With the development of a typical clinical form of prostatitis, its symptoms may be different and appear at the same time simultaneously.However, even in this situation it is necessary to take into account 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, despite the common "target organ" - the prostate, proceed in completely different ways.And the symptoms characteristic of one form of the disease may be absent in another.
Classification approaches for dividing disease forms
Based on WHO (World Health Organization) recommendations and industrial protocols, it is generally accepted to divide the following types of pathologies:
- Acute prostatitis without specification of the etiological factor;
- Chronic prostatitis, etiologically associated with bacteria;
- Chronic pelvic pain syndrome (CPPS) with signs of prostate inflammation;
- Chronic pelvic pain syndrome (CPPS) without signs of prostate inflammation;
- Chronic asymptomatic bacteriuria and leukocyturia in the absence of diseases of other organs of the genitourinary system;
- Granulomatous prostatitis with signs of fibrosis;
- A combination of any form of prostatitis with other lesions of the prostate, most often with BPH - benign prostatic hyperplasia.
This classification reflects all possible variants of organ pathology.And it is more correct to describe the most common symptoms of prostatitis from the point of view of describing each of the clinical forms.
Signs of prostatitis in the clinical picture of the acute form
In the acute form of the disease, its symptoms have the most pronounced clinical manifestations.
General events:
- Increase in body temperature in response to the inflammatory process.It is always present and can reach significant values.How high the thermometer rises depends on the causative agent of the disease.
- General asthenia.It manifests itself as severe weakness, malaise, fatigue and a sharp decrease in physical activity.
- Decreased performance.The body, tired of the inflammatory process, is not able to maintain its usual performance and solve problems requiring high energy production.
- Lab Test Data.Changes occur in blood and urine tests, indicating the presence of an inflammatory process in the body.Most often they are pronounced.But they are not specific, because they can be a sign of inflammation.Tests must therefore be compared to symptoms.
Local symptoms of prostatitis:
- Pain.This is the most striking symptom of prostatitis.But its severity is a consequence of the intensity of the inflammatory process and has features associated with a specific infectious agent.Most often, the pain is referred to the perineum with radiation to the groin or testicles.
- Groin discomfort.Most often, this is one of the earliest and fairly short-lived manifestations, as it quickly gives way to pain.Initially, discomfort appears during physical or sexual activity, and after a while it repeats at rest.Usually accompanied by increased itching, burning, a feeling of fullness in the groin or during urination.
- Mucus discharge.They are not always obligatory and appear in the early stages.Usually transparent, much less often whitish.They most often appear after urination or are present independently, appearing as spots on underwear.They reflect severe inflammation and damage to the initial part of the urethra.
- Bleeding or blood impurities.Most often they occur in the form of hematospermia - staining of ejaculate with blood.In case of infection 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 last part of the gastrointestinal tract.Mainly manifested by constipation.This is essentially a defensive reaction, since distension of the rectal bulb causes increased pain.
Basically, all local manifestations are symptoms of the initial stage of acute prostatitis.These include:
Prostate dysfunction with its symptoms:
- Difficulty urinating.It 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 on the urethra.Initially, this manifests itself as incomplete emptying of the bladder, which causes straining to complete urination.Subsequently, a weakness of urinary flow occurs, and with 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 manifest themselves in the form of discomfort during sexual intercourse and ejaculation with changes in seminal fluid.The level of sexual desire and overall sexual activity decreases.There may be fear and active avoidance of intimacy due to pain.
Symptoms and signs of prostatitis in the clinical picture of 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 on the part of the body, some symptoms appear more clearly, while others practically do not bother the patient.Moreover, whatever the cause of chronicity, a fairly clear division appears in the clinical picture of the disease.In the exacerbation phase, symptoms of the acute stage of the disease predominate;in the remission phase, more or less serious disorders are present.Since the clinical picture of an acute illness is described above, the manifestations in the remission phase will be considered here.
General manifestations of prostatitis in remission:
General decrease in vitality and performance.Manifested by weakness and decreased physical activity.Over time, tolerance to stress, jolts and vibrations disappears and intolerance to low ambient temperatures develops.
Local or regional symptoms of prostatitis:
- Groin discomfort.Most often, it is constantly present and is an analogue of pain during an acute process.For each patient, the degree of discomfort may vary - from minor to maximum.It is the discomfort that causes a radical change in the patient's quality of life, since to avoid it, the patient often prefers to refuse intimacy.
- Physiological secretions.During 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 seminal fluid, a change in its color or consistency.
- Disturbances in the process of defecation.In this case, a state of chronic constipation develops as a defensive reaction.
Prostate dysfunction:
- Difficulty urinating.This reflects progressive changes in the prostate tissue.The most common symptoms also include a decrease in the speed and volume of urine flow, as well as a feeling of incomplete emptying of the bladder.To overcome this feeling, the patient makes additional efforts.
- Violations of the intimate sphere.Inflammation and the resulting fear of pain lead to a gradual decrease in a man's sexual activity and a weakening of the libido.Psychological barriers quickly lead to the formation of 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 painful manifestations and their frequency are individual: from mild pain to significant pain and burning at rest, which intensify even more during urination or defecation.Against this background, a man's lifestyle changes, general and sexual activity decreases, and depressive states develop.
It is important to note that with CPPS, the first symptoms of prostatitis can appear in this erased form, without a prior acute period.
Asymptomatic or asymptomatic form of the disease
There are cases where prostatitis pain, like other symptoms, is absent.This is how the asymptomatic form of the disease appears.This is an incidental discovery 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 granulomatous form and combined 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 after careful examination by specialists, changes characteristic of these rare forms are revealed, which serves as the basis for an accurate diagnosis.
Features of treatment of prostatitis depending on the clinical form
Each clinical form requires its own therapy.Only a doctor can prescribe it;self-medication can lead to complications and worsening of the disease.The selection of treatment is carried out individually, based on an accurate diagnosis.The standards of relevant mandatory industrial protocols are used.
In the acute form of the disease, the main goal of treatment is to prevent chronification and complete recovery.
For all chronic forms, it is important to achieve the highest quality and longest remission, as well as to prevent or significantly reduce the frequency of exacerbations of the process.
Prevention of prostatitis as an integral part of treatment
Treatment includes not only the fight against clinical forms of the disease, but also their prevention.Prevention of prostatitis is important for both health maintenance and treatment.The preventive measures themselves are selected by the doctor for each patient individually.In summary they look like this:
- Lifestyle changes in the form of giving up bad habits and generally improving health;
- Normalization of physiological functions, including bowel movements;
- Stabilization of a man’s intimate life;
- Continuous or progressive use of symptomatic medications;
- The use of organotropic drugs.
In terms of clinical and preventive effectiveness, one of the best remedies is a medicine based on prostate extract in the form of ampoules and suppositories for prostatitis.The presence of a complex of specific biologically active compounds allows it to act directly on glandular tissue.As a result, a chain of physiological changes is launched, 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.