Prostatitis is the inflammatory disease of the prostate gland, often diagnosed in older men.The initial or first signs of prostatitis are quite specific, which allows you to timely detect a pathology, undergo a comprehensive examination and take care of treatment.
Types of the disease and the first signs
There are two forms of the disease - this is bacterial (infectious) prostatitis and non -bacterial congestive prostatitis.The first signs of the disease directly depend on the nature of inflammation.
In the first case, the cause of the disease is an infection, often inflammation is due to the action of bacterial agents that are transmitted sexually.This form of prostatitis is characterized by ascending or descending by infection of the prostate gland - the infection enters either through the urethra or from the kidneys.Symptoms of inflammation are acute, rapidly increasing, often there is a fever.
Non -infectious prostatitis is a disease of office workers and men over 50 years old.The disease develops due to stagnant phenomena in the pelvis.The cause of inflammation is a violation of blood microcirculation in the prostate, stagnation of the secretion in the organ and a violation of trophism in the tissues of the prostate gland.The characteristic features of this form of inflammation are a slow increase in symptoms, often a hidden course.If, with a bacterial form of the disease, a deterioration in well -being occurs rapidly, then non -infectious prostatitis rarely bothers in the early stages, which complicates the timely diagnosis of the disease.
General symptoms of prostatitis
Regardless of the form of the disease, the symptoms of prostatitis in men are as follows:
- pain during urination;
- discomfort in the anus;
- incomplete emptying of the bladder;
- weakened urine pressure;
- frequent urge to the toilet at night;
- general malaise;
- weakening of an erection;
- violation of the ejaculation;
- Pain for ejaculation.
It is impossible to unequivocally answer the question of how exactly the initial stage of prostatitis is manifested.Each patient has different symptoms at the beginning of the development of the disease.This is due to the characteristics of the body.
In most cases, the first signs of prostatitis are discomfort in the anus and light discharge during urination.Such symptoms indicate an organ irritation.
Often, men are faced with a weakening of an erection, while other symptoms of the initial form of inflammation may be completely absent.The problem is that patients rarely see a doctor with the problem of violation of ejaculation or erection weakening.As a rule, such neglect of their own health over time pours into the progressive form of prostatitis, which is quite difficult to treat.
The pain during urination and frequent urge to the toilet are due to the pressure of the inflamed organ.This leads to a narrowing of the lumen of the urethra and incomplete emptying of the bladder.As a rule, obvious urination problems are noted in the second, but not at the first stage of the disease.
Specific symptoms
Specific signs are considered to be characteristic symptoms of different forms of inflammation.In the bacterial form of the disease the following is noted:
- increase in body temperature;
- discharge from the urethra;
- blood in urine;
- acute pain in the scrotum;
- Carving and burning after urination.
Quite often, patients face severe pain at the end of urination.Often, blood is released or light yellow or purulent discharge is observed.Such signs are characteristic of bacterial inflammation, due, including diseases transmitted through unprotected sexual contacts.The temperature can increase over 38 ° C.There are also symptoms of intoxication of the body, general weakness and loss of strength.Often, with bacterial inflammation, the temperature first rises, and after a few days specific symptoms appear, such as pain during urination and frequent urging.
An elevated temperature is characteristic of a bacterial form of prostatitis.
The first symptoms and manifestations of a non -infectious form of the disease:
- pressure and bursting in the anus;
- weakening of urine pressure;
- violation of erection;
- Frequent urges to urinate, especially at night.
The temperature in this case rarely rises, there are no symptoms of intoxication.Pain syndrome in the perineal area does not develop.At the initial stage of non-infectious prostatitis, there is always discomfort in the anus, which is due to an increase in the size of the inflamed organ.
Since the frequency of the urge to urinate increases at night, patients often complain of insomnia and a breakdown, against this background, stress and neurosis are possible.
Nonspecific symptoms, which are rarely manifested
Prostatitis refers to diseases with specific symptoms, which in most cases is enough to prescribe a finger examination of the prostate gland and diagnosis.Non-specific manifestations of prostatitis are due to clinical cases in which the disease develops against the background of any primary pathology.
So, prostatitis against the background of stones in the prostate gland is rarely diagnosed, but in this case, the blood in urine and the release of blood drops from the urethra during urination will be a characteristic symptom.
With genital infections, prostatitis can be accompanied by severe pain in the perineum and purulent discharge.
One of the complexly diagnosed forms of the disease is fungal prostatitis.The disease develops against the background of systemic mycoses or chronic candidal balanoposthitis.Characteristic symptoms are inflammation of the penis, the formation of a white dense plaque and the carving during urination.Additionally, pain in the anus and itching of the genitals may be present.
Stagnation of prostatitis can be manifested by discharge after urination.In this case, light mucous masses, droplets of pus or blood are released.Often, in the presence of discharge, any other symptoms, except discomfort after urination, are completely absent.
When to see a doctor?
It is important to understand that prostatitis at the initial stage is quite successfully treated, while the chronic form of pathology requires prolonged medication and treatment in this case lasts years.
The reason for contacting the urologist is:
- violation of urination;
- change in the nature of the erection;
- extraneous impurities in sperm;
- blood droplets in the urine;
- A feeling of bursting in the anus.
It is recommended to visit urologist annually to all men over 40 years old.Over the past few decades, prostatitis has significantly “young”, today the first symptoms and manifestations of the disease are increasingly found in men 25-30 years old.The first signs of the disease are faced with office workers, patients with excess weight and all men leading a sedentary life.
Thus, the first thing to do when the initial stage of prostatitis is detected is to undergo a comprehensive examination, which includes:
- finger examination of the organ (prostate massage);
- Ultrasound of the prostate gland, kidneys and bladder;
- blood test to determine PSA level;
- bacterial examination of sperm;
- Microscopic examination of the secretion of the prostate gland.
The stages of the disease can be detected from the photo (ultrasound) of the prostate gland.Based on these diagnostic methods, the doctor determines what stage the inflammation is at and selects the optimal treatment regimen.
The principle of treatment of prostatitis
If the first signs of prostatitis are found, the choice of treatment methodology depends on the form of the disease.As a rule, specific and symptomatic treatment is performed.
Specific treatment includes:
- prostateoprotectors;
- antibiotics;
- alpha-blockers;
- general strengthening funds;
- Correction of food and lifestyle.
Prostatoprotectors are drugs that improve prostate tissue trophic.Preparations are prescribed for any form of prostatitis for both therapeutic and preventive purposes.
Antibiotics are indicated with a bacterial form of inflammation.They are drunk with a long course - up to a month and a half.In some cases, they can be replaced by drugs of the fluoroquinolon group.In therapy of non -infectious prostatitis, anti -inflammatory drugs of the non -steroid group are used.
Alpha-blockers are drugs that relax the muscles of the bladder and prostate gland.The use of drugs of this group is aimed at alleviating the urination process.
The general strengthening agents in the treatment of prostatitis are various drugs of plant origin, both pharmacy and folk.These means include:
- candles with pumpkin extract;
- pumpkin seed oil;
- rectal candles with propolis;
- tincture of echinacea;
- plant drugs;
- pills.
These products are used regardless of the form of inflammation at any stage of the disease.
Symptomatic therapy includes the purpose:
- antispasmodics;
- antipyretics;
- analgesics;
- non -steroidal anti -inflammatory drugs;
- sedatives.
Spasmolytics help to ease urination at the initial stage of prostatitis.Antipyretic drugs are indicated with an increase in temperature against the background of bacterial inflammation.Analgesics help reduce pain.Non -steroidal anti -inflammatory drugs have simultaneously painful and anti -inflammatory effects, therefore, they are often prescribed with non -infectious prostatitis.According to the doctor’s testimony, sedatives can be recommended to the patient.They are prescribed for insomnia and stress, which are caused by discomfort and frequent calls to the toilet.
Possible complications
Any disease is easier to treat at the initial stage, and prostatitis is no exception.Timely treatment will allow not only to get rid of discomfort and pain syndrome, but also to a large extent to improve the quality of life and sexual activity of a man.
Runned prostatitis goes into a chronic form and fraught with a number of complications, among which:
- acute urine stagnation;
- kidney infection;
- infertility;
- impotence.
The chronic form of the disease requires constant medication to normalize a man’s well -being.Often, drug therapy is ineffective over the years, then the only method of normalizing the patient's condition is surgical intervention - partial or complete removal of the organ.
The initial stage of prostatitis lasts about three to four years.Then the disease goes into a chronic form.Knowing the first signs of prostatitis in men and treatment of the initial stage of the disease, you should consult a specialist as soon as possible.Prostatitis is not the disease that is diagnosed by the photo, since the disease has no visible manifestations.In order to notice the first symptoms in a timely manner, you should listen to your own health.