Symptoms of prostatitis in men

Symptoms of prostatitis can make a man's life unbearable. Experienced doctors will help you solve the problem quickly.

Inflammation of the prostate tissue (prostate) is called prostatitis. The prostate is an endocrine organ that affects several processes in the male genitourinary system. Along with its inflammation, there is a violation of the urinary function, difficulties with potency, libido and ejaculation. Manifestations of prostatitis significantly worsen the quality of life, affect reproductive function. According to statistics, prostate inflammation is the most common disease of the genitourinary system in men today.

Signs of prostatitis

Symptoms of the disease can be acute and almost invisible. If you notice the following symptoms, even if they are minor, it is better to consult a doctor immediately to confirm or refute the diagnosis.

• Micturition disorders: frequent urge, especially during night sleep, weak or occasional flow, pain, accompanied by difficulty urinating.
• Pain in the lower abdomen, which radiates to the anus, scrotum, perineum.
• Decreased libido, decreased potency or sexual dysfunction.
• Change in consistency, color, amount of ejaculate, difficulty with ejaculation.

When you identify the signs and symptoms of prostatitis in men, do not self-medicate and do not use recommendations from the Internet, at best they will not help you, at worst they can harm you. In addition, untimely access to the doctor causes the condition to worsen.

Signs of different types of prostatitis

According to the nature of the flow, they differ:

Typical symptoms of acute prostatitis:

• fever, sudden increase in body temperature (up to 40 degrees);
• severe headaches, weakness, fatigue, irritability;
• pain in groin, back, when urinating, frequent urge;
• change in the quality of urine (becomes cloudy, viscous, mixed with blood), unusual discharge from the urethral canal occurs.

If you do not seek medical help in time, acute prostatitis can cause complications:

• abscess in the body of the prostate;
• vesiculitis (inflammation of seminal vesicles);
• colliculitis (inflammation of the seminal tubercle);
• appearance of scars and adhesions in the gland and spermatic cord;
• stagnant processes in prostate tissues;

A characteristic of the chronic form is the blurring of clinical manifestations and symptoms of prostatitis. Manifestations are similar to the acute form, but have a sluggish character. The causes of the pathology, as a rule, are abacterial prostatitis, prostatosis (blood stagnation in the vessels).

Diagnosis and treatment

Inflammation of the prostate has a characteristic clinical picture. An experienced urologist can easily make a diagnosis after taking an anamnesis, examination and palpation, laboratory and instrumental studies (general and bacterial tests of urine and blood, blood tests for PSA, extraction of prostate secretions, spermogram, ultrasound).

In the event that the patient turns to a specialist in time, the treatment of prostatitis includes an integrated approach and gives excellent results.

The modern clinic is equipped with modern high-tech equipment for the diagnosis and treatment of diseases of the genitourinary system. Qualified delicatessen doctors will provide you with the most efficient and appropriate help.

Symptoms of prostatitis: pain, burning, discharge, pain, incontinence

Symptoms of prostatitis are most often of 3 types:

• violation of urination: difficult, frequent, nocturnal urination.
• pain symptoms: pain in the perineum, lower abdomen, groin. The pain can radiate (give) to the scrotum or to the sacrum.
• mixed form, in which urinary disorders and pain also occur.

Causes of prostatitis?

For bacterial prostatitis

The infection enters the prostate from neighboring organs: through blood and lymphatic vessels from a distant focus of inflammation (tonsillitis, sinusitis, caries).

The most commonly detected bacteria in prostatitis are: Escherichia coli, Klebsiella, Proteus, Staphylococcus aureus, Enterococcus.

The role of sexually transmitted infections: chlamydia, mycoplasma, trichomoniasis is discussed.

The activity and, consequently, the manifestations of the inflammatory process depend on the properties of the microorganism, on the condition of the pelvic organs, their blood circulation, accompanying diseases and other predisposing factors.

For non-bacterial prostatitis

Stagnation plays an important role. Disruption of blood flow causes swelling, exudation of prostate tissue and creates conditions for the development of an inflammatory process that is not related to a bacterial agent.

Sexually transmitted diseases and prostatitis

The question of the involvement of sexually transmitted infections in the development of prostatitis is widely discussed in scientific medical circles. There is no single opinion on this matter.

We believe that we are supporters of a direct link between infections, the appearance and course of prostatitis.

Why is prostatitis dangerous?

Prostatitis does not pose a threat to the patient's life, the process is chronic, worsening the quality of life.

Initial prostatitis. How to determine? First signs

The first signs of prostatitis are a change in the nature of urination: difficulty, frequent urination, frequent urge to urinate, especially at night. Discomfort when urinating and pain of varying intensity in the groin.

Prostatitis age? Is this a disease of the young and/or old?

Prostatitis is an inflammatory disease, so it can occur at any age. But prostate adenoma or hyperplasia is an age-related disease in men over 50 and is associated with the development of a benign prostate tumor.

Chronic prostatitis. Is it possible to cure?

The presence of a diagnosis of chronic prostatitis implies the presence of changes in the structure of the prostate tissue, which remain for life. Like any chronic disease, prostatitis occurs with alternating periods of exacerbation and remission - a period when nothing bothers the patient. With proper treatment and lifestyle, periods of remission can be very long, and complaints will never bother the patient again.

Bacterial and other types of prostatitis

There are different classifications, and the most commonly used one was developed by the American Institute of Health in 1995:

• Category IAcute prostatitis.
• Category II.Chronic bacterial prostatitis.
• Category III.Nonbacterial prostatitis/chronic pelvic pain syndrome - without obvious signs of infection and lasting 3 months or more.
• Subcategory III A.Chronic inflammatory pelvic pain syndrome (with leukocytes in prostate secretion and pathogen release).
• Subcategory III B.Chronic non-inflammatory pelvic pain syndrome (without leukocytes in prostate secretion).
• Category IV.Asymptomatic prostatitis (with leukocytes in prostate secretion, but without complaints).

For ease of understanding, the classification can be presented in 3 types:

Acute prostatitis- proceeds with severe pain, fever, difficulty urinating. In the secret of the prostate - a large number of leukocytes, which indicates a clear inflammatory process. It occurs, as a rule, for the first time in this patient. If these symptoms occur in patients with chronic prostatitis, they are called exacerbation of chronic prostatitis.

Chronic bacterial prostatitis- As a rule, the patient's periodically disturbing symptoms are less pronounced than in acute prostatitis. When establishing the diagnosis, there is also an increase in leukocytes in the secretion of the prostate, it is possible to identify the cause of the inflammation.

It is the most difficult to diagnosenon-bacterial prostatitis, that is, the so-calledchronic pelvic pain syndrome. This is due to the fact that the complaints are very similar to prostatitis, but associated with diseases of other organs and systems, in which it is not possible to detect signs of inflammation and pathogenic bacteria: pelvic muscle spasm, disturbed interaction between the bladder muscle and its sphincter, anatomical disorders - strictures (narrowing) of the urethra, leads to inflammation due to increased pressure within the prostate lobule.

Who treats prostatitis - andrologist or urologist?

Prostatitis is treated by a urologist and an andrologist.

An andrologist is a urologist who specializes in diseases of the male sexual and reproductive sphere.

Methods and schemes for the treatment of prostatitis

All prostate treatment regimens consist of drugs: drugs that improve contraction of the prostate and bladder while relaxing the sphincter.

Good results are achieved with the simultaneous use of drugs and physiotherapy (prostate massage, complexes for the treatment of prostatitis).

What tests are given for prostatitis?

Fordiagnosis of prostatitisa consultation with a urologist (andrologist) is mandatory in order to collect patient complaints, medical history, microscopy of prostate secretions and ultrasound diagnostics.

Transrectal ultrasound of the prostate (TRUS) and prostate secretion obtained after prostate massage for microscopic examination are used for diagnosis.

In addition, it can be used to sow the secret of the prostate for the bacterial flora and to determine the sensitivity of the inoculated microflora to antibiotics.

Surgical interventions and prostatitis operations

In prostatitis, operations are practically not used. With the exception of prostate abscess - a process in which foci with purulent content are formed.

Can you cure prostatitis yourself?

In the presence of severe symptoms, it is better to be treated by a specialist, the time factor is of great importance in treatment, because the longer the inflammation lasts, the greater the probability of irreversible changes in the organ.

But it is better to do the prevention yourself, no doctor will do it for you.

Avoid hypothermia, congestion from prolonged sitting, sexually transmitted infections, irregular sexual activity - all this is the way to effective prevention of prostatitis.

Medicines for prostatitis

Medicines for the treatment of prostatitis are divided into groups according to the mechanism of action:

Antibacterial agents (antibiotics)they are prescribed only in the presence of a diagnosis: chronic bacterial prostatitis. The most commonly used are fluoroquinolones, macrolides and the doxycycline group of drugs.

Alpha blockers:they are prescribed to restore impaired urination, increasing the contraction of the bladder and relaxing its detrusor.

a large groupbiogenic stimulants and herbal preparations.

Effective treatment is possible only with a correct diagnosis, because there are no universal drugs for all types of prostatitis. Often, patients take drugs for the treatment of prostatitis, if they have a completely different disease, but with similar symptoms.

Nuts, roots, parsley, cucumber, honey, bees, leeches and other folk remedies for prostatitis

Folk methods of treatment have the right to exist, but you must understand that it is very difficult to choose a folk method that suits you. On request, treatment of prostatitis with folk methods, the search engine gives 70 million results.

Folk methods have not been researched for effectiveness. What helped one patient with such treatment (and whether it helped) does not mean that it will help you.

Worsening of prostatitis after treatment. remission, relapse

All chronic inflammatory processes have periods of exacerbation and remission, when nothing bothers the patient. The duration of remission can be different and depends on many factors, including whether the patient is on prophylactic treatment. Patients who periodically carry out prophylactic treatment, without waiting for deterioration of well-being, as a rule, have less frequent deterioration.

Prostate massage at home. Is massage always necessary for prostatitis?

Prostate massage can also be done at home if you are married to a urology nurse. Each medical manipulation has its subtleties and nuances. Indications for this procedure can only be determined by a doctor, so for some diseases: prostate adenoma (in case of acute urinary retention), prostate massage is not recommended, and it is contraindicated in tumors.

alcohol and prostatitis

Alcohol itself does not cause the development of prostatitis, but it is a factor that increases the stagnation and swelling of the prostate and thus contributes to its development.

Sexual life and prostatitis

There is a direct link between the intensity of sexual activity and prostate disease. Prolonged abstinence leads to stagnation in the prostate, which worsens metabolic processes and disrupts blood microcirculation, which contributes to the development of inflammatory processes. Regularity is more important for prostate health than the intensity of sexual intercourse. Excessive sexual relations, especially with different partners and unprotected from infections, are the fastest way to prostatitis.

Does prostatitis affect women?

The impact on the health of a woman with prostatitis in her partner is, of course, available. The prostate, together with the seminal vesicles, produces the liquid component of semen, which enters the partner's genital tract during intercourse. The main danger can be the presence of a sexually transmitted infection or bacterial prostatitis, which can cause inflammatory diseases in women.

Pregnancy and prostatitis

Because the prostate produces the liquid part of the semen that contains nutrients for sperm, often in prostatitis there is a decrease in sperm quality, which makes pregnancy difficult.

Prevention. What to do to avoid prostatitis?

Prevention is directly related to the climate in which the patient lives and his profession.

Prevention of prostatitis is the avoidance and minimization of factors that contribute to the occurrence of prostatitis. It is necessary to avoid hypothermia, alternate sedentary work with periods of physical activity. A regular sex life is important for prostatitis.

Prostate. What it is and how its health affects male fertility

A diseased prostate is often the cause of many unpleasant complaints, it can make it difficult for a man to have sex, and even impair his fertility. Not to mention that every year in every European country tens of thousands of men get prostate cancer.

Many men are ashamed of prostate problems and do not go to a urologist. Learn more about the prostate itself, its diseases and its relationship to infertility in this article.

What is the prostate for?

The prostate gland, also known as prostate gland, is modest in size, about the size of a walnut, but it has a very important reproductive function. The gland is located at the junction of the urinary tract - under the bladder, right at the mouth of the urethra, which, in addition, passes through the center of the organ.

The prostate gland is a gland, that is, just as the sweat glands secrete sweat, and the liver secretes bile, the prostate secretes a substance that performs a certain function in the body. This substance is a cloudy whitish liquid in the seed. In other words, the secret produced by the prostate is part of the sperm and performs the function of nutrition. Thanks to it, the sperm can maintain the necessary parameters - be quite viable and mobile.

In addition, the prostate produces the protein substance PSA, which is involved in the fertilization process. So, there is no doubt that male fertility largely depends on the state of the prostate, and any problems with the prostate can make it difficult to conceive a child, because they are associated with a decrease in sperm parameters.

The size of the prostate changes throughout life

A boy is born with a prostate the size of a pea. In the following years, the gland slowly enlarges to reach the appropriate size for an adult male around the age of 30. The prostate of a man "in his prime" is about 2. 5 cm high, 4 cm wide and 3 cm thick, and weighs between 15 and 20 g.

30 years is a period of relative stabilization, during which the prostate does not grow as fast as before. It increases again around the age of 45. This is due to a decrease in the level of male sex hormones, including the most important of them - testosterone.

When the size of the prostate changes, it is a so-called benign prostatic hyperplasia, which can already be associated with unpleasant symptoms at this stage.

Benign prostate hyperplasia - what are the symptoms?

The most common symptoms complained of by men with benign prostatic hyperplasia are:

A man may also feel that his bladder is not completely empty. In addition, urine may leak uncontrollably from the bladder.

All these symptoms are the result of the pressure of the enlarged prostate on the urethra, which makes it difficult to drain urine properly. Retention of urine in the bladder, in turn, can cause recurrent urethral infections, bladder infections and stone formation, and in the worst case, even kidney failure.

But the worst thing is that similar signs accompany other dangerous pathologies - prostatitis and prostate cancer. That is why it is so important that a man contact a urologist as soon as he notices the first alarming symptoms.

Acute and chronic prostatitis mostly affect young men

Prostatitis can be of bacterial or non-bacterial origin. It can be caused by microbes or stagnation of secretions produced by the prostate. It mainly affects young men between the ages of 20 and 40.

• increased urge to urinate;
• burning sensation when urinating;
• sometimes an increase in body temperature.

Treatment of prostatitis is not the easiest, because many antibiotics do not penetrate well into the prostate.

Prostatitis is one of the main causes of male infertility. Treatment of this pathology is strictly necessary.

Prostate cancer is another prostate disease.

In Europe, prostate cancer is one of the most common cancers in men. Every year, in every country, doctors diagnose it in tens of thousands of people. According to statistics, this cancer affects about 30% of 50-year-olds and 80% of 80-year-olds. At the same time, it is the third leading cause of death from cancer.

Prostate cancer

A characteristic feature of prostate cancer is that it develops rather slowly and is usually asymptomatic – at least initially. If symptoms are present, they are very similar to those associated with benign prostatic hyperplasia.

Are there men at increased risk of developing this cancer? Yes! A predisposition to prostate cancer will be obesity and a sedentary lifestyle, untreated inflammation of the urinary tract, excessive sexual abstinence, as well as genetic factors.

Prostate cancer is curable provided it is detected early. Unfortunately, many men postpone visiting a urologist, most often due to shame and fear of a painful and unpleasant diagnosis. In the meantime, it is enough to pass a few simple tests to protect yourself from this dangerous disease.

As far as fertility is concerned, with advanced prostate cancer, infertility is guaranteed. Therefore, a timely examination by a urologist is the key to a man's reproductive health.

prostate massage

Prostate massage is a useful urological manipulation aimed at maintaining men's health. It helps restore blood flow to the pelvic organs, normalize metabolic processes, improve tissue regeneration, increase the effectiveness of drug treatment, drain accumulated toxins and purulent residues, increase the body's immune resistance and solve potency problems.

In a specialized medical clinic, you can take a course of therapeutic prostate massage to eliminate unpleasant symptoms or restore potency at a good price. The procedure is performed by urologists of the highest qualification category. The rich experience of specialists allows us to perform a delicate procedure with minimal discomfort for patients. The price of the massage is calculated individually, depending on the patient's condition.

Purpose of therapeutic prostate massage

Therapeutic massage is an effective prevention of the development of various prostate diseases (including cancer). Promotes the outflow of prostate secretions, reduces inflammation, improves muscle tone.

The procedure helps to get rid of discomfort and pain in the perineum, and also increases sexual activity and potency. It is usually combined with drug therapy, which makes it more effective.

The price of prostate massage depends on the duration of the course, which is chosen individually by the professional urologist of the medical center, depending on the patient's condition.

If you want to make an appointment with a specialist or clarify the cost of the service, use the feedback form or call the 24-hour phone number listed on the page. Our consultants are always ready to answer all questions in as much detail as possible.

Indications for prostate massage

The main indication for therapeutic prostate massage is diagnosed prostatitis of infectious or non-infectious origin. It is also prescribed for:

• chronic pelvic pain;
• congestion in the prostate;
• hereditary predisposition to prostatitis;
• erectile dysfunction caused by prostate pathologies;
• reduction of male sexual activity.

The effectiveness of prostate massage for these problems has been confirmed by numerous clinical studies. Our patients tolerate the manipulation very well, because it takes 1-2 minutes and is as painless as possible. The doctor always controls the force of pressure on the prostate, depending on the individual sensations of the man.

How is prostate massage performed?

Results of the procedure:outflow of prostate secretions

The patient assumes a knee and elbow position or lies on his side. The doctor puts on gloves and inserts his finger into the rectum to a depth of 4-5 cm, then gently massages the prostate until the secret starts to come out.

In case of chronic prostatitis, the doctor will prescribe a course of prostate massage. As a rule, it includes from 10 to 15 procedures, which are given at intervals of 2-3 days. After the end of the course, there is a break of 2-3 weeks, after which the procedures are repeated.

Useful information

In some cases, exposure to the prostate is undesirable. Manipulation is not carried out during acute bacterial prostatitis and other infections of the genitourinary system, with stones, abscesses, malignant tumors in the prostate, hemorrhoids, urinary retention.