With the development of a typical clinical form of prostatitis, its symptoms may 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 that, despite the common "target organ", the prostate gland, proceed in completely different ways. And the characteristic symptoms of one form of the disease may be absent in the other.
Classification approaches in the separation of disease forms.
Based on WHO (World Health Organization) recommendations and industry protocols, the division is generally recognized into the following types of pathology:
- Acute prostatitis without specifying the etiological factor;
- Chronic prostatitis, etiologically associated with bacteria;
- Chronic pelvic pain syndrome (CPPS) with signs of inflammation of the prostate gland;
- Chronic pelvic pain syndrome (CPPS) without signs of inflammation of the prostate;
- Asymptomatic chronic bacteriuria and leukocyturia in the absence of diseases of other organs of the genitourinary system;
- Granulomatous prostatitis with fibrosis symptoms;
- The combination of any form of prostatitis with other lesions of the prostate, most often with BPH - benign prostatic hyperplasia.
This classification reflects all the possible variants of organic pathology. And describing the most common symptoms of prostatitis is the most correct from the point of view of describing each of the clinical forms.
Symptoms of prostatitis in the acute clinical picture.
In the acute form of the disease, its symptoms have the most pronounced clinic.
- Increased body temperature in response to inflammation.. . . It is always present and can reach significant values. The height of the thermometer depends on the causative agent of the disease.
- General asthenia. . . It manifests itself as severe weakness, malaise, rapid fatigue, and a sharp decrease in physical activity.
- Decreased performance. . . The body, tired of the inflammatory process, is not able to maintain its usual capacity for work and solve problems that require high energy output.
- Laboratory analysis data. . . In blood and urine tests, changes occur, indicating the presence of an inflammatory process in the body. Most of the time they are pronounced. But they are nonspecific, as they can be a sign of inflammation. Therefore, the evidence must be contrasted with the 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 it has characteristics associated with a specific causative agent of the infection. Most often, the pain projects to the perineum and radiates to the groin or testicles.
- Discomfort in the groin. . . Most often, one of the earliest and short-lived manifestations, as it quickly gives way to pain. Initially, the discomfort appears during physical or sexual activity, after a while it repeats at rest. It is usually accompanied by increased itching, burning, bloating in the groin or when urinating.
- Mucous discharge. . . They are not always necessary and appear in the initial stages. Generally transparent, much less whitish. They appear more often after urination or are present on their own, manifesting as stains on clothing. They are a reflection of a pronounced inflammation and the participation of the initial part of the urethra in it.
- Bleeding or blood impurities.. . . It is most often found in the form of hematospermia - staining of the ejaculation with blood. When infected with hemolytic strains of bacteria, spontaneous mucous discharge with an admixture of blood is possible.
- Disorders of the defecation process.. . . Due to the anatomical proximity, the inflammation of the prostate gland is reflected in the final section of the gastrointestinal tract. It manifests itself mainly by constipation. In fact, it is a defensive reaction, since the expansion of the rectal blister causes an increase in pain.
In essence, all local manifestations are symptoms of the initial stage of acute prostatitis. These include:
Dysfunction of the prostate gland with its symptoms:
- Difficulty urinating. . . It is a protective spasm response in response to pain impulses. It is also associated with an increase in the volume of the gland and an increase in pressure on the urethra. Initially, it is manifested by an incomplete emptying of the bladder, which causes straining to urinate completely. In the future, there is a weakness of the urinary flow, and with a pronounced inflammatory reaction, the development of paradoxical ischuria is possible - the inability to urinate independently when the bladder is full.
- Intimate rapes. . . Initially it manifests as discomfort during intercourse and ejaculation with changes in semen. The level of libido and general sexual activity decrease. Perhaps the appearance of fear and active avoidance of intimacy due to the appearance of pain.
Symptoms and signs of prostatitis in the clinical picture of a chronic form.
With the chronicity of the disease, the clinical picture also changes. Due to changes in the organ itself and the formation of protective reactions by the body, some symptoms appear brighter, while others practically do not bother the patient. In addition, regardless of the cause of chronicity, a fairly clear division appears in the clinic of the disease. In the exacerbation phase, the symptoms of the acute stage of the disease prevail, in the remission phase there are disorders of varying severity. Since the symptoms of an acute disease are described above, the manifestations in the remission phase will be considered here.
General manifestations of prostatitis, which has entered the stage of remission:
General decline in vitality and performance. Manifested by weakness and decreased physical activity. Over time, tolerance to loads, shocks and vibrations is lost, and intolerance to low ambient temperatures develops.
Local or local symptoms of prostatitis:
- Discomfort in the groinMost often, it is constantly present and is an analog of pain in an acute process. For each patient, the degree of discomfort may be different, from least to greatest. It is the discomfort that causes a radical change in the quality of life of the patient, since to avoid it, many times the patient prefers to renounce intimacy.
- Physiological discharge. In 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 of the defecation process. In this case, a state of chronic constipation develops as a protective reaction.
Dysfunction of the prostate gland:
- Difficulty urinating is a reflection of the gradually developing changes in the tissues of the prostate gland. The most common symptoms also include a decrease in the speed and volume of urinary flow, as well as a sensation of incomplete emptying of the bladder. To overcome this feeling, the patient also makes an effort.
- Violations of the intimate sphere. The inflammation and fear of pain that arise with it lead to a gradual decrease in a man's sexual activity, 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 persistent pain of varying intensity. For each man, the severity of the manifestations of pain and their frequency is individual: from mild pain to severe cramps and burning at rest, further aggravated by urination or defecation. In this context, a man's lifestyle changes, general and sexual activity decrease, and depressive states develop.
It is important to note that in CPPS, the first symptoms of prostatitis can appear in a blurred form, without a previous acute period.
Asymptomatic or asymptomatic form of the disease.
There are cases when the pain in prostatitis, like other symptoms, is absent. This is how the asymptomatic form of the disease progresses. It is an accidental finding when passing examinations and preventive examinations. It often occurs when an asymptomatic course of the disease is temporary. With a weakening of immunity, it is possible to develop an acute process with a characteristic clinic.
Rare forms of prostatitis
It is a granulomatous form and is compatible with other changes. What are the symptoms of prostatitis in men in this case indicate the disease? Initially, the clinic is more often similar to the chronic form, however, upon careful examination by specialists, changes characteristic of these rare forms are revealed, serving as the basis for an accurate diagnosis.
Features of the treatment of prostatitis, depending on the clinical form.
Each clinical form suggests its own therapy. Only a doctor can prescribe it, self-medication can lead to complications and a worsening of the course of the disease. The selection of therapy is carried out individually, based on an accurate diagnosis. In doing so, the standards of the relevant mandatory industry protocols are used.
In the acute form of the disease, the main goal of therapy is to prevent chronicity and complete cure.
For all chronic forms, it is important to achieve the highest quality and long-lasting remission and to prevent or significantly reduce the frequency of exacerbation 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 its prevention. Prevention of prostatitis is important for both health and treatment. The same preventive measures are selected by the doctor for each patient individually. In general, they look like this:
- Change your lifestyle in the form of giving up bad habits and improving overall health;
- Normalization of physiological functions, including defecation;
- Stabilization of the intimate life of a man;
- Continuous or regular use of symptomatic agents;
- The use of organotropic drugs.
In terms of clinical and prophylactic efficacy, one of the best remedies is a preparation 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 is launched, aimed at increasing the intensity of recovery processes, as well as a significant decrease in the frequency and severity of exacerbations of the chronic form of the disease.