Signs of prostatitis in men: how to discern the first symptoms and which contact

Chronic prostatitisChronic prostatitis develops as an independent disease or as a complication of the 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:Frequent escort to urination;Stupid pain in the bottom of the abdomen;Disfort in the prostate area (anus testicles area) with a long stay in a sitting position. Subsequently, sitting for more than an hour is impossible due to the burn;Intermittent and painful urimination;Dull pain in the rectum during defecation;The deterioration of an erection, discomfort in the groin during ejaculation is possible.The above signs in the chronic form of prostatitis do not appear immediately. Initially, this can be a lubricated orgasm, premature ejaculation, then a man must fight during urination, the pain gradually joins.During an ultrasound with chronic inflammation, a decrease in the density of prostate tissues, an increased degree of reflection of the wave of fabric, is observed. In places, it decreases in the presence of cysts or intensifies in places of exposure to calcines (stones), fireplaces of sclerosis (sealing of connective tissue, formed due to recovery process after acute inflammation). In the late stages of the foci of connective tissue and fibrosis, there are more and more. The size of the prostate gland is reduced. During the visual diagnosis, it is already difficult to distinguish it from the surrounding fiber.

Acute prostatitisThe acute form of infectious prostatitis (bacterial) is characterized by rapid development. The severity of the symptoms depends on the degree of gland damage. With a form of catarrhale (inflammation only affects the conduits), a man can only feel a slight discomfort during the stress of the inguinal region. During an iron examination of the iron, it is slightly increased and almost painless.The parenchymal forms (inflammatory lesion of all tissues) and the abscess (an inflammatory capsules of all tissues) are manifested by a complex of whole symptoms (inflammatory lesion with a purulent content.Strong fire pain in the groin, giving in the rectum, testicles, sacrum, on the interior hips of the hips, in the penis.Fever, general weakness. The active development of pathogens causes body intoxication with inflammatory products.Relovering when urinating it, an incomplete emptying feeling of the bladder (due to the irritation of the sphintes and the urethral mucosa). The purulent discharge of the urethra (pus leaves the conduits of the prostate, opening in the urethra).Sensation of severity in the perineum.Fast heart rhythms attacks.Verme urine with purulent threads. Blood can appear.With a parenchymal form of prostatitis, painful cramps and pulsating pain in the rectum make defecation difficult. A small relief only occurs in a laying lying with pressed legs. Often, the inflammation of the prostate extends to the rectum, then the mucus begins to be extracted from the anus. Mining in the bottom of a parenchymal form can stop completely due to severe edema of the gland.External signs of acute prostatitis on ultrasound:Expansion of venous plexus. The vascular model is more clearly expressed;Expansion of the gland's conduits and capsule (swelling, unequal increase, stab of contours);Increased degree of reflection of the wave with the fabric;The bubbles of the seeds on the sides of the prostate are asymmetrical due to a heterogeneous garnish, the conduits which eliminate the seeds are widened.

With suspicious neoplasms, MRI or CT is prescribed.

Stagnant prostatitisStagnation of prostatitis (it is also called bacterial in the absence of infections) can develop in older men and age. The main symptoms are similar to chronic infectious inflammation. A distinctive characteristic is that the discomfort of the urinary system manifests itself and improves mainly due to long -term sexual abstinence. An exacerbation can cause a violent extension of sexual intercourse, a non -Korus orgasm (sex without appropriate emotional coloring). Far, a painful (wandering) urination is generally observed in the morning. However, if the day before was a complete orgasm, there are no cramps. With this type, prostatitis is the amount of leukocytes in the secret of the gland does not exceed the norm, there is no pathogenic flora in the third part of the urine.

Calcular prostatitisCalcular prostatitis has no specific symptoms. The very presence of stones (calcine) in the gland does not mean the automatic development of its inflammation. With physical effort, substantive pain can intensify. The migration of stones through the conduits sometimes causes the appearance of blood in the urine.

During an ultrasound of the prostate, calcines are detected. Due to increased density, they more effectively reflect the waves emitted by the device.

Characteristics of the manifestation of prostatitis at young and mature ageSymptoms of various forms of prostatitis do not depend on the age category of a man. Young people actively experience sex life, they therefore more often develop an acute form of infectious inflammation with the corresponding pronounced signs. Chronic prostatitis is diagnosed in men a few years after the start of sexual activity. Meanwhile, due to the activity of hidden infections, the structure of the prostate is raped, its cellular immunity is reduced. Symptoms appear at a time when pathological changes are already irreversible.Mature men are mainly suffering from urination, stupid periodic pain in the perineum and erection disorders. Licking prostatitis at this age is aggravated by stagnant processes in the basin in the bottom of androgen failure and the loss of muscle tone.

When and who to contactOne of the above symptoms is the reason to contact the urologist or in the Andrologist (prostatitic diagnosis under clinical and interior conditions). Many men avoid going to the doctor due to a negative attitude to the prostate examination with a finger through the anus or the trusia (transrectal ultrasound). If the patient categorically refuses these types of studies, the doctor will offer transabdominal ultrasounds - when the sensor relies against the bottom of the abdomen. The bladder must be filled (just drink 350 ml of liquid one hour before the procedure).

Based on the results of the ultrasound, the doctor determines the nature of the prostate tissue lesion surrounding its tissues and the bladder. To identify the cause of inflammation, it is necessary to pass the urine, blood, the secret of the prostate (you need a massage of the rectal gland), in some cases and a spermogram.

What diseases have similar symptomsMany diseases have symptoms similar to prostatitis. First of all, it is cystitis (inflammation of the bladder). It is characterized by a frequent desire of the toilet, tracing in the bottom of the abdomen, pain during urination, muddy urine, sometimes blood. Maybe a slight increase in temperature.In men over 45, with symptoms of prostatitis, gland and gland cancer are mainly excluded. Inflammation in the context of these pathologies is often a secondary sign. Symptoms of gland cancer are similar to manifestations of a chronic prostatitic form: periodic urination disorders draw pain in the groin. The prostate is painless with a study of the fingers, but dense nodes are in its structure.The distant night urination, a slow urine stream, a feeling of incomplete emptying of the bubble, leaks of drops of the urethra and heaviness in the perineum are characteristic of the adenoma. The image 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.Urinary disorders and pain in the groin can occur with non -infected prostate stones - calcines are present, but around them, there is no favorable environment to join the pathogens. Discomfort in the perineum in this case causes physical activity, ejaculation. With the feeling of a prostate under the fingers, gratifying (stones) can be felt, the body of the gland is dense, tuberous, moderately painful. Micitation disorders, characteristics of the chronic stage of the disease, are also characteristic of the sclerosis of the sphincter of the bladder (obstacle through the urethra in the form of projection of the cutting muscle). Pathology is often the result of an prostate prostate. In men under the age of 40, it is rarely diagnosed.For chronic prostatitis, extended venous nodes (internal hemorrhoids) are often taken. They can only be found using a special diagnostic tool. Symptoms:Pain in the anus, giving to the sacrum and the crotch;Erection violations;Strengthen pain in the rectum and perineum during defecation or a prolonged conclusion in a sitting position.The contours and consistency of the prostate are unchanged. In his secret, pathological changes are absent.Pain in the anus and perineum area occurs with proxy inflammation - the rectum. A characteristic is a strong burning sensation in the anus during and after defecation, giving the penis and the crotch. There is wanting to frequently attend (every 20 to 30 minutes) followed by the Lacus urine. Prozatitis often develops simultaneously with prostatitis. In this case, parallel therapy for both diseases is necessary.Postatitis symptoms are also manifested with the tuberculosis of the gland. To the risk area of a man aged 20 to 40. At the initial stages of development, the disease is almost asymptomatic. Sometimes minor pain in the rectum and the perineum occur. Munning violations begin in the context of involvement in the pathological process of the parts of the gland, communicating the channel that emit urine. With tuberculosis, purulent cavities are formed in the body of the prostate. When they persist, the content flows into the urethra and is released from the penis during defecation. The bacteria that fell into the ureter irritate the mucous membrane cause rapid and painful urination. Thanks to fiber, pus can spread to the rectum. In this case, there is an increase in temperature, weakness, perspiration, weight loss.

ConclusionThe prostate gland through the nervous plexus is closely associated with other pelvic organs, whose inflammation gives symptoms similar to prostatitis. The doctor must differentiate (distinguish) prostatitis from other diseases and identify those related. The patient should not surprise the fact that with the symptoms of prostatitis, the examination aims not only the iron, but also for other organs, in particular, to the rectum. It is important to exclude their participation in the formation of pain and urination disorders, otherwise the treatment will be ineffective.