What symptoms of prostatitis in men appear at different stages of the disease?

Symptoms of prostatitis in men are not characteristic and specific, as it may seem at first glance. This is why in modern urology and andrology, infertility is increasingly being diagnosed in men of the most active reproductive layer - from 25 to 40 years old. The prostate gland in men is an organ that performs several functions: barrier, regulator of blood clotting, endocrine, reproductive, copulatory (sexual), the role of the bladder sphincter. The signs of prostatitis in men and its symptoms are multifaceted, especially in the chronic form - they cover all the functions of the organ and often make it difficult to diagnose.

Symptoms of acute prostatitis in men

What symptoms of prostatitis in men should make you pay attention and go to the doctor? Every man, especially at a young age and sexually active, should know about the signs of inflammation of the lower genital tract and the possible clinic of an initial prostate disease. Many young people postpone the visit to the urologist thinking that this disease belongs to a larger age group.

Important.

Inflammation of the prostate is based on a complex of factors that begin to act precisely at the age of 20-30 years.

1. Sexually transmitted infections are the first thing that causes an active or slow inflammatory process. Chlamydia, mycoplasma infection, gonorrhea, trichomoniasis, gardnerelosis initiate urethritis, against which it is possible to develop inflammation of the gland. Herpes simplex viruses, human papilloma, CMV, if they did not cause inflammation of the gland, then significantly worsen the flow of STIs and "pave the way" for bacteria in the tissues of the organ. Against the background of genital infections, opportunistic flora (staphylococci, Escherichia coli) often leads to prostate disease. When diagnosed, mixed flora is often found.
2. Work associated with prolonged contractions is one of the provocative factors of the disease. Such occupational hazards or habits adversely affect prostate health.
3. Arrhythmic sex life - its rarity or coincidence, psychological problems that cause delay or lack of ejaculation, erectile dysfunction, frequent masturbation - significantly disrupt the balance of arterial and venous blood flow to the gland.
4. The impact of the cold on the lumbar region, abdomen and limbs - winter sports and recreation, occupational hazards associated with hypothermia, cause irreversible changes in glandular tissue.

Sexually transmitted infections, chronic hypothermia, venous blood stagnation, and prostatic secretions lay the foundation for the formation of chronic prostatitis.. . . Symptoms of prostatitis inflammation of various forms are combined into three syndromes: painful, sexual and dysuric (urinary disorder). The predominance of one of them is the reason for the visit to the doctor - urologist, sexologist, therapist or surgeon. The vigilance and qualification of the doctor will determine the speed of the healing process.

Acute prostatitis, the symptoms of which are observed after or simultaneously with an active genital infection, are characterized by the following:

1. Discomfort and pain when urinating.
2. Incision at the beginning or end of urination.
3. Frequent and false desire to use the toilet.
4. Pain around the anus, especially when you are sitting.
5. Pain during the act of defecation, a feeling of satiety in the rectum.
6. Mucopurulent discharge from the urethra.
7. Radiating abdominal pain in the thigh, scrotum, spine.
8. Ethe.
9. Sexual dysfunction.

Every patient has a different degree of severity of symptoms. Also, only a certain symptom can prevail. But often the acute process proceeds with few symptoms, which ensures frequent chronicity and an increase in the number of identified cases of chronic prostatitis.

The first signs of prostatitis

The symptoms of the onset of prostatitis appear in young people under the guise of acute respiratory infections or in the form of a classic genital infection. Depending on the type of pathogen, the signs of an acute process may be bright or faded.

Symptoms of prostatitis in men, initiated by gonococci, Staphylococcus aureus, Escherichia coli, as well as with nosocomial infection (after manipulations in the urinary tract) are characterized by the following:

1. The patient suddenly catches a chill, which lasts from half an hour to two hours and ends with sweating.
2. The temperature rises to 38 - 40 ° C.
3. Characterized by weakness, severe weakness.

The first symptoms of prostatitis in men may not be associated with characteristic pain in the area of the pelvis, rectum and hips.. . . Also, sexual weakness is not characteristic. On the contrary, the first catarrhal stage of the disease is manifested by excessive irritability and premature ejaculation.

Important.

Urogenital chlamydia, which often causes chronic prostatitis, initially has only mild dysuric symptoms.

How is prostatitis manifested in men, given the hematogenous or lymphogenic entry of flora into the prostate tissue? This type of disease that accompanies general somatic infectious diseases (sinusitis, sore throat, pneumonia, abscesses, pustular skin diseases) may not be noticed by the patient. Against the background of the underlying disease, the temperature rises again and the symptoms of intoxication increase, mild dysuric phenomena and abdominal pain may develop.

Symptoms of chronic prostatitis in men

Chronic bacterial or viral, congestive or infectious prostatitis, the symptoms of which vary, are united by the fact that inflammatory processes, although caused by various inflammatory factors, lead to three basic manifestations:

1. Pain syndrome.
2. Urinary disorder.
3. Sexual dysfunction.

Symptoms of prostate pain are also divided into three types:

1. Extragenital - pain in the rectum, lower back, abdomen is characteristic.
2. Symptoms of pelvic pain do not appear as such, but there is pronounced itching of the anus, tingling, paresthesia, neurosis, excessive sweating - this is due to the involvement of the pelvic nerve plexuses in the process.
3. Genitals - pain in the scrotum, lumbago in the testicles, groin and perineum.
4. Mixed.

Symptoms of prostate pain form a concept such as "chronic pelvic pain syndrome in men. "

Symptoms of inflammation of the chronic form of the prostate gland are associated with a violation and suppression of erection, ejaculation and decreased sexual desire. Against this background, a neurosis-like syndrome is formed, which proceeds according to the sympathetic or parasympathetic type. The first is characterized by heart attacks, fever, subfebrile state in the evening, sudden mood swings, lack of attention. For the second - drowsiness during the day, fatigue, insomnia at night, hypochondria, sweating, weight gain, lumps in the throat, excessive saliva.

Among the dysuric phenomena there is an increase in urination, difficulty in emptying the bladder, dripping and lethargy of the stream. Such signs have a pronounced resemblance to an adenoma, which sometimes complicates the diagnosis.

Important.

Chronic prostatitis in men after 45 years often occurs simultaneously with prostate hyperplasia.

In the chronic form, spermatorhea and prostaturia are observed - the secretion of prostate secretion from the urethra in combination with seminal fluid due to atony of the organs.

Asymptomatic prostatitis

Inflammation of the prostate is not always symptomatic. Often, a man learns about an illness, for example, when performing ultrasound diagnosis when planning a baby. They find calcifications in the prostate tissue, deleted ducts, enlargement or reduction of the gland, sclerosis, impaired blood circulation according to Doppler sonography, varicose veins of the prostate plexus and pelvis.

Symptomatic prostatitis develops in young people after being exposed to genital infections, in particular, urogenital chlamydia and mycoplasmosis.Especially often asymptomatic prostatitis is registered after inadequate and incomplete treatment of these diseases. Often, during sperm examination, a decrease in germ cell count, a decrease in active cell motility, agglutination, and a decrease in lecithin granules are observed. Periodic sexual failures are possible, to which the husband does not pay attention.

Symptoms of a worsening of prostatitis

Exacerbation of chronic prostatitis develops when exposed to negative provocative factors - general somatic disease, hypothermia, irregular sexual activity, alcohol abuse, exacerbation of infectious diseases of the genitourinary organs, rectum.

The symptoms of worsening prostatitis in men are similar to the onset of the disease. Rising temperature, general malaise, fatigue, weakness, chills come to the fore. Pain in the anus, feeling of satiety in the rectum, lumbago in the groin, perineum are increasing. Sexual dysfunction and nervousness are also aggravated. When going to the toilet, patients notice difficulty and increased urination, weakening of the flow, pain.

Flow characteristics of some types of prostatitis

How is prostatitis manifested in men in its various varieties? Conventionally, several types of disease are distinguished, depending on the predominant process: infectious, bacterial, stagnant, purulent.

Infectious and bacterial prostatitis

The concept includes several nosological forms of the disease, or rather differentiates according to the types of pathogenic pathogens. Infectious prostatitis, whose symptoms can only be caused by pathogenic bacteria and viruses, can be initiated by sexually transmitted and opportunistic pathogenic flora. Conditional pathogenic microorganisms that normally reside in the male genitourinary tract cause disease only by adverse factors. Most often, during the implantation of sperm and urine, Escherichia coli, staphylococcus, enterococci are found. This is bacterial prostatitis.

Infectious prostatitis has been recorded extensively in young people.This type of inflammation of the prostate gland most often causes chronicity and leads to infertility.

The clinical picture is characterized by the greatest brilliance with gonorrhea, and with chlamydia, mycoplasmosis, and opportunistic pathogens, the symptoms are few, and therefore often lead to chronic prostatitis.

Purulent prostates

The pyogenic flora is represented by gonococci, Pseudomonas aeruginosa, Escherichia coli, methicillin-resistant strains of Staphylococcus. These microorganisms secrete a number of destructive enzymes, are characterized by aggressiveness to prostate tissue and consequently initiate purulent fusion.Often, purulent prostatitis ends with an abscess, phlegm, paraprostat, paraproctitis.

The purulent process is often initiated by bacteria that have entered the prostate gland in the following ways:

1. From purulent foci to other organs.
2. For medical intervention in the genitourinary organs. The hospital flora is characterized by multiple resistance to antibiotics, therefore it leads precisely to purulent prostate.

Purulent prostatitis, the symptoms of which are most striking, often causes complications: urinary and vesico-intestinal fistula. And also such bacteria easily penetrate the contagious pathway towards the kidneys, pelvis and calyces, causing their chronic inflammation.

Congestive prostatitis

The isolated course of this type of disease is practically excluded, as against the background of stagnant processes, the microbial flora sticks and this type acquires an infectious form of flow. Most often, urologists make such a diagnosis if bacteria are not isolated in the biomaterial inoculation. As a rule, an analysis performed after 2-3 weeks will already give a positive result for the bacterial flora.

Venous blood stagnation is often observed with varicose veins, rectal pathology, pelvic tumors, hypodynamics. Violation of the flow of prostate secretion, which is most often observed in sexual dysfunction and irregular sexual activity, leads to stagnation and preconditions for inflammation.Congestive prostatitis, whose symptoms coincide with infectious inflammation, are inextricably linked and follow each other.Symptoms will be complemented by varicose veins and rectal lesions.

Of course, in the chronic form of prostatitis, the manifestations may be of a non-specific nature, which requires a thorough comprehensive diagnosis.

Important.

Any sign of a genital infection in a male should be a reason to contact a urologist or venereologist for treatment.

Self-medication or neglect of the situation can serve as an impetus for the formation of a chronic form.