Symptoms of prostatitis in men

Symptoms of prostatitis can make a man's life unbearable. An experienced doctor will help you quickly deal with this problem.

Inflammation of the tissue 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, difficulty with potency, libido and ejaculation. Manifestations of prostatitis significantly worsen the quality of life, affecting reproductive function. According to statistics, today inflammation of the prostate is the most common disease in the genitourinary system in men.

Symptoms of prostatitis

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

• Urinary disorders: frequent urges, especially during nighttime sleep, weak or intermittent flow, pain, accompanied by difficulty urinating.
• Pain in the lower abdomen, which gives into the anus, scrotum, perineum.
• Decreased libido, impaired potency or sexual dysfunction.
• Changes in consistency, color, amount of ejaculation, difficulty with ejaculation.

When identifying the signs and symptoms of prostatitis in men, do not self-medicate and do not use recommendations from the Internet. At best, they won't help you, at worst, they can harm you. In addition, untimely access to a doctor exacerbates the situation.

Signs of various types of prostatitis

According to the nature of the flow, there are:

Typical symptoms of acute prostatitis:

• fever, sudden increase in body temperature (up to 40 degrees);
• severe headache, weakness, fatigue, irritability;
• pain in the groin, back, during urination, frequent desire;
• changes in the quality of urine (it becomes more cloudy, viscous, mixed with blood), abnormal discharge from the urethra 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 the seminal vesicles);
• colliculitis (inflammation of the seminal tubercles);
• the occurrence of scars and adhesions in the glands and spermatic cord;
• stagnant process in the tissue of the prostate gland;

A feature 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. Pathological causes, as a rule, are abacterial prostatitis, prostatosis (blood stagnation in the ducts).

Diagnosis and treatment

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

In the case when the patient turns to a specialist in time, the treatment of prostatitis involves an integrated approach and gives excellent results.

Modern clinics are equipped with modern high-tech equipment for the diagnosis and treatment of diseases of the genitourinary system. A qualified fine doctor will provide you with effective and most appropriate help.

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

Symptoms of prostatitis most often consist of 3 types:

• Urinary disturbances: difficult, frequent, nocturnal urination.
• pain symptoms: pain in the perineum, lower abdomen, groin. The pain may radiate (give) to the scrotum or to the sacrum.
• mixed form, where there is urinary disturbance and pain.

Causes of prostatitis?

For bacterial prostatitis

Infection enters the prostate gland from neighboring organs: through the blood and lymphatic channels from a distant focus of inflammation (tonsillitis, sinusitis, caries).

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

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

The activity and, thus, the manifestation of the inflammatory process depends on the nature of the microorganisms, on the condition 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 prostate tissue and creates conditions for the development of inflammatory processes that are not associated with bacterial agents.

STDs and prostatitis

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

We consider ourselves advocates of a direct link between infection, occurrence 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.

The beginning of prostatitis. How to determine? The first signs

The first signs of prostatitis are changes in the nature of urination: difficult, frequent urination, frequent urge to urinate, especially at night. Discomfort during urination and varying pain 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 benign prostate tumors.

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 continues with alternating periods of exacerbation and remission - periods when nothing bothers the patient. With the right treatment and lifestyle, the period of remission can be very long, and complaints will not bother the patient anymore.

Bacterial and other types of prostatitis

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

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

To facilitate understanding, the classification can be represented by 3 types:

Acute prostatitis- continues with severe pain, fever, impaired urination. In the secret of the prostate - a large number of leukocytes, which indicates a clear inflammatory process. Happens, as a rule, for the first time in this patient. If this symptom occurs in a patient with chronic prostatitis, then it is referred to as an exacerbation of chronic prostatitis.

Chronic bacterial prostatitis- Periodically disturb the patient's symptoms, as a rule, less significant than acute prostatitis. When diagnosing, 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 so calledchronic pelvic pain syndrome. This is due to the fact that the complaints are very similar to prostatitis, but are associated with diseases of other organs and systems, where it is not possible to detect signs of inflammation and pathogenic bacteria: pelvic muscle spasms, impaired interaction between muscles. bladder and its sphincter, anatomical disorder - narrowing (narrowing) of the urethra, leading to inflammation due to increased pressure in the lobule of the prostate gland.

Who treats prostatitis - andrologist or urologist?

Prostatitis is treated by urologists and andrologists.

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

Methods and schemes for the treatment of prostatitis

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

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

What tests are given for prostatitis?

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

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

In addition, seeding of the secret of the prostate gland on the bacterial flora with the determination of the sensitivity of the inoculated microflora to antibiotics can be used.

Surgical intervention and operation for prostatitis

With prostatitis, surgery is practically not used. With the exception of prostate abscess - a process in which a focus with purulent contents is 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 very important in treatment, because the longer the inflammation lasts, the greater the chance of irreversible changes in the organ.

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

Avoid hypothermia, congestion due to prolonged sitting, sexually transmitted infections, irregular sexual activity - all these are ways to effectively prevent prostatitis.

Medicines for prostatitis

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

Antibacterial agents (antibiotics)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:prescribed to restore urinary problems, increase bladder contractions and relax the detrusor.

large groupbiogenic stimulants and herbal preparations.

Effective treatment is only possible with the correct diagnosis, because there is no universal medicine for all types of prostatitis. Often, patients take drugs to treat prostatitis, if they have a completely different disease, but with the same 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, the treatment of prostatitis with folk methods, the search engine produced 70 million results.

People's methods no one has investigated its effectiveness. What helps one patient with such treatment (and whether it helps) does not mean at all 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 vary 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 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, by itself, does not cause the development of prostatitis, but is a factor that increases the stagnation and swelling of the prostate gland and, thus, contributes to its development.

Sexual 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 the inflammatory process. Regularity is more important for the health of the prostate gland than the intensity of intercourse. Excessive sexual intercourse, especially with different partners and unprotected from infection, is the fastest way to prostatitis.

Does prostatitis affect women?

The effect on the health of women with prostatitis in a partner, of course, is available. The prostate, together with the seminal vesicles, produces the liquid component of sperm, which, during intercourse, enters the partner's genital tract. The main danger may be the presence of a sexually transmitted infection or bacterial prostatitis, which can trigger an inflammatory disease in women.

Pregnancy and prostatitis

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

Prevention. What should be done to prevent prostatitis?

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

Prevention of prostatitis is to avoid and minimize factors that contribute to the development of prostatitis. It is necessary to avoid hypothermia, to replace sedentary work with periods of physical activity. Important for prostatitis is a normal sex life.

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

A diseased prostate is often the cause of many unpleasant diseases, can make it difficult for men to have sexual intercourse and also affect their fertility. Not to mention that every year in every European country tens of thousands of men get prostate cancer.

Many men feel embarrassed about their 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, also known as the prostate gland, is medium in size, about the size of a walnut, but has a very important reproductive function. This gland is located at the junction of the urinary tract - under the bladder, right at the mouth of the urethra, which, moreover, passes through the center of the organ.

The prostate is a gland, that is, just as sweat glands secrete sweat, and the liver secretes bile, the prostate secretes substances that perform certain functions 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 a nutritional function. It is thanks to him that the 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 state of the prostate, and any problem with the prostate gland can make it difficult to conceive a child, as it is associated with a decrease in sperm parameters.

The size of the prostate changes throughout life

A man was born with a prostate the size of a pea. In the following years, the gland slowly increases to reach the correct size for an adult male around the age of 30. The male prostate "in its 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 changing the size of the prostate, we are talking about 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 of are:

A man may also feel that his bladder has not been completely emptied. In addition, urine may leak out of the bladder in an uncontrollable manner.

All of these symptoms are the result of pressure from the enlarged prostate on the urethra, making it difficult for urine to flow properly. Urine stasis in the bladder, in turn, can lead to recurrent urethral infections, bladder infections and stone formation, and in the worst cases, even kidney failure.

But the worst thing is that the same symptoms accompany other dangerous pathologies - prostatitis and prostate cancer. That is why it is very important for a man to contact a urologist as soon as he sees the first alarming symptoms.

Acute and chronic prostatitis mainly affects 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 gland. 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 the prostate gland well.

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

Prostate cancer is another disease of the prostate.

In Europe, prostate cancer is one of the most common cancers among men. Every year in every country, doctors diagnose it in tens of thousands of people. According to statistics, this cancer affects about 30% of men aged 50 and 80% of men aged 80. 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 relatively slowly and is usually asymptomatic - at least at first. If symptoms are present, they are very similar to those associated with benign prostatic hyperplasia.

Are there men at high risk of getting this cancer? Yes! The predisposition to prostate cancer is obesity and an inactive lifestyle, untreated urinary tract inflammation, excessive sexual abstinence, as well as genetic factors.

Prostate cancer can be cured if it is detected early. Unfortunately, many men postpone a visit to a urologist, often due to embarrassment 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, timely examination by a urologist is the key to male reproductive health.

prostate massage

Prostate massage is a useful urological manipulation aimed at maintaining male health. It helps to restore blood supply to the pelvic organs, normalize metabolic processes, increase tissue regeneration, increase the effectiveness of drug treatment, drain out accumulated toxins and pus waste, increase the body's immune resistance, and solve problems with potency.

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

Purpose of prostate therapeutic massage

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

This procedure helps to eliminate discomfort and pain in the perineum, and also increases sexual activity and potential. 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 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 price of services, use the feedback form or call the 24-hour phone number listed 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 diagnosed prostatitis of infectious or non-infectious origin. It is also prescribed for:

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

The effectiveness of prostate massage for this problem has been confirmed by many clinical studies. Our patients tolerate the manipulation well, as it lasts 1-2 minutes and is as painless as possible. The doctor always controls the pressure force on the prostate gland, depending on the individual sensation of the man.

How is prostate massage done?

The result of the procedure:outflow of prostatic secretions

The patient takes a knee-elbow position or lies on his side. The doctor wears gloves and inserts a finger into the rectum to a depth of 4-5 cm. Then he gently massaged the prostate until the secret began to protrude from it.

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