With the development of a typical clinical form of prostatitis, its symptoms can be different and appear 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, take place in completely different ways.And symptoms characteristic of one form of the disease may be absent in another.
Classification approaches in the division of disease forms
Based on WHO (World Health Organization) recommendations and industry protocols, it is generally accepted to divide into the following types of pathology:
- Acute prostatitis without specifying an etiological factor;
- Chronic prostatitis, etiologically associated with 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 genitourinary system;
- Granulomatous prostatitis with signs of fibrosis;
- 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 of the clinical forms.
Signs of prostatitis in the acute clinical picture
In the acute form of the disease, its symptoms have the most pronounced clinical manifestations.
General manifestations:
- Increased 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 cause of the disease.
- General asthenia.It manifests as severe weakness, malaise, fatigue and a sudden decrease in physical activity.
- Reduced performance.The body, tired of the inflammatory process, is unable to maintain its usual performance and solve problems that require high output energy.
- Laboratory test data.There are changes in blood and urine analysis that indicate the presence of an inflammatory process in the body.They are most often pronounced.But they are non-specific, because they can be a sign of any inflammation.Therefore, tests must be compared with symptoms.
Local symptoms of prostatitis:
- Pain.It is the most striking 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, the pain is projected in the perineum with radiation to the groin or testicles.
- Groin discomfort.Most often, one of the earliest manifestations and quite short-lived, because the place of pain quickly subsides.Initially, the discomfort occurs during physical or sexual activity, and after a while it recurs at rest.It is usually accompanied by increased itching, burning, a feeling of fullness in the groin or during urination.
- Mucous discharge.They are not always mandatory and appear in the initial stages.Usually transparent, much less often whitish.They appear most often after urination or are present independently, appearing as stains on underwear.They are a reflection of severe inflammation and involvement of the initial part of the urethra.
- Bleeding or blood impurities.They most often occur in the form of hematospermia - staining of the ejaculate with blood.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 also affects the final part of the gastrointestinal tract.It is mainly manifested by constipation.Basically, it is a defensive reaction, because distension of the rectal ampulla leads to increased pain.
Basically, all local manifestations are symptoms of the initial phase of acute prostatitis.This includes:
Prostate dysfunction with its symptoms:
- Difficulty urinating.It is a protective spasm reaction in response to painful impulses.It is also associated with an increase in the volume of the gland and increased pressure on the urethra.Initially, it manifests as incomplete emptying of the bladder, which causes straining to urinate completely.After that, the urine flow becomes weak, 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 as 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 in the part of the body, 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;in the phase of remission, disorders of varying degrees of severity are present.Since the clinical picture of the acute disease is described above, the manifestations in the phase of remission will be considered here.
General manifestations of prostatitis that went into remission:
A general decrease in vitality and performance.It is manifested by weakness and reduced physical activity.Over time, tolerance to stress, tremors and vibrations is lost, and intolerance to low ambient temperatures develops.
Local or regional symptoms of prostatitis:
- Groin discomfort.Most often, it is constantly present and is analogous to pain during an acute process.For each patient, the degree of discomfort can vary - from minor to maximum.It is discomfort that causes a radical change in the patient's quality of life, because in order to avoid it, the patient often prefers to refuse intimacy.
- Physiological secretions.In the phase of remission, these changes are usually 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, a state of chronic constipation develops as a defensive reaction.
Prostate dysfunction:
- Difficulty urinating.It is a reflection of gradually developing changes in prostate tissues.The most common symptoms are a decrease in the speed and volume of urinary flow, as well as a feeling of incomplete emptying of the bladder.To overcome this feeling, the patient exerts himself additionally.
- Injuries of the intimate sphere.Inflammation and the fear of pain that comes with it lead to a gradual decrease in a man's sexual activity and a weakening of his libido.Psychological barriers quickly lead to permanent erectile dysfunction.
Main symptoms of clinical prostatitis, CPPS
The main symptom of chronic pelvic pain syndrome is constant pain of varying intensity.For each man, the intensity of pain manifestations and their frequency are individual: from mild pain to pronounced pain and burning at rest, which intensifies even more during urination or defecation.Accordingly, the 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 precisely in this deleted form, without a previous acute period.
Asymptomatic or asymptomatic form of the disease
There are cases when pain in prostatitis, as well as other symptoms, is absent.This is how the asymptomatic form of the disease arises.It is an accidental finding during examination 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 can develop.
Rare forms of prostatitis
It is a granulomatous form and in combination with other changes.What symptoms of prostatitis in men in this case indicate the disease?In the beginning, the clinic is most often similar to the chronic form, but a careful examination by specialists reveals characteristic changes for these rare forms, 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 therapy is carried out individually, based on the correct diagnosis.The standards of the relevant mandatory industrial protocols are used.
In the acute form of the disease, the main goal of therapy is to prevent chronification and complete healing.
For all chronic forms, it is important to achieve the highest quality and longest remission possible and to prevent or significantly reduce the frequency of deterioration 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 chosen by the doctor for each patient individually.In short, they look like this:
- Changes in lifestyle in the form of giving up bad habits and general improvement of 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 drugs is a drug made from 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 the tissue of the gland.As a result, a chain of physiological changes is initiated, aimed at increasing the intensity of the recovery process, as well as significantly reducing the frequency and severity of exacerbations of the chronic form of the disease.