Symptoms of prostatitis in men

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

Inflammation of the tissues of the prostate (prostate) is called prostatitis. The prostate is an endocrine organ that affects many processes in the male urinary system. In case of inflammation, urinary tract disorders, potency, libido and ejaculation difficulties. Manifestations of prostatitis significantly impair the quality of life and affect reproductive function. According to statistics, today prostatitis is the most common disease of the genitourinary system in men.

Signs of prostatitis

Symptoms of the disease can be acute and almost invisible. If you experience any of the following symptoms, however slight, it is better to see a doctor immediately to confirm or deny the diagnosis.

• Micturition disorders: frequent urge, especially during sleep at night, accompanied by weak or intermittent urination, pain, difficulty urinating.
• Pain in the lower abdomen, which goes to the anus, scrotum, perineum.
• Decreased libido, decreased potency or sexual dysfunction.
• Change in texture, color, amount of ejaculate, difficulty ejaculating.

When identifying signs and symptoms of prostatitis in men, do not self-medicate or 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 provokes 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 rise in body temperature (up to 40 degrees);
• severe headache, weakness, fatigue, irritability;
• pain in the groin, back, when urinating, frequent urge;
• change in the quality of urine (it becomes cloudy, more viscous, mixed with blood), unusual secretions appear from the urethra.

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 testicles);
• occurrence of scars and adhesions in the gland and spermatic cord;
• stagnant processes in the tissues of the prostate gland;

The characteristic of the chronic form is the blurring of the clinical manifestations and symptoms of prostatitis. The manifestations are similar to the acute form, but slow in nature. The causes of the pathology are usually abacterial prostatitis, prostatitis (stagnation of blood in the vessels).

Diagnosis and treatment

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

If the patient consults 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 urogenital system. Qualified sensitive doctors provide you with effective and most appropriate help.

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

The 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 to the scrotum or sacrum.
• mixed form, in which both urinary disorders and pain occur.

Causes of prostatitis?

In case of bacterial prostatitis

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

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 of the inflammatory process and, accordingly, its manifestations depend on the properties of the microorganism, the condition of the pelvic organs, their blood circulation, accompanying diseases and other predisposing factors.

In case of 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 related to 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 consensus on this issue.

We believe in the direct relationship between infections and the occurrence and course of prostatitis.

Why is prostatitis dangerous?

Prostatitis does not pose a threat to the patient's life, the process is chronic and impairs the quality of life.

Incipient prostatitis. How do we define it? First signs

The first sign of prostatitis is a change in the nature of urination: heavy, frequent urination, frequent urge to urinate, especially at night. Unpleasant sensation during urination and pain in the groin of variable intensity.

Prostatitis age? Is this a disease of the young and/or the elderly?

Prostatitis is an inflammatory disease, so it can occur at any age. However, adenoma or prostate enlargement is an age-related disease of men over 50 and is associated with the development of a benign prostate tumor.

Chronic prostatitis. Is it possible to cure it?

The presence of a diagnosis of chronic prostatitis means the presence of changes in the structure of prostate tissues that remain in life. Like any chronic disease, prostatitis is associated with alternating periods of exacerbation and remission - a period when nothing bothers the patient. With proper treatment and lifestyle, remission periods can be very long, and complaints will never bother the patient again.

Bacterial and other types of prostatitis

Various classifications exist, the most commonly used classification was developed by the US Institute of Health in 1995:

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

To make it easier to understand, the classification can be divided into 3 types:

Acute prostatitis- continues with severe pain, fever, decreased urination. In the secret of the prostate - a large number of leukocytes, which indicates a clear inflammatory process. It usually occurs for the first time in this patient. When these symptoms occur in a patient with chronic prostatitis, they are called an exacerbation of chronic prostatitis.

Chronic bacterial prostatitis- Patients' periodically disturbing symptoms are usually less pronounced than in acute prostatitis. When diagnosing, the number of leukocytes in the secretion of the prostate also increases, the causative agent of the inflammation can be identified.

It is the most difficult to diagnosenon-bacterial prostatitis, or the so-calledchronic pelvic pain syndrome. This is due to the fact that the complaints are very similar to prostatitis, but are related to diseases of other organs and systems, in which signs of inflammation and pathogenic bacteria cannot be detected: spasm of pelvic muscles, violation of interaction between muscles. anatomical disorders of the bladder and its sphincter - strictures (strictures) of the urethra, leading to inflammation due to increased pressure in the lobes 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 deals with 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 can be achieved with the simultaneous administration of drugs and physiotherapy (prostate massage, complexes for the treatment of prostatitis).

What tests are performed for prostatitis?

Becausediagnosis of prostatitisurologist (andrologist) consultation is required for patient complaints, medical history, microscopic examination of prostate secretions and ultrasound diagnostics.

Transrectal ultrasound of the prostate (TRUS) and prostatic secretion obtained after prostate massage are used for microscopic examination for diagnosis.

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

Surgical interventions and operations in case of prostatitis

In case of prostatitis, operations are practically not used. With the exception of prostatic abscess - a process in which foci with pus 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 the treatment, since the longer the inflammation lasts, the greater the probability of irreversible changes in the organ.

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

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

Medicines against 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 drugs are fluoroquinolones, macrolides and the doxycycline group.

Alpha blockers:It is prescribed to restore urinary incontinence, increase bladder contractions, and relax the detrusor.

large groupbiogenic stimulants and herbal preparations.

Effective treatment is only possible with a correct diagnosis, as there is no universal medicine for all types of prostatitis. Patients often take drugs to treat prostatitis when they have a completely different disease 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 need to understand that it is very difficult to choose the right folk method for you. On request, the treatment of prostatitis with folk methods, the search engine produces 70 million hits.

No one has examined the effectiveness of folk methods. What helped one patient with such treatment (and whether it 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 bothers the patient. The duration of remission can vary and depends on many factors, including whether the patient is receiving prophylactic treatment. Exacerbations tend to occur less frequently in patients who receive regular prophylactic treatment without waiting for their well-being to deteriorate.

Prostate massage at home. Is massage always necessary in case of prostatitis?

Prostate massage can be done at home if you are married to a urology nurse. All medical manipulations have their subtleties and nuances. Only a doctor can determine the indication for this procedure, so in the case of certain diseases: prostate adenoma (in case of acute urinary retention), prostate massage is not desirable, and it is contraindicated in the case of tumors.

alcohol and prostatitis

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

Sexual life and prostatitis

There is a direct relationship between the intensity of sexual activity and prostate disease. In case of long-term 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. The fastest way to prostatitis is excessive sexual intercourse, especially with different partners and infections.

Does prostatitis affect women?

Of course, the effects on the health of women with prostatitis in the partner are available. Together with the seminal vesicles, the prostate produces the liquid component of sperm, which enters the partner's genitals during intercourse. The main danger can 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 semen, which contains nutrients for the sperm, the quality of the sperm often deteriorates in prostatitis, making it difficult to conceive.

Prevention. What should be done to avoid prostatitis?

Prevention is directly related to the patient's living conditions and profession.

Prevention of prostatitis is the avoidance and minimization of factors that contribute to the development of prostatitis. Alternation of hypothermia, sedentary work and physical activity should be avoided. A regular sex life is important for prostatitis.

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

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

Many men are embarrassed about their prostate problems and do not see 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 modest in size, about the size of a walnut, but has a very important reproductive function. The gland is located at the intersection of the urinary tract - below the bladder, right at the mouth of the urethra, which, moreover, passes right through the middle of the organ.

The prostate gland, in other words, 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 whitish, cloudy liquid in semen. In other words, the secretion produced by the prostate is part of the sperm and fulfills the function of nutrition. It is thanks to him that the spermatozoa are able to maintain the necessary parameters - they are viable and mobile enough.

In addition, PSA is a protein substance produced in the prostate gland, which is involved in the fertilization process. Thus, there is no doubt that male fertility depends to a large extent on the state of the prostate, and problems with the prostate gland can make it difficult to conceive a child, as they are associated with a decrease in sperm parameters.

The size of the prostate changes throughout life

A boy is born with a prostate the size of a pea. Over the next few years, the gland slowly grows to reach the correct size for an adult male in his 30s. The prostate of a "healthy" man is about 2. 5 cm high, 4 cm wide and 3 cm thick, and weighs 15-20 g.

30 years is a period of relative stabilization, during which the prostate does not grow as fast as before. It rises again around the age of 45. This is due to a decrease in the level of male sex hormones, including the most important - testosterone.

When the size of the prostate changes, we are talking about the so-called benign prostatic hyperplasia, which can already cause unpleasant symptoms at this stage.

Benign prostatic hyperplasia - what are the symptoms?

The most common symptoms of men with benign prostatic hyperplasia:

A man may also feel that his bladder has not emptied completely. In addition, urine may leak uncontrollably from the bladder.

All of these symptoms are the result of pressure from the enlarged prostate on the urethra, making it difficult for urine to drain properly. Stagnation of urine in the bladder can cause recurrent urinary tract infections, bladder infections and stone formation, and in the worst case, 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 that a man consult a urologist as soon as he notices 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. It mainly affects young men between the ages of 20 and 40.

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

Treatment of prostatitis is not the easiest, 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 male cancers. Tens of thousands of people are diagnosed by doctors in every country every year. According to statistics, this cancer affects about 30% of men aged 50 and 80% of men aged 80. However, it is the third leading cause of cancer deaths.

Prostate cancer

The characteristic 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 of benign prostatic hyperplasia.

Are there men at higher risk of developing this cancer? Yes! Predisposition to prostate cancer is obesity and a sedentary lifestyle, untreated urinary tract inflammation, excessive sexual abstinence, and genetic factors.

Prostate cancer can be cured if detected early. Unfortunately, many men postpone visiting a urologist, most often because they are afraid 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 for fertility, infertility is guaranteed with advanced prostate cancer. 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 medication, flush out accumulated toxins and germs, increase the body's immune resistance, and solve potency problems.

In a medical clinic specialized in this, you can perform a therapeutic prostate massage course at a comfortable price to eliminate unpleasant symptoms or restore potency. 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 prostate therapeutic massage

Therapeutic massage is an effective prevention of the development of various diseases of the prostate gland (including cancer). It promotes the outflow of prostate secretion, reduces inflammation, and 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, so it is 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 the service, use the feedback form or call the 24-hour phone number on the page. Our consultants are always ready to answer any question in as much detail as possible.

Indications for prostate massage

The main indication for therapeutic prostate massage is diagnosed infectious or non-infectious prostatitis. It is also prescribed in the following cases:

• chronic pain in the pelvic area;
• congestion in the prostate;
• hereditary tendency to prostatitis;
• erectile dysfunction caused by prostate pathologies;
• 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 adjusts the pressure on the prostate, depending on the individual feelings of the man.

How is the prostate massage done?

The result of the procedure:outflow of prostatic secretion

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

In case of chronic prostatitis, the doctor prescribes a prostate massage. It usually includes 10-15 procedures, at intervals of 2-3 days. After completing the course, you should take a break for 2-3 weeks, and then repeat the procedures.

Useful information

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