Symptoms of prostatitis in men

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

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

Signs of prostatitis

Symptoms of the disease can be both acute and almost invisible. If you find yourself experiencing the following symptoms, even if they are mild, it is best to see a doctor immediately to confirm or deny the diagnosis.

• Mition disorders: frequent urgency, especially during the period of night sleep, weak or intermittent flow, pain, accompanied by difficulty in urinating.
• Pain in the lower abdomen, which gives into the anus, scrotum, perineum.
• Decreased libido, decreased potency or sexual dysfunction.
• Change in texture, color, amount of ejaculate, difficulty with ejaculation.

When identifying signs and symptoms of prostatitis in men, do not self-medicate and do not use Internet advice - at best, they will not help you, at worst they can harm you. In addition, premature access to a doctor causes an aggravation of the condition.

Signs of different types of prostatitis

Depending on the nature of the flow, there are:

Typical symptoms of acute prostatitis:

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

If you don't seek medical attention in time, acute prostatitis can cause complications:

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

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

Diagnosis and treatment

Inflammation of the prostate gland has a characteristic clinical picture. An experienced urologist can easily establish a diagnosis after carrying out anamnesis, examination and palpation, laboratory and instrumental studies (general and bacterial urine and blood tests, blood tests for PSA, sampling of prostate secretion, spermogram, ultrasound).

In the event that the patient goes to a specialist in time, the treatment of prostatitis involves 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 delicate doctors will provide you with effective and more adequate assistance.

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. Pain can radiate (give) to the scrotum or sacrum.
• mixed form, in which both urination disorders and pain are present.

Causes of prostatitis?

For bacterial prostatitis

Infection enters the prostate gland from nearby organs: through the blood and lymphatic vessels from a distant inflammatory focus (tonsillitis, sinusitis, caries).

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

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

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

For non-bacterial prostatitis

Stagnation plays an important role. Violation of blood flow causes swelling, exudation of the tissues of the prostate and creates conditions for the development of an inflammatory process that is not associated with 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 see ourselves as advocates of a direct link between infections, the onset 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.

Prostatitis in the beginning. How to determine? First signs

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

Age of prostatitis? Is it a disease of the young and / or the elderly?

Prostatitis is an inflammatory disease, so it can occur at any age. But adenoma or prostatic 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 tissues, which remain throughout life. Like any chronic disease, prostatitis proceeds by alternating periods of exacerbation and remission, a period in which nothing disturbs the patient. With the right treatment and lifestyle, periods of remission can be very long and complaints will never bother the patient again.

Bacterial and other prostatitis

There are various classifications, the most commonly used was developed by the United States Institute of Health in 1995:

• Category IAcute prostatitis.
• Category II.Chronic bacterial prostatitis.
• Category III.Non-bacterial prostatitis / chronic pelvic pain syndrome - with no obvious signs of infection and lasting 3 months or more.
• Sub-category III A.Chronic inflammatory pelvic pain syndrome (with leukocytes in the secretion of the prostate and release of the pathogen).
• Sub-category III B.Chronic non-inflammatory pelvic pain syndrome (no leukocytes in the secretion of the prostate).
• Category IV.Asymptomatic prostatitis (with leukocytes in the secretion of the prostate, but without disturbances).

For ease of understanding, the classification can be represented by 3 types:

Acute prostatitis- proceeds with severe pain, fever, reduced urination. 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 a patient with chronic prostatitis, they are referred to as an exacerbation of chronic prostatitis.

Chronic bacterial prostatitis- Symptoms of periodic disturbance of the patient, as a rule, are less pronounced than in acute prostatitis. During the diagnosis, there is also an increase in leukocytes in the secretion of the prostate, it is possible to identify the causative agent of inflammation.

The most difficult to diagnose isnon-bacterial prostatitis, or the so-calledchronic pelvic pain syndrome. This is due to the fact that the ailments 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: spasm of the pelvic muscles, reduced interaction between the muscles of the bladder and of his sphincter, anatomical disorders - stenosis (narrowing) of the urethra, leads to inflammation due to increased pressure inside the lobules of the prostate gland.

Who treats prostatitis - andrologist or urologist?

Prostatitis is treated by both 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 the contraction of the prostate and bladder while relaxing the sphincter.

Good results are obtained from the simultaneous administration of drugs and physiotherapy (prostate massage, complexes for the treatment of prostatitis).

What are the tests for prostatitis?

Fordiagnosis of prostatitisConsultation with a urologist (andrologist) is required to collect patient complaints, medical history, microscopy of prostatic secretion and ultrasound diagnostics.

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

Furthermore, it is possible to use the sowing of the secret of the prostate gland on the bacterial flora with the determination of the sensitivity of the inoculated microflora to antibiotics.

Surgeries and operations for prostatitis

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

Can you cure prostatitis on your own?

In the presence of severe symptoms, it is better to be treated by a specialist, the time factor is of great importance in treatment, since the longer the inflammation proceeds, the greater the likelihood 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 prostatitis prevention.

Prostatitis drugs

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 by increasing bladder contraction and relaxing its detrusor.

large groupbiogenic stimulants and herbal preparations.

Effective treatment is possible only with a correct diagnosis, since there are no universal drugs for all types of prostatitis. Often patients take drugs to treat 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 a right to exist, but you need to understand that it is very difficult to choose a popular method that is suitable for you. Upon request, the treatment of prostatitis by folk methods, the search engine produces 70 million results.

Folk methods no one has studied the effectiveness. What helped a patient with such treatment (and whether she helped) does not at all mean that it will help you.

Exacerbation of prostatitis after treatment. remission, relapse

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

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. Any medical manipulation has its own subtleties and nuances. Only a doctor can determine the indications for this procedure, so for some diseases: prostate adenoma (in the presence of acute urinary retention), prostate massage is undesirable, and for tumors it is contraindicated.

alcohol and prostatitis

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

Sex life and prostatitis

There is a direct relationship between the intensity of sexual activity and prostate disease. With prolonged abstinence, stagnation occurs in the prostate, which worsens metabolic processes and disrupts blood microcirculation, contributing to the development of inflammatory processes. Regularity is more important to the health of the prostate gland than the intensity of sexual intercourse. Excessive sexual intercourse, especially with different and unprotected partners from infection, is the fastest way to prostatitis.

Does prostatitis affect women?

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

Pregnancy and prostatitis

Since the prostate gland produces the liquid part of the sperm, which contains the nutrients for the sperm, often with prostatitis there is a decrease in the quality of the sperm, which makes it difficult to get pregnant.

Prevention. What to do to avoid prostatitis?

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

Prevention of prostatitis consists of avoiding and minimizing the factors that contribute to the development of prostatitis. It is necessary to avoid hypothermia, to alternate sedentary work with periods of physical activity. Important for prostatitis is a regular sex life.

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

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

Many men are embarrassed about their prostate problems and don't go to a urologist. Learn more about the prostate itself, its diseases and its relationship to infertility in this article.

What is the prostate used for?

The prostate, also called the 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 intersection of the urinary tract - under the bladder, right at the mouth of the urethra, which, moreover, passes right through the center of the organ.

The prostate is a gland, that is, as the sweat glands secrete sweat and the liver secretes bile, the prostate secretes a substance that performs a specific function in the body. This substance is a cloudy whitish liquid in semen. In other words, the secret produced by the prostate is part of the sperm and performs the function of nourishment. It is thanks to her that sperm can maintain the necessary parameters - to be quite viable and mobile.

In addition, the protein substance PSA is formed in the prostate gland, which is involved in the fertilization process. Therefore, there is no doubt that male fertility largely depends on the condition of the prostate, and any problems with the prostate gland can make conception difficult, as they are associated with a decrease in sperm parameters.

The size of the prostate changes over the course of life

A baby is born with a prostate the size of a pea. Over the next few years, the gland slowly increases until it reaches the correct size for an adult male in his 30s. A man's prostate "at its peak" is about 2. 5cm high, 4cm wide and 3cm thick and weighs between 15 and 20g.

30 years is a period of relative stabilization, during which the prostate does not grow as rapidly as it used to. 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 changing the size of the prostate, we speak of the so-called benign prostatic hyperplasia, which already at this stage can be associated with unpleasant symptoms.

Benign prostatic hyperplasia: what are the symptoms?

The most common symptoms that men with benign prostatic hyperplasia complain about are:

A man may also feel that his bladder has not been completely emptied. Also, urine can leak out of the bladder uncontrollably.

All of these symptoms are a result of the pressure exerted by the enlarged prostate on the urethra, making it difficult for urine to drain properly. Urine stasis 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 for a man to contact a urologist as soon as he notices the first alarming symptoms.

Acute and chronic prostatitis mainly affects young men

Prostatitis can be bacterial or non-bacterial in origin. It can be caused by microbes or by stagnation of the secretion produced by the prostate gland. It mainly affects young people 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 simplest, as many antibiotics do not penetrate the prostate gland well.

Prostatitis is a major cause 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-old men and 80% of 80-year-old men. At the same time, it is the third leading cause of cancer death.

Prostate Cancer

A 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 an increased risk of developing this cancer? Yup! 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 treatable provided it is detected early. Unfortunately, many men put off a visit to the urologist, most often due to the embarrassment and fear of a painful and unpleasant diagnosis. In the meantime, just pass a few simple tests to protect yourself from this dangerous disease.

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

prostatic massage

Prostate massage is a useful urological manipulation aimed at maintaining men's health. Helps restore blood supply to the pelvic organs, normalize metabolic processes, improve tissue regeneration, increase the effectiveness of drug treatment, the outflow of accumulated toxins and pus residues, increase the body's immune resistance and resolve problems with potency.

In a specialized medical clinic, you can take a course of therapeutic prostate massage to eliminate unpleasant symptoms or restore potency at an affordable price. The procedure is performed by urologists of the highest qualification category. The rich experience of specialists allows us to perform a gentle procedure with minimal discomfort for patients. The cost 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 diseases of the prostate gland (including cancer). Promotes the outflow of prostatic secretion, 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, making it more effective.

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

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

Indications for prostate massage

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

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

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

How is a prostate massage performed?

Results of the procedure:outflow of prostatic secretion

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

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

Useful information

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