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, which, despite the common "target organ" - the prostate, develop in completely different ways.And the symptoms characteristic of one form of the disease may be absent in another.
Classification approaches to dividing disease forms.
According to the recommendations and industry protocols of the WHO (World Health Organization), it is generally accepted to divide 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 prostate inflammation;
- Chronic pelvic pain syndrome (CPPS) without signs of prostate inflammation;
- Chronic asymptomatic bacteriuria and leukocyturia in the absence of diseases of other organs of the genitourinary system;
- Granulomatous prostatitis with signs of fibrosis;
- A combination of any form of prostatitis with other lesions of the prostate, most often with BPH (benign prostatic hyperplasia).
This classification reflects all possible variants of organ pathology.And the most correct thing is 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 in an 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.
- Generalized asthenia.It manifests itself as severe weakness, general malaise, fatigue and a sharp decrease in physical activity.
- Decreased performance.The body, tired of the inflammatory process, is not able to maintain its usual performance and solve problems that require high energy expenditure.
- Laboratory test data.Changes occur in blood and urine tests that indicate the presence of an inflammatory process in the body.Most of the time they are pronounced.But they are not specific, as they can be a sign of any inflammation.Therefore, the tests must be compared 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 has characteristics associated with a specific infectious agent.Most often, the pain is projected to the perineum with radiation to the groin or testicles.
- Groin discomfort.Very often it is one of the earliest and short-lasting manifestations, as it quickly gives way to pain.Initially, the discomfort appears during physical or sexual activity, and after a while it repeats itself at rest.It is usually accompanied by increased itching, burning, a feeling of fullness in the groin or when urinating.
- mucus secretion.They are not always mandatory and appear in the initial phases.Generally transparent, and much less whitish.They appear most frequently after urinating or occur independently, appearing as stains 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 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.
- Alterations 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.In essence, this is a defensive reaction, since the distension 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:
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 an increase in pressure on the urethra.Initially, it manifests as incomplete emptying of the bladder, causing an effort to urinate completely.Subsequently, weakness of urinary flow occurs, 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 themselves 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 decrease.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 disease becomes chronic, 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.Furthermore, 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 remission phase, disorders of varying degrees of severity occur.Since the clinical picture of an acute disease is described above, manifestations in the remission phase will be considered here.
General manifestations of prostatitis that has gone into remission:
General decrease in vitality and performance.It is manifested by weakness and decreased physical activity.Over time, tolerance to stress, shocks and vibrations is lost and an intolerance to low ambient temperatures develops.
Local or regional symptoms of prostatitis:
- Discomfort in the groin.Most 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 minor 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 reject 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.
- Alterations 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 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 emptying of the bladder.To overcome this sensation, the patient makes additional efforts.
- Violations of the intimate sphere.Inflammation and the fear of pain that arises 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 constantly present pain of varying intensity.For each man, the severity of pain manifestations and their frequency are individual: from mild pain to significant pain and burning at rest, which intensifies even more when urinating or defecating.In this context, the man's lifestyle changes, general and sexual activity decreases and depressive states develop.
It is important to note that in CPPS the first symptoms of prostatitis can appear in this erased form, without a prior 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 arises.It is an accidental finding during preventive examinations and examinations.It often happens that an asymptomatic course of the disease is temporary.When the immune system is weakened, an acute process with a characteristic clinical picture may 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 usually similar to the chronic form, but upon careful examination by specialists, changes characteristic of these rare forms are revealed, which serves as the basis for an accurate diagnosis.
Features of the treatment of prostatitis according to the clinical form.
Each clinical form requires its own therapy.Only a doctor can prescribe it;Self-medication can cause complications and worsening of the disease.The selection of therapy is carried out individually, based on a precise 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 cure.
For all chronic forms, it is important to achieve the highest quality and longest remission and 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 maintaining health and treatment.The preventive measures themselves are selected by the doctor for each patient individually.In summary they look like this:
- Lifestyle changes in the form of abandoning bad habits and improving general health;
- Normalization of physiological functions, including bowel movements;
- Stabilization of a man's intimate life;
- Continuous or ongoing use of symptomatic medications;
- The use of organotropic drugs.
In terms of clinical and preventive effectiveness, one of the best remedies is a drug made from an extract of the prostate 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.