With the development of a typical clinical form of prostatitis, its symptoms can be different and at the same time appear simultaneously.But 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 should be understood that there are several clinical forms of the disease, which, despite the common "target organ" - the prostate gland, proceed in completely different ways.And the symptoms characteristic of one form of the disease may be absent in another.
Classification approaches in the separation of forms of diseases
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 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 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 lesions of the prostate, 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 clinical picture of an acute form
In the acute form of the disease, its symptoms have the most pronounced clinical manifestations.
Common manifestations:
- Increased body temperature as a 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 itself as severe weakness, malaise, fatigue and a sharp decrease in physical activity.
- Reduced productivity.The body, tired from the inflammatory process, is unable to maintain its usual efficiency and solve problems that require high energy output.
- Data from laboratory tests.Changes occur in blood and urine tests that indicate the presence of an inflammatory process in the body.Most often they are pronounced.But they are non-specific, as they can be a sign of any inflammation.Therefore, the tests should be compared with the symptoms.
Local symptoms of prostatitis:
- pain.This 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 irradiation to the groin or testicles.
- Groin discomfort.Most often one of the earliest manifestations and quite short-lived, 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 required and appear in the initial stages.Usually transparent, much less often whitish.They appear most often after urination or appear on their own, manifesting as stains on underwear.They are a reflection of severe inflammation and involvement of the initial part of the urethra.
- Haemorrhage or blood impurities.Most often, they manifest themselves in the form of hematospermia - staining of the ejaculate with blood.In case of infection with hemolytic strains of bacteria, spontaneous mucous discharge mixed with blood is possible.
- Disturbances in the process of defecation.Due to its anatomical proximity, inflammation of the prostate gland also affects the end part of the gastrointestinal tract.It manifests itself mainly through constipation.In essence, this is a protective reaction, since distension of the rectal ampulla leads to an increase in pain.
Basically, 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 on the urethra.Initially, it manifests as incomplete emptying of the bladder, which causes straining to urinate completely.Subsequently, a weakness of the urinary flow appears, 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 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 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.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 predominate;in the phase of remission, disorders of varying degrees of severity are present.Since the clinical picture of an acute disease has been described above, the manifestations in the remission phase will be considered here.
Common manifestations of prostatitis that is in remission:
A general decrease in vitality and ability to work.It manifests itself with weakness and reduced physical activity.Over time, tolerance to stress, shaking and vibration 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 the pain of an acute process.For each patient, the degree of discomfort can vary - from mild to maximum.It is a discomfort that causes a radical change in the patient's quality of life, because 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 color or consistency.
- Disturbances in the process of defecation.In this case, a state of chronic constipation develops as a protective reaction.
Prostate dysfunction:
- Difficulty urinating.It is a reflection of gradually developing changes in the tissues of the prostate gland.The most common symptoms also include a decrease in the rate and volume of urine, as well as a feeling of incomplete emptying of the bladder.To overcome this feeling, the patient exerts himself further.
- Violations of the intimate sphere.The 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 the 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, the man's lifestyle changes, general and sexual activity decreases, depressive states develop.
It is important to note that in 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 pain in prostatitis, like other symptoms, is absent.This is how the asymptomatic form of the disease arises.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 weakens, an acute process with a characteristic clinical picture may develop.
Rare forms of prostatitis
We are talking about a granulomatous form and combined with other changes.What symptoms of prostatitis in men in this case indicate the disease?Initially, the clinic is most often similar to the chronic form, but upon careful examination by specialists, changes characteristic of these rare forms are found, which serves as the basis for an accurate diagnosis.
Features of the 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 choice of therapy is made individually based on an accurate 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 chronicity and complete cure.
For all chronic forms, it is important to achieve the highest quality and the longest 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 combating the 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 short, they look like this:
- Lifestyle changes 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;
- Long-term or course use of symptomatic drugs;
- The use of organotropic drugs.
From the point of view of clinical and preventive effectiveness, one of the best means is a medicine from the 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 tissue of the gland.As a result, a chain of physiological changes is launched, 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.