The symptoms of prostatitis in men are not characteristic and specific, as it may seem at first glance. That is why in modern urology and andrology, infertility is increasingly diagnosed in men of the most active reproductive layer - from 25 to 40 years. The prostate in men is an organ that performs several functions: barrier, regulation of blood clotting, endocrine, reproductive, copulatory (sexual), the role of the bladder sphincter. The signs of prostatitis in men and its symptoms are multiple, especially in the chronic form - they cover all organ functions and often complicate the diagnosis.
Symptoms of acute prostatitis in men
What symptoms of prostatitis in men should lead you to pay attention to them and go to the doctor? Every man, especially at a young and sexually active age, must know about the signs of inflammation of the lower genital tract and the possible clinic of the initial prostate disease. Many young people delay visiting a urologist with the thought that this disease belongs to the older age group.
Bitan.
Inflammation of the prostate is based on a complex of factors that begin to act exactly at the age of 20-30.
- Sexually transmitted infections are the first thing that triggers an active or slow inflammatory process. Chlamydia, mycoplasma infection, gonorrhea, trichomoniasis, gardnerellosis initiate urethritis, against which the development of glandular inflammation is possible. Viruses of herpes simplex, human papilloma, CMV, if they did not cause inflammation of the gland, then they significantly worsen the course of STIs and "pave the way" for bacteria in the tissue of organs. Against the background of genital infections, opportunistic flora (staphylococci, Escherichia coli) often leads to prostate disease. When diagnosed, there is often a mixed flora.
- Work accompanied by prolonged sitting is one of the factors that cause the disease. Such occupational hazards or habits negatively affect prostate health.
- Arrhythmic sex life - its rarity or randomness, psychological problems that cause delay or absence of ejaculation, erectile dysfunction, frequent masturbation - significantly disturb the balance of arterial and venous blood flow in the gland.
- The impact of cold on the lumbar region, abdomen and extremities - winter sports and recreation, occupational hazards associated with hypothermia, trigger irreversible changes in glandular tissues.
Sexual infections, chronic hypothermia, venous blood stagnation and prostate secretions are the basis for the development of chronic prostatitis.. . . Symptoms of prostatitis of various forms are combined into three syndromes: painful, sexual and dysuric (urination disorder). Overcoming one of them is a reason to visit a doctor - urologist, sexologist, therapist or surgeon. The vigilance and qualification of the doctor will determine the speed of the healing process.
Acute prostatitis, whose symptoms occur after or simultaneously with an active genital infection, is characterized by the following:
- Discomfort and pain when urinating.
- Cutting at the beginning or end of urination.
- Frequent and false desire to use the toilet.
- Pain around the anus, especially when sitting.
- Pain during the act of defecation, feeling of fullness in the rectum.
- Mucopurulent discharge from the urethra.
- Abdominal pain that spreads to the thigh, scrotum, back.
- Fever.
- Sexual dysfunction.
Each patient has a different degree of severity of symptoms. Also, only a certain symptom can prevail. But often the acute process takes place with scanty symptoms, which ensures frequent chronicity and an increase in the number of identified cases of chronic prostatitis.
The first signs of prostatitis
Symptoms of prostatitis appear in young men under the guise of acute respiratory infections or in the form of a classic genital infection. Depending on the type of pathogen, the signs of the acute process may be bright or erased.
Symptoms of prostatitis in men, initiated by gonococcus, Staphylococcus aureus, Escherichia coli, as well as nosocomial infection (after manipulation of the urinary tract) are characterized by the following:
- The patient suddenly catches a cold, which lasts from half an hour to two hours and ends with sweating.
- The temperature rises to 38-40 ° C.
- It is characterized by weakness, severe weakness.
The first symptoms of prostatitis in men do not have to be accompanied by characteristic pain in the area of the pelvis, rectum and groin.. . . Also, sexual weakness is not characteristic. On the contrary, catarrhal first stage of the disease is manifested by excessive irritability and early ejaculation.
Bitan.
Urogenital chlamydia, which often causes chronic prostatitis, initially has only mild dysuric symptoms.
How does prostatitis manifest in men, initiated by hematogenous or lymphogenic entry of flora into prostate tissue? This type of disease that accompanies general somatic infectious diseases (sinusitis, sore throat, pneumonia, abscesses, pustular skin diseases) may not be noticed by the patient. Against the background of the underlying disease, the temperature rises again and the symptoms of intoxication increase, mild dysuric phenomena and abdominal pain may develop.
Symptoms of chronic prostatitis in men
Bacterial or viral, congestive or infectious chronic prostatitis, whose symptoms are different, is united by the fact that inflammatory processes, although caused by different triggering factors, lead to three main manifestations:
- Pain syndrome.
- Disorders of urination.
- Sexual dysfunction.
Symptoms of prostatitis pain are also divided into three types:
- Extragenital - is characterized by pain in the rectum, lower back, abdomen.
- Pelvic pain - the symptoms do not appear as such, but there is a pronounced itching of the anus, tingling, paraesthesia, neurosis, excessive sweating - this is due to the involvement of the pelvic nerve plexuses in the process.
- Genital - pain in the scrotum, lumbago in the testicles, groin and perineum.
- Mixed.
The symptoms of pain in prostatitis form a concept such as "chronic pelvic pain syndrome in men".
Symptoms of inflammation of the chronic form of the prostate are accompanied by violation and suppression of erection, ejaculation and decreased libido. Against this background, a neurosis-like syndrome is formed, which takes place according to the sympathetic or parasympathetic type. The first is characterized by heart attacks, fever, evening subfebrile state, sudden mood swings, inattention. For others - drowsiness during the day, fatigue, insomnia at night, hypochondria, sweating, weight gain, lumps in the throat, excessive salivation.
Increased urination, difficulty in emptying the bladder, leakage and lethargy of the stream are among the dysuric phenomena. Such signs have a pronounced resemblance to an adenoma, which sometimes complicates the diagnosis.
Bitan.
Chronic prostatitis in men after the age of 45 often occurs simultaneously with prostate hyperplasia.
In the chronic form, spermatorrhea and prosatorea are observed - secretion of prostate secretion from the urethra in combination with seminal fluid due to organ atony.
Asymptomatic prostatitis
Inflammation of the prostate is not always symptomatic. Often a person learns about the disease, for example, when doing ultrasound diagnostics when planning a child. They find calcifications in prostate tissues, obliterated ducts, enlargement or reduction of the gland, sclerosis, impaired blood flow according to Doppler sonography, varicose veins of the prostate plexus and small pelvis.
Symptomatic prostatitis develops in young men after undergoing genital infections, especially urogenital chlamydia and mycoplasmosis.Asymptomatic prostatitis is especially common after inadequate and incomplete treatment of these diseases. Examination of sperm often results in a decrease in germ cell count, a decrease in actively motile cells, agglutination, and a decrease in lecithin grains. Periodic sexual failures are possible, to which the man does not attach importance.
Symptoms of prostatitis exacerbation
Worsening of chronic prostatitis occurs when it is exposed to unfavorable provoking factors - general somatic diseases, hypothermia, irregular sexual activity, alcohol abuse, worsening of infectious diseases of the genitourinary organs, rectum.
The symptoms of prostatitis exacerbation in men are similar to the onset of the disease. Fever, general weakness, fatigue, weakness, shivering come to the fore. Pain in the anus, a feeling of fullness in the rectum, lumbago in the groin, perineum grow. Sexual dysfunction and nervousness also worsen. When going to the toilet, patients notice difficulties and increased urination, weakening of the nozzle, pain.
Course characteristics of some types of prostatitis
How does prostatitis manifest in men in different variants? Conventionally, several types of diseases are distinguished, depending on the prevailing process: infectious, bacterial, stagnant, purulent.
Infectious and bacterial prostatitis
The term includes several nosological forms of the disease, ie differentiates according to the types of pathogens. Infectious prostatitis, whose symptoms can only be caused by pathogenic bacteria and viruses, can be initiated by sexually transmitted and opportunistic pathogenic flora. Conditionally pathogenic microorganisms that normally inhabit the male genitourinary tract cause disease only with unfavorable factors. Most often, when sowing seeds and urine, there are Escherichia coli, staphylococcus, enterococcus. This is bacterial prostatitis.
Infectious prostatitis is mostly recorded among young people.This type of prostate inflammation most often causes chronicity and leads to infertility.
The clinical picture is characterized by the highest brightness in gonorrhea, and in chlamydia, mycoplasmosis, and opportunistic pathogens the symptoms are sparse, often leading to chronic prostatitis.
Purulent prostatitis
The pyogenic flora is represented by gonococci, Pseudomonas aeruginosa, Escherichia coli, methicillin-resistant strain Staphylococcus. These microorganisms secrete numerous destructive enzymes, are aggressive towards prostate tissues, and therefore initiate purulent fusion.Often purulent prostatitis ends in abscess, phlegmon, paraprostatitis, paraproctitis.
The purulent process is often triggered by bacteria that have entered the prostate in the following ways:
- From purulent foci in other organs.
- For medical interventions on genitourinary organs. The hospital flora is characterized by multiple resistance to antibiotics, so it leads to purulent prostatitis.
Purulent prostatitis, whose symptoms are the most striking, often causes complications: urinary and vesicular-intestinal fistulas. And such bacteria easily penetrate the ascending pathway to the kidneys, pelvis and calyces, causing their chronic inflammation.
Congestive prostatitis
The isolated course of this type of disease is practically excluded, because on the background of stagnant processes the microbial flora binds and this type acquires an infectious form of the course. Urologists usually make such a diagnosis if no bacteria are isolated in the inoculation of the biomaterial. As a rule, the analysis performed after 2-3 weeks will already give a positive result on the bacterial flora.
Venous blood stagnation is often observed in varicose veins, rectal pathology, pelvic tumors, hypodynamics. Disorder of the outflow of prostate secretions, which most often occurs with sexual dysfunctions and irregular sexual activity, leads to stagnation and preconditions for inflammation.Congestive prostatitis, whose symptoms coincide with infectious inflammation, are inextricably linked and accompany each other.Symptoms will be supplemented by varicose veins and rectal lesions.
Obviously, in the chronic form of prostatitis, the manifestations may be nonspecific in nature, requiring a thorough comprehensive diagnosis.
Bitan.
Any signs of genital infection in a man should be a reason to contact a urologist or venereologist for treatment.
Self-medication or neglect of the situation can serve as an incentive for the development of a chronic form.