:
- Discomfort in the groin.It is often present permanently and is analogous to pain during an acute process.The degree of discomfort may be different for each patient - from small to maximum.It is anxiety that causes a radical change in the patient's quality of life, because in order to avoid it, the patient often prefers to give up intimacy.
- Physiological secretions.In the phase of remission, these changes are most often detected only in the laboratory, but there are also physiological changes: a decrease in the volume of seminal fluid, a change in its color or consistency.
- Disorders in the defecation process.In this case, the condition of chronic constipation develops as a defense reaction.
Prostate dysfunction:
- Difficulty urinating.This is a reflection of the gradually developing changes in the tissues of the prostate gland.The most common symptoms are also a decrease in the rate and volume of urine flow, as well as a feeling of incomplete emptying of the bladder.To overcome this feeling, the patient additionally strains.
- Violation of the intimate sphere.Inflammation and the fear of pain caused by it cause a gradual decrease in the sexual activity of a man and a weakening of libido.Psychological barriers quickly lead to 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 at rest, which worsens during urination or defecation.Against this background, a man's lifestyle changes, general and sexual activity decreases, and depression occurs.
It is important to note that the first symptoms of prostatitis with CPPS may appear only in this deleted form, without a previous acute period.
Asymptomatic or asymptomatic form of the disease
There are cases where prostatitis pain is not like other symptoms.This is how the asymptomatic form of the disease occurs.It is an incidental 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 it is combined with other changes.In this case, what are the symptoms of prostatitis in men?At first, the clinic is most similar to the chronic form, but when carefully examined by specialists, characteristic changes for these rare forms are revealed, which is the basis for an accurate diagnosis.
Features of treatment of prostatitis depending on its clinical form
Each clinical form requires its own therapy.Only a doctor can prescribe;self-medication can lead to aggravation and worsening of the disease.The choice of therapy is made individually based on the exact diagnosis.Appropriate mandatory industry protocol standards are used.
In the acute form of the disease, the main goal of therapy is to prevent chronification and complete treatment.
For all chronic forms, it is important to achieve the highest quality and longest remission and to prevent or significantly reduce the frequency of exacerbation of the process.
Prevention of prostatitis as a component of treatment
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.Preventive measures are selected by the doctor individually for each 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 course use of symptomatic drugs;
- Use of organotropic drugs.
In terms of clinical and preventive effectiveness, one of the best means for prostatitis is a drug containing extract of the prostate gland in the form of ampoules and suppositories.The presence of a complex of special biologically active compounds allows it to directly affect the glandular tissue.As a result, a chain of physiological changes begins, aimed at increasing the intensity of recovery processes, as well as significantly reducing the frequency and severity of exacerbations of the chronic form of the disease.