Prostatitis is an inflammatory disease of the prostate gland commonly diagnosed in older men. The initial or first signs of prostatitis are quite specific, which helps in timely detection of the disease, comprehensive examination and treatment.
Types of diseases and the first signs
There are two forms of the disease - bacterial (infectious) prostatitis and nonbacterial congestive prostatitis. The first signs of the disease directly depend on the nature of the inflammation.
In the first case, the cause of the disease is an infection, often the inflammation is caused by the action of bacterial agents transmitted through sex. This form of prostatitis is characterized by an ascending or descending infectious pathway of the prostate gland - infection entering through the urethra or from the kidneys. Symptoms of acute inflammation, rapidly increasing, often with fever.
Non-communicable prostatitis is a disease of office workers and men over the age of 50. The disease develops due to congestion in the pelvic region. The cause of inflammation is a violation of blood circulation in the prostate gland, stagnation of secretions in the organ and a violation of nutritional properties in the tissues of the prostate gland. The characteristic feature of this form of inflammation is a slow progression of symptoms, often a latent development. If in the bacterial form of the disease, the state of health deteriorates rapidly, then non-infectious prostatitis rarely occurs in the early stages, which makes it difficult to diagnose the disease in time.
Common Symptoms of Prostatitis
Regardless of the form of the disease, the symptoms of prostatitis in men are as follows:
- pain when urinating;
- discomfort in the anus;
- incomplete emptying of the bladder;
- weakened urine pressure;
- frequent urges to go to the toilet at night;
- general unrest;
- weakened erection;
- violation of ejaculation;
- pain during ejaculation.
It is not possible to unequivocally answer the question of exactly how the early stages of prostatitis manifest. Each patient has different symptoms at the onset of the disease. This is due to the characteristics of the organism.
In most cases, the first sign of prostatitis is anal discomfort and a slight discharge when urinating. Such symptoms indicate visceral irritation.
Often, men are faced with a weakened erection, while other symptoms of the initial form of inflammation may be completely absent. The problem is that patients rarely go to the doctor with problems with ejaculation or impaired erection. As a rule, neglecting one's own health over time leads to a progressive form of prostatitis, which is quite difficult to treat.
Pain when urinating and frequent urge to go to the toilet are caused by pressure on the inflamed organ. This leads to narrowing of the urethral lumen and incomplete emptying of the bladder. As a rule, obvious problems with urination are noted in the second stage, but not in the initial stage of the disease.
Specific signs are symptoms characteristic of different forms of inflammation. With the bacterial form of the disease, they note:
- increased body temperature;
- discharge from the urethra;
- bloody urine;
- acute pain in the scrotum;
- stinging and burning after urinating.
Quite often, patients face severe pain while urinating. Blood is usually seen either pale yellow or purulent. Such signs are characteristic of bacterial infections that are, among other things, caused by sexually transmitted diseases. The temperature may rise above 38°C. There are also symptoms of physical intoxication, general weakness and loss of strength. Usually, with a bacterial infection, the temperature will first rise, and after a few days specific symptoms will appear, such as pain with urination and a frequent urge to urinate.
An elevated temperature is characteristic of the bacterial form of prostatitis.
The first symptoms and manifestations of the non-infectious form of the disease:
- pressure and distention in the anus;
- weakening of urine pressure;
- erectile dysfunction;
- Frequent urination, especially at night.
The temperature in this case rarely rises, there are no symptoms of intoxication. Pain in the perineum does not develop. In the early stages of non-infectious prostatitis, there is always discomfort in the anus, which is caused by an increase in the size of the inflamed organ.
As the frequency of urination increases at night, patients often complain of insomnia and loss of strength, as a result of which nervousness and disturbances may develop.
Rarely, nonspecific symptoms are present
Prostatitis refers to diseases with specific symptoms, which in most cases are sufficient to indicate a digital prostate exam and diagnosis. Nonspecific manifestations of prostatitis are due to clinical cases in which the disease develops against the background of any major pathology.
So, prostatitis caused by stones in the prostate is diagnosed quite rarely, but in this case the characteristic symptom will be hematuria and blood drops from the urethra during urination.
With a genital infection, prostatitis can be accompanied by severe pain in the perineum and discharge of pus.
One of the more difficult to diagnose is fungal prostatitis. This disease develops against the background of systemic mycoses or chronic candidal dermatitis. Characteristic symptoms are inflammation of the glans penis, dense white patches and pain when urinating. In addition, there may be pain in the anus and itching of the genitals.
Prostatitis may appear discharge after urinating. In this case, mild mucus masses, pus or blood droplets are secreted. Usually, when there is discharge, any other symptoms, except discomfort after urinating, are completely absent.
When to see a doctor?
It is important to understand that prostatitis in the early stages can be successfully treated, while the chronic form requires long-term medication and treatment in this case lasts for years.
Reasons to contact a urologist are:
- violation of urination;
- change the nature of the erection;
- foreign substances in semen;
- drops of blood in the urine;
- tight feeling in the anus.
All men over 40 should see a urologist every year. In the past few decades, prostatitis has "rejuvenated" significantly, today the first symptoms and manifestations of the disease appear more and more in men 25-30 years old. The first signs of disease are encountered in office workers, overweight patients and all men with a sedentary lifestyle.
So, the first thing to do when detecting the early stages of prostatitis is to have a comprehensive examination, including:
- finger examination of the organ (massage of the prostate);
- Ultrasound of the prostate, kidneys and bladder;
- blood tests to determine PSA levels;
- bacterial semen analysis;
- Microscopic examination of prostate secretions.
The stage of the disease can be determined by imaging (ultrasound) of the prostate. Based on these diagnostic methods, the doctor determines at what stage the inflammation is and chooses the optimal treatment regimen.
Principles of treatment of prostatitis
When detecting the first signs of prostatitis, the choice of treatment depends on the type of disease. As a rule, specific and symptomatic treatment is carried out.
Specific treatments include:
- prostatic agent;
- alpha blockers;
- consolidation of agents;
- Adjust diet and lifestyle.
Prostate protectants are drugs that improve the nutritional properties of prostate tissue. The drug is prescribed for any form of prostatitis with both therapeutic and prophylactic purposes.
Antibiotics are indicated for the bacterial form of inflammation. They get drunk on a long course - up to a month and a half. In some cases, they can be replaced with drugs of the fluoroquinolone class. In the treatment of non-infectious prostatitis, anti-inflammatory drugs of the non-steroidal group are used.
Alpha blockers are drugs that relax the bladder and prostate muscles. Drugs of this class are used to facilitate urination.
The strengthening agents in the treatment of prostatitis are various herbal preparations, both medicinal and folk. These funds include:
- pumpkin extract candles;
- Pumpkin oil;
- rectal suppositories with propolis;
- echinacea tincture;
- herbal preparations;
These funds are used regardless of the form of inflammation at any stage of the disease.
Symptomatic therapy includes an appointment:
- non-steroidal anti-inflammatory drugs;
Antispasmodics help ease urination in the early stages of prostatitis. Antipyretics are indicated when the temperature rises against the background of bacterial infection. Pain relievers help relieve pain. Non-steroidal anti-inflammatory drugs have both analgesic and anti-inflammatory effects, so they are often prescribed for cases of non-infectious prostatitis. According to the doctor's prescription, a sedative can be used for the patient. They are prescribed to treat insomnia and stress, caused by irritability and frequent urges to go to the bathroom.
In the early stages, any disease is easier to treat and prostatitis is no exception. Timely treatment will not only help you get rid of discomfort and pain, but will also significantly improve a man's quality of life and sexual performance.
The onset of prostatitis becomes chronic and has a number of complications, including:
- acute stagnation of urine;
- kidney infection;
The chronic form of the disease requires constant medication to normalize a man's health. Often, drug treatment becomes ineffective for many years, when the only way to normalize the patient's condition is surgical intervention - partial or complete removal of the organ.
The first stage of prostatitis lasts about three to four years. Then the disease becomes chronic. When you know the first signs of prostatitis in men and how to treat the early stages of the disease, you should consult a specialist as soon as possible. Prostatitis is not a disease diagnosed from a photograph, as the disease has no obvious symptoms. To promptly notice the first symptoms, you should listen to your own health.