Symptoms of prostatitis in men

Prostatitis symptoms can make a man's life unbearable. Experienced doctors will help you quickly deal with the problem.

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 the 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 find yourself experiencing the following symptoms, however minor, it is best to immediately consult a doctor to confirm or rule out the diagnosis.

• Micturition disorders: frequent urge, especially during the period of nocturnal sleep, weak or intermittent flow, pain, accompanied by difficulty urinating.
• Pain in the lower abdomen, which goes into the anus, scrotum, perineum.
• Decreased sexual desire, impaired potency or sexual dysfunction.
• Change 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 hurt you. In addition, premature access to the doctor provokes a worsening of the condition.

Signs of different types of prostatitis

According to the nature of the flow, the following are distinguished:

Typical symptoms of acute prostatitis:

• fever, a sharp increase in body temperature (up to 40 degrees);
• severe headache, weakness, fatigue, nervousness;
• pain in the groin, back, during urination, 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 provoke complications:

• abscess in the body of the prostate;
• vesiculitis (inflammation of seminal vesicles);
• colliculitis (inflammation of the seminal tubercle);
• the appearance of wounds 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 clinical manifestations and symptoms of prostatitis. Manifestations are similar to the acute form, but have a slow 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 gland has a characteristic clinical picture. An experienced urologist can easily make a diagnosis after taking the anamnesis, examination and palpation, laboratory and instrumental studies (general and bacterial tests of urine and blood, blood tests for PSA, samples of prostate secretion, spermogram, ultrasound). .

In the case when the patient is referred 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 subtle doctors will offer you the most effective 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 urination, at night.
• pain symptoms: pain in the perineum, lower abdomen, groin. The pain may radiate (give) to the scrotum or sacrum.
• mixed form, in which there are both urination disorders and pain.

Causes of prostatitis?

For bacterial prostatitis

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

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

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

The activity and, accordingly, the manifestations of the inflammatory process depends on the properties of the microorganism, on the condition of the pelvic organs, their blood circulation, associated 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 an inflammatory process that is not associated with a bacterial agent.

STDs 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 consider ourselves to be 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.

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

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

Age of prostatitis? Is this a disease of the young and/or old?

Prostatitis is an inflammatory disease, so it can appear at any age. But adenoma or hyperplasia of the prostate is an age-related disease in men over 50 years old 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 means the presence of changes in the structure of the prostate tissue, which remain for life. Like any chronic disease, prostatitis continues alternating periods of aggravation and remission - a period when nothing bothers the patient. With the right treatment and lifestyle, periods of remission can be very long, and complaints will never bother the patient again.

Bacterial prostatitis and other types

There are different classifications, the most widely used one 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 3 months or more.
• Subcategory III A.Chronic pelvic inflammatory pain syndrome (with leukocytes in prostate secretion and pathogen release).
• Subcategory III B.Chronic non-inflammatory pelvic pain syndrome (no leukocytes in prostate secretion).
• Category IV.Asymptomatic prostatitis (with leukocytes in the secretion of the prostate, but without complaints).

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

Acute prostatitis- continues with severe pain, fever, impaired urination. In the prostate secretion - 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 appear in a patient with chronic prostatitis, then they are called an exacerbation of chronic prostatitis.

Chronic bacterial prostatitis- The periodic disturbing symptoms of the patient, as a rule, are less pronounced than in acute prostatitis. During 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 complaints are very similar to prostatitis, but are 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, impaired interaction between muscles. of the bladder and its sphincter, anatomical disorders - strictures (strictures) of the urethra, lead to inflammation due to increased pressure inside the lobules of the prostate gland.

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 medications: drugs that improve prostate and bladder contraction by relaxing the sphincter.

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

What tests are given for prostatitis?

ABOUTdiagnosis of prostatitisa consultation with a urologist (andrologist) is required to collect the patient's complaints, medical history, microscopy of prostate secretion and ultrasound diagnosis.

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

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

Interventions and surgical 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 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, since the longer the inflammation continues, 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 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)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:are prescribed to restore impaired urination, increasing the contraction of the bladder and relaxing its detrusor.

large groupbiogenic stimulants and herbal preparations.

Effective treatment is possible only with an accurate diagnosis, as 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 should 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 produces 70 million results.

Folk methods no one investigated for effectiveness. What helped a patient with such treatment (and if it helped) does not mean at all that it will help you.

Worsening of prostatitis after treatment. sorry, comeback

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 undergoing prophylactic treatment. Patients who periodically perform prophylactic treatment, without expecting 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. 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 the presence of acute urinary retention), prostate massage is not desirable, 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 stagnation and swelling of the prostate gland and, thus, 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 for prostate health than intensity of intercourse. Excessive sexual intercourse, especially with different partners and unprotected from infections, is the fastest way to prostatitis.

Does prostatitis affect women?

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

Pregnancy and prostatitis

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

Prevention. What should you do to avoid prostatitis?

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

Prevention of prostatitis is the avoidance and minimization of 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 its health affects male fertility

A diseased prostate is often the cause of many unpleasant diseases, it can make sexual intercourse difficult for a man and even harm 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 prostate problems and do not go to the urologist. Learn more about the prostate itself, its diseases and its connection to infertility in this article.

What is the prostate for?

The prostate, also known as the prostate gland, is modest in size, the size of a walnut, but has a very important reproductive function. The gland is located at the junction of the urinary tract - below 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, just 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 white liquid in semen. In other words, the secretion produced by the prostate is part of the sperm and performs the function of nutrition. It is thanks to it that the spermatozoon 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. Thus, there is no doubt that male fertility depends mainly on the state of the prostate, and any problem with the prostate gland can make it difficult to conceive a child, as they are associated with a decrease in sperm parameters.

Prostate size changes throughout life

A boy is born with a prostate the size of a pea. In the following years, the gland slowly grows to reach the appropriate size for an adult male around the age of 30. A man's prostate "at its peak" 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 grows again around the age of 45. This is due to the decrease in the level of male sex hormones, including the most important of them - testosterone.

When you change the size of the prostate, it is a matter of the so-called benign hyperplasia of the prostate, which already at this stage can be accompanied by 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 emptied completely. In addition, urine can flow from the bladder uncontrollably.

All these symptoms are the result of pressure from the enlarged prostate on the urethra, making it difficult to drain urine properly. Urine stasis in the bladder, on the other hand, 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 people

Prostatitis can be of bacterial or non-bacterial origin. It can be caused by germs or stagnation of secretion produced by the prostate gland. It mainly affects young people between the ages of 20 and 40.

• increased desire to urinate;
• burning sensation during urination;
• sometimes an increase in body temperature.

Treatment of prostatitis is not easy, since many antibiotics do not penetrate well into the prostate gland.

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

Prostate cancer is another disease of the prostate.

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 approximately 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 deaths.

Prostate cancer

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

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

Prostate cancer is curable provided it is detected early. Unfortunately, many men postpone visiting the urologist, most often because of 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.

In terms of fertility, 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 supply to the pelvic organs, normalize metabolic processes, improve tissue regeneration, increase the effectiveness of drug treatment, drain accumulated toxins and pus residues, increase the body's immune resistance and resolvepower problems.

In a specialized medical clinic, you can take a course of therapeutic prostate massage to eliminate unpleasant symptoms or restore strength at a comfortable 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 cost of the massage is calculated individually, depending on the patient's condition.

The 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 flow of prostate 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 power. 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 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 the service, use the feedback form or call the 24-hour phone number listed on the site. Our consultants are always ready to answer any question as detailed as possible.

Indications for prostate massage

The main indication for therapeutic massage of the prostate is the diagnosis of 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 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 the manipulation very well, as it takes 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 feelings of the man.

How is prostate massage performed?

Results of the procedure:output of prostate secretion

The patient assumes a knee-elbow position or lies on his side. The doctor puts on gloves and inserts a finger into the rectum to a depth of 4-5 cm. He then gently massages the prostate until a secretion begins to flow 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, there is a break for 2-3 weeks, after which the procedures are repeated.

Useful information

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