Prostatitis can potentially affect or cause infertility.The success of the treatment depends on how early the treatment is started, so a person should pay attention to the first signs independently.Let's look at how prostatitis manifests itself in acute and chronic forms and give information about clinical manifestations and symptoms.
Symptoms of acute and chronic prostatitis
Acute prostatitis occurs most often in sexually active reproductive age.In this case, the first symptoms of the disease appear unexpectedly, develop rapidly and cannot be ignored.
A man with acute prostatitis will feel:
- sharp, often aching pain in the perineum;
- the temperature rises to 39 ° C;
- pain when urinating.
When the disease occurs, the center of the inflammatory process in the prostate gland is extensive, so nearby organs can participate in the pathological process.For example, prostatitis can affect the condition of the rectum, causing painful bowel movements.
Chronic prostatitis is more often found in men of retirement age.The disease can occur without any specific symptoms.Sometimes patients complain to the doctor or doctor of a mucous or dirty discharge from the head of the penis when urinating or itching.Pain in chronic prostatitis is either absent or insignificant, and the temperature rises to 37 degrees.
Initial symptoms
Doctors identify a number of manifestations that are considered to be symptoms of the disease.They are a signal for a person to visit a doctor in the near future.The six symptoms listed below indicate a problem in the genitourinary system and are therefore combined into one group - Dysuric syndrome:
- It is released in drops of urine, the person makes an effort to do it.
- The jet is slow, the range is not more than 20 cm.
- Urinary Interval between urination, split or flow.
- He often urges to go to the toilet at night.
- Pain during urination.
- The feeling of an unextinguished pouch.
If there is only one symptom - prostatitis, most likely we are not talking about it.But if a person could see two or three signs, this is a reason to consult a doctor.Most likely, an inflammatory process has started in the prostate.
The doctor will make a more accurate diagnosis after a rectal examination consisting of a comprehensive examination, trus and laboratory methods.Based on the results of these measures, treatment is selected, so self-medication is strictly prohibited.
Urinary problems can also indicate prostate cancer, in which case the treatment tactics will be radically different.
Certain manifestations do not always indicate prostatitis;They can indicate any other inflammatory process in the genitourinary system.But when it appears, there is reason to be cautious.Let's think about what a person will feel if he has an inflammation of the prostate.
Urinary disorders
A patient with acute prostatitis has difficulty urinating.Normally, a person may feel up to 15 urges to relieve themselves a day, which is related to the drinking regime.Average indicators are 4-5 times.But with prostatitis, the picture changes.A person may feel frequent urges, but the volume of urine will not increase.This means that the kidneys are not working properly, the walls of the bladder are compressed by the prostate.
The narrowing of the prostatic urethra is amazing.This is a pathological condition in which a person feels severe pain while urinating.It is also possible to develop ischuria (inability to go to the toilet).
Increase in temperature
The first sign of acute prostatitis will be an increase in temperature up to a feverish level (38-39 degrees).This symptom is especially characteristic of proliferative prostatitis and is a precursor to septic shock.As the severe infectious process progresses, the body temperature can drop to 35-36 °C.
In some cases, this condition can be life-threatening.It is especially dangerous for men with Dic syndrome (disseminated vascular coagulation).
The appearance of blood in the urine
This sign is more often detected during the laboratory examination of urine, less often - visually by the person himself.This is a dangerous manifestation of prostatitis, which is very difficult to fight.Hematuria (the scientific name of the symptom) can be caused by:
- The location of the blood vessel in the area of the inflammatory process;
- development of prostate cancer or adenoma;
- trauma to the urethra or prostate during examination.
This manifestation is also possible with calculous prostatitis, when stones and sand damage the tissue of the bag.Fortunately for men, hematuria with prostatitis is very rare.
Groin pain syndrome
Acute prostatitis, as well as cases of chronic complications, can be accompanied by pain of a different nature, mild and severe.This is not the first sign of prostatitis, it can be ignored.The following types of unpleasant sensations are distinguished:
- Shooting, sharp pains;
- pain or burning sensation;
- itching and burning (more often with chlamydial prostatitis).
In some cases, men can also experience pain in the anus.During defecation, in a sitting position, if a person is at rest, it goes away and away.
Laboratory signs of the disease
It is possible to say that a person has developed prostatitis based on the results of only one laboratory test and urine test, as well as ultrasound, CT, MRI and palpation.There are several well-known signs of inflammation in an organ:
- appearance of leukocytes in blood and urine;
- detection of pathogenic microflora in urine and prostate secretions;
- An increase in the number of leukocytes against the background of a decrease in the number of lecithin grains in prostate juice;
- tenderness in the prostate region during rectal examination;
- The presence of areas with increasing counters in the size of the gland on the Trus images.
Also, the presence of inflammation in the body can be judged by other parameters - an increase in ESR in blood tests, a change in the leukogram, there are inactive sperm in the ejaculate.
Various bacteria in the urine - Trichomonas, Chlamydia, E. coli, etc.
Among the instrumental methods, in addition to the truss, radiographic examination with contrast can be used.According to a different prognosis, signs of inflammation will be clearly visible on prostate images - areas with tissue structure disorders.
Opinion
From a practical point of view, the following first signs of prostatitis are important for a person - problems with urination and pain in the perineum.If the temperature rises at the same time, we can talk about acute bacterial prostatitis.
In any case, you need to make an appointment with a doctor, pass an examination and only then start treatment.It is forbidden to choose your own therapy based only on unpleasant symptoms.