Symptoms of prostatitis depend on the form and causes of prostate inflammation, as well as on the presence of concomitant diseases. Symptoms often intersect, which significantly complicates the diagnosis.
Chronic prostatitis develops as an independent disease or as a complication of an acute form of inflammation. During remission, the symptoms are weak or completely absent, with exacerbation they become more pronounced. The clinical picture resembles acute prostatitis.
The first symptoms of the chronic form of inflammation:
The above signs in the chronic form of prostatitis do not occur at once. Initially, this can be a lubricated orgasm, premature ejaculation, then one must strain during urination, the pain gradually joins.
Chronic inflammation ultrasound is observed to decrease the density of prostate tissues, an increased degree of reflection of the tissue wave. In places, it decreases in the presence of cysts or intensifies in the places of exposure to calcina (stones), outbreaks of sclerosis (compaction of the connective tissue formed due to the processes of recovery after acute inflammation). There are more and more in the late stages of connective tissue foci and fibrosis. The size of the prostate gland is reduced. During the visual diagnosis, it is now difficult to distinguish from the surrounding fibers.
The acute form of infectious (bacterial) prostatitis is characterized by rapid development. The severity of the symptoms depends on the degree of glandular damage. With catarrhal form (inflammation affects only the channels), one can only feel a slight discomfort during the stress of the inguinal region. During the finger, the iron examination is slightly enlarged and almost painless.
Follicular (purulent inflammation of the individual lober of the gland), parenchymal (inflammatory lesion of all tissues of the prostate) and abscess (capsules with purulent content are formed) are manifested through the whole symptom complex:
With a parenchymal form of prostatitis, painful cramps and pulsating pain in the rectum impedes defect. The small relief is only found in a posture lying with pressed legs. Often, prostate inflammation extends to the rectum, after which mucus begins to be extracted from the anus. Parenchymal background urination can completely stop due to severe gland edema.
External signs of acute ultrasound prostatitis:
In the case of suspicious neoplasms, MRI or CT is prescribed.
Stagnant The stagnation of prostatitis (it is also called a bacterial in the absence of infections) can develop in men of young and older age. The main symptoms are similar to infectious chronic inflammation. A distinctive feature is that the discomfort of the urinary system manifests itself and is intensified mainly due to long -term sexual abstinence. Exemination can cause forcibly prolonged sexual intercourse, incorrect orgasm (sex without proper emotional coloration). Far, painful urination (wandering) is usually observed in the morning. However, if the previous day was a complete orgasm, there are no cramps.
In this type of prostatitis is the amount of leukocytes in the secret of the gland does not exceed the norm, in the third part of the urine there is no pathogenic flora.
Calcular prostatitis Calcous prostatitis has no specific symptoms. The very presence of stones (calculated) in the gland does not mean the automatic development of its inflammation. With exercise, background pain can be exacerbated. The migration of stones through the ducts sometimes provokes the appearance of blood in the urine.
Calcinations are detected during prostate ultrasound. Due to the increased density, they more effectively reflect the waves emitted by the device.
Characteristics of prostatitis manifestation in young and adulthood Symptoms of different forms of prostatitis are independent of the age category of a man. Young people actively live a sex life, so they more often develop an acute form of infectious inflammation with the relevant marked signs.
Chronic prostatitis is diagnosed in men several years after the onset of sexual activity. During this time, due to the activity of hidden infections, the structure of the prostate is impaired, its cellular immunity is reduced. Symptoms occur at a time when pathological changes are already irreversible.
Mature men suffer mainly from urination disorders, periodic stupid perineum pain and erection disorders. The licking of prostatitis at this age is deteriorating from stagnant processes in the pelvis against the background of androgen insufficiency and loss of muscle tone.
When and to whom to contact Each of the above symptoms is the cause of contact with the urologist or in an andrologist (diagnosis of prostatitis in clinical and domestic conditions). Many men avoid going to a doctor because of a negative attitude towards the test of the prostate with the finger through the anus or the excuses (tractal ultrasound). If the patient categorically refuses these types of tests, the doctor will offer transabdominal ultrasound - when the sensor leans against the lower abdomen. The bladder should be filled (just drink 350 ml of liquid an hour before the procedure).
Based on the results of the ultrasound, the doctor determines the nature of the lesion of the tissues of the prostate, surrounding the tissues and bladder. In order to identify the cause of the inflammation, it is necessary to pass urine, blood, prostate secret (you need a massage of the rectal gland), in some cases a sperm.
What diseases have similar symptoms Many diseases have prostatitis -like symptoms. First, it is cystitis (inflammation of the bladder). It is characterized by a frequent desire for the toilet, smeared in the lower abdomen, pain during urination, mud urine, sometimes with blood. Maybe a slight increase in temperature.
In men over 45, with symptoms of prostatitis, the gland and cancer of the gland are predominantly excluded. Inflammation against the background of these pathologies is often a secondary sign. The symptoms of gland cancer are similar to the manifestations of chronic form of prostatitis: periodic disorders of urination that pull the pain in the groin. The prostate is painless with a finger examination, but in its structure there are solid nodes.
Far at night urination, slow flow of urine, feeling of incomplete emptying of the balloon, leakage of drops from the urethra and weight in Perinea are characteristic of adenoma. The picture is clarified by palpation and ultrasound: the contours of the prostate are preserved, the consistency is elastic, the surface is smooth, the iron is almost painless.
Urine disorder and groin pain can occur with uninfected prostate stones - they are available, but there is no favorable environment for joining pathogens. The discomfort in the perineum in this case provokes physical activity, ejaculation. With the sensation of the prostate under the fingers, a meek (crunch of stones) can be felt, the body of the gland is thick, tuberculous, moderately painful.
Urination disorders, characteristic of the chronic stage of the disease, are also characteristic of sclerosis of the bladder sphincter (obstruction through the urethra in the form of a convex cutting muscle). Pathology is often the result of prolonged prostate. In men under the age of 40, it is rarely diagnosed.
For chronic prostatitis, varicose venous nodes (internal hemorrhoids) are often taken. They can only be found using a special diagnostic tool. Symptoms:
Pain in the anus, giving sacrum and crotch; Erection disorders; Strengthening the pain in the rectum and perineum during bowel movements or prolonged sitting in a sitting position. The contours and sequence of the prostate are unchanged. There are no pathological changes in her secret.
Pain in the anus and perineum occurs with proxy - inflammation of the rectum. A characteristic characteristic is a strong burning sensation in the anus during and after defecation, giving the penis and crotch. There is a desire for frequent urination (every 20-30 minutes), followed by urine of lacus. Prozathitis often develops at the same time as prostatitis. In this case, parallel therapy is required for both diseases.
Symptoms of prostatitis are also manifested by tuberculosis of the gland. In the risk zone of a man from 20 to 40 years. In the initial stages of development, the disease is almost asymptomatic. Sometimes small pain in the rectum and perineum occur. Urination disorders begin against the background of participation in the pathological process of parts of the gland, reporting the channel that emits urine.
With tuberculosis, purulent cavities are formed in the body of the prostate. When they break through, the contents are infused into the urethra and released from the penis during bowel movements. The bacteria that have fallen into the ureter irritate the mucous membrane, cause rapid and painful urination. Through fibers, pus can spread into the rectum. In this case, there is an increase in temperature, weakness, sweating, weight loss.
Conclusion The prostate gland through the nerve plexus is closely associated with other pelvic organs, the inflammation of which gives symptoms similar to prostatitis. The doctor should differentiate (distinguish) prostatitis from other diseases and identify related. The patient should not surprise the fact that in symptoms of prostatitis, the study is aimed not only at iron, but also to other organs, more special to the rectum. It is important to exclude their participation in the formation of pain and disorders of urination, otherwise the treatment will be ineffective.
