With the development of a typical clinical form of prostatitis, its symptoms can be different and at the same time 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, regardless of the usual "target organ" - the prostate gland, proceed in completely different ways.And symptoms characteristic of one form of the disease may be absent in another.
Classification approaches to 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 pathologies:
- Acute prostatitis without specifying the etiological factor;
- Chronic prostatitis, etiologically related to bacteria;
- Chronic pelvic pain syndrome (CPPS) with signs of inflammation of the prostate;
- Chronic pelvic pain syndrome (CPPS) without signs of prostatic inflammation;
- Asymptomatic chronic bacteriuria and leukocytosis in the absence of diseases of other organs of the genitourinary system;
- Granulomatous prostatitis with fibrous signs;
- A 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 more accurate 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 manifestations:
- 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 as severe weakness, maltreatment, fatigue and a sharp decline in physical activity.
- Decreased performance.The body, tired from the inflammatory process, is unable to maintain its usual performance and solve problems that require high energy production.
- Laboratory test data.Changes occur in blood and urine tests that indicate the presence of an inflammatory process in the body.Most often they are highlighted.But they are non-specific, as they can be a sign of any inflammation.Therefore, tests should be compared with symptoms.
Local symptoms of prostatitis:
- Pain.It is the most obvious symptom of prostatitis.But its severity is a consequence of the intensity of the inflammatory process and has features related to a specific infectious agent.Most often, the pain projects to the perineum with radiation to the groin or testicles.
- Groin discomfort.Most often, one of the earliest and rather short-lived manifestations, as it quickly gives way to pain.Initially, the discomfort appears 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.
- Discharge of mucus.They are not always mandatory and appear in the initial stages.Usually transparent, much less often white.They appear more often after urination or are present independently, appearing as spots on underwear.They are a reflection of severe inflammation and involvement of the initial part of the urethra.
- Hemorrhages or blood impurities.Most often they appear 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 the anatomical proximity, inflammation of the prostate gland also affects the end part of the gastrointestinal tract.It is mainly manifested by constipation.Basically, it is a protective reaction, since distension of the rectal ampulla leads to increased pain.
In their essence, 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 increased pressure in the urethra.Initially, it manifests as incomplete emptying of the bladder, which causes straining until complete urination.Then, the weakness of the flow of urine appears, and with a pronounced inflammatory reaction, it is possible to develop paradoxical scurvy - the inability to urinate independently when the bladder is full.
- Intimate violations.Initially, they are manifested in the form of discomfort during sexual intercourse and ejaculation with changes in the seminal fluid.The level of sexual desire and general 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 the chronic form
As the chronic disease progresses, 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, regardless of the cause of chronicity, a clear division appears in the clinical picture of the disease.In the worsening phase, the symptoms of the acute phase of the disease prevail;in the remission phase, disorders of varying degrees of severity are present.Since the clinical picture of an acute disease is described above, the manifestations in the phase of remission will be considered here.
General manifestations of prostatitis that has gone into remission:
General decline in vitality and performance.Appears with weakness and reduced 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:
- Groin discomfort.More often it is constantly present and is an analogue of pain during an acute process.For each patient, the degree of discomfort can vary - from small 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.
- Disorders in the defecation process.In this case, a state of chronic constipation develops as a protective reaction.
Prostate dysfunction:
- Difficulty urinating.It is a reflection of the changes that gradually develop in the tissues of the prostate gland.The most common symptoms also include a decrease in the rate and volume of urinary flow, as well as a feeling of incomplete bladder emptying.To overcome this sensation, the patient strains extra.
- Violations 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 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 pain manifestations and their frequency are individual: from mild pain to severe pain and burning at rest, which intensifies 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 exactly in this erased form, without a previous acute period.
Asymptomatic or asymptomatic form of the disease
There are cases when prostatitis pain, like other symptoms, is absent.This is how the asymptomatic form of the disease appears.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 can develop.
Rare forms of prostatitis
We are talking about the granulomatous form and combined with other changes.What symptoms of prostatitis in men in this case indicate the disease?Initially, the clinic is more often similar to the chronic form, but after careful examination by specialists, characteristic changes for these rare forms are revealed, which serve as the basis for an accurate diagnosis.
Characteristics of prostatitis treatment 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 choice of therapy is carried out individually, based on an accurate diagnosis.Relevant industry mandatory protocol standards are used.
In the acute form of the disease, the main goal of therapy is to prevent chronicity and complete recovery.
For all chronic forms, it is important to achieve better quality and longer remission and to prevent or significantly reduce the frequency of worsening 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.Prostatitis prevention is important for both health maintenance and treatment.The preventive measures themselves are chosen by the doctor for each patient individually.In summary, they look like this:
- Lifestyle changes in the form of giving up bad habits and general health improvement;
- 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 is a medicine from an extract of the prostate gland 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 gland 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.