The first bell: signs of prostatitis in men.

See a doctor for prostatitis.

Prostatitis is a specific disease, typical mainly of men of reproductive age. It is characterized by acute or chronic inflammation of the prostate, the second "heart" of a man.

It is not always easy to recognize the signs of prostatitis in men, especially if the pathology has a chronic course, without a previous acute stage. If the process is acute, then in this case the symptoms of prostatitis in men will be quite typical and pronounced.

If a man has the first signs of prostatitis, he should see a doctor immediately. Even a slight discomfort, indicating the development of a disease of the genitourinary system, can lead to serious complications.

The ability to recognize the first symptoms of the inflammatory process allows you to timely diagnose the pathology and begin its treatment. Therefore, every man should familiarize himself with them in order to avoid serious problems that prostatitis leads to.

The prostate and its role in a man's life.

Although the prostate is small, if its function is impaired, a man can experience many problems. The prostate is a walnut-sized organ located between the penis and the bladder. The prostate produces a secret that mixes with sperm to form complete seminal fluid.

Unlike other prostate conditions, such as prostatic hypertrophy or cancer, which often affect older men, prostatitis can develop at any age, but the incidence peaks between the ages of 30 and 50.

types of prostatitis

groin pain with prostatitis

Depending on the severity of the symptoms, the time of their appearance and the duration of the disease, two variants of the pathology are distinguished:

  • Chronic prostatitis. Symptoms can be subtle and come and go over the course of several months. This is the most common type of prostatitis and the causes of the inflammation are usually not infectious.
  • acute prostatitis. Thus, the symptoms of prostatitis in men are severe and develop suddenly. This variant of the disease most often causes a microbial infection, the condition can be severe and requires immediate treatment, up to hospitalization.

Chronic prostatitis problems

The causes of prostatitis have been studied for a long time, but the understanding of the essence of the process has been significantly revised in recent years. Chronic prostatitis, sometimes alternatively referred to as chronic pelvic pain syndrome, is characterized by a group of symptoms that can cause significant impairment in men's daily quality of life. It is not always possible for a doctor to immediately determine chronic prostatitis, and further treatment is no less difficult to choose, since it depends on various causative factors and symptoms of prostatitis in men.

Unlike the approaches used in the past, diagnosis and subsequent treatment are based on the separation of chronic bacterial prostatitis and other forms of the disease, considered as a multifactorial disease. According to data published in Research and Reports in Urology in 2019, autoimmunity and systemic inflammation, nervous system dysfunctions, and psychological causes all play a role in the development of chronic inflammation.

For chronic pelvic pain syndrome, various symptoms associated with the urinary organs, genitals, rectum and perineum are typical, and often men can be treated for a long time for other pathologies, until in the end it turns out that the problem is in inflammation of the prostate

Signs of prostatitis in men.

If an acute inflammation of the prostate occurs, it is relatively easy to recognize it, the manifestations are quite bright and pronounced. The first signs of prostatitis in men include:

  • severe pain that radiates around the penis, testicles, anus, lower abdomen, or lower back. Emptying the bladder can be painful;
  • urinary problems, pain when the bladder is full, frequent urination (especially at night), interrupted urination, urgent need to urinate, and sometimes blood in the urine;
  • against the background of severe inflammation of the prostate and severe pain, acute urinary retention is possible;
  • malaise, fever, nausea;
  • Mild thick discharge from the urethra, odorless.

If these or other signs of prostatitis in men are detected, you should immediately contact a therapist or urologist.

Chronic inflammation: symptoms of prostatitis in men.

One can speak of a chronic process if the following symptoms of prostatitis have been detected in men for at least the last three months:

  • pain around the penis, testicles, anus, lower abdomen, or lower back that is tight, pressing, or aching in nature.
  • painful urination, frequent or urgent need to urinate, especially at night, or intermittent urination.
  • an enlarged or tender prostate on rectal exam, although it may be normal in some cases.
  • intimate problems such as erectile dysfunction, pain during ejaculation or pelvic pain after intercourse.

These symptoms can have a significant impact on a man's quality of life. Without treatment, the condition can gradually worsen, the symptoms of prostatitis appear more often.

How to perform the exam?

see a doctor for prostatitis

At the first signs of prostatitis in men, you should contact a urologist who will make a full diagnosis. The doctor will ask in detail about all the symptoms and events, health problems that precede them. Then, an examination of the genitals, abdomen, and digital rectal examination will be performed. The doctor inserts a gloved finger into the rectum to feel the prostate. During the study, there may be discomfort if the prostate gland is enlarged or swollen. In addition, blood and urine tests are ordered to look for signs of infection.

How is prostatitis treated?

Tactics for treating prostatitis will depend on the form of the disease: acute or chronic prostatitis.

For acute inflammation, when symptoms are sudden and severe, pain relievers and a 2-4 week course of antibiotics are usually given. If acute urinary retention occurs, hospitalization and urgent measures are necessary: bladder catheterization with urine diversion in the context of intensive treatment.

Treatment of chronic prostatitis, when symptoms come and go for several months, is usually aimed at eliminating all discomfort. Your doctor may suggest the following procedures:

  • analgesics and anti-inflammatory drugs that eliminate pain and discomfort in the pelvis.
  • Alpha blocker drugs that eliminate problems with urination. They help relax the muscles of the prostate and the base of the bladder.
  • Sometimes antibiotics can be prescribed if the microbial nature of the infection is confirmed or there are indications that there was previously an acute process that did not heal.

The goal of treating chronic prostatitis is to reduce symptoms to a level where they do not interfere with daily activities.