How to identify and recognize prostatitis: signs and symptoms

How to define prostatitis? This question is often asked to doctors. According to doctors, it is possible to identify the inflammatory process in the prostate gland only when undergoing a comprehensive examination.

Verbal questioning and physical examination are conducted to make a diagnosis. Further, the physician assigns instrumental and laboratory studies to the patient. Based on the data obtained, the final diagnosis is made and the treatment tactics are selected.

Prostatitis can be eliminated with medication or surgery. The priority is always drug therapy. Surgical interventions are prescribed only if abscesses, suppuration or other complications of the disease develop.

What are the symptoms of prostatitis?

Prostatitis is a disease in which the prostate gland becomes inflamed. In this case, the organ can increase in size and swell. As a result of the development of inflammatory processes, dysuric disorders appear, the quality of sperm decreases, and sexual disorders develop.

How to identify prostatitis in men and distinguish it from other pathologies? Everything is quite simple, because this disease has characteristic signs. But, unfortunately, the disease can be asymptomatic for a long time, so it is often diagnosed at later stages.

So, the following symptoms are inherent in prostatitis:

  1. Dysuric disorders. The disease can manifest itself by frequent urge to urinate, intermittent urination and even urinary retention. At night, the patient is tormented by false urge to urinate. After emptying the bladder, there may be a feeling of incomplete emptying.
  2. Painful sensations. With prostatitis, the perineum hurts. The severity of the symptom increases during urination and during sexual contact. Pain can radiate to the testicles, lower back and penis.
  3. Constipation. Observed in the chronic form of congestive prostatitis.
  4. Sexual dysfunction. The patient's potency and libido decrease, and premature ejaculation occurs. It happens that a man, on the contrary, finds it difficult to cum during sex. The severity of orgasm with prostatitis decreases.
  5. Blood or mucus in the urine. In this case, during urination, severe itching may occur in the urethra. These symptoms are observed in the bacterial form of the disease.
  6. Decrease in quantitative and qualitative parameters of sperm.
  7. Feeling of nausea, chills, fever, general weakness, body aches. These signs are characteristic of acute bacterial prostatitis.

Important!If the above signs appear, you should immediately contact a urologist.

How is the diagnosis carried out?

Physical examination and oral questioning

diagnostic options for prostatitis

Let's take a closer look at the question of how to identify prostatitis in men. The patient should first see a urologist. The physician must study the patient's history data and identify whether the man had chronic diseases of the genitourinary system before.

Initially, a physical examination of the prostate is performed. The doctor inserts a finger into the patient's anus and checks the gland by touch. Distinguishing a healthy prostate from a diseased prostate is very simple. If the organ is inflamed, then on palpation, the physician notices that the pancreas is edematous and has a heterogeneous structure. In principle, prostatitis can be diagnosed at this stage.

To get an accurate clinical picture, an oral questioning is carried out. The urologist clarifies:

  • What is the patient's lifestyle.
  • How long ago did the symptoms of prostatitis appear?
  • Have you had any infectious / viral diseases before?
  • What is the patient's labor activity related to.
  • Has the patient undergone surgery involving interventions in the pelvic organs?

Important!Additionally, your doctor may perform a physical examination of your scrotum. The doctor pays attention to the size of the scrotum, its shape and consistency, as well as the mobility of the testicles.

Instrumental diagnostics

instrumental diagnostics of prostatitis

To identify prostatitis, instrumental diagnostics are required. The main diagnostic measure is ultrasound examination (ultrasound) of the prostate gland.

Ultrasound is performed in several ways. The organ can be examined through the anterior abdominal wall, or using a specialized transrectal sensor. A more accurate clinical picture can be obtained by using the transducer.

In addition to ultrasound, may be prescribed:

  1. Uroflowmetry.
  2. MRI of the prostate.
  3. CT scan of the prostate.

Important!If a benign / malignant tumor is suspected, a biopsy of the glandular organ may be recommended.

Laboratory research

laboratory diagnostics of prostatitis

In case of inflammation of the prostate, it is imperative to pass a number of tests. Laboratory diagnostics will make it possible to understand what exactly triggered the pathogenic processes in the glandular organ, and whether prostatitis has a bacterial / infectious nature in this case.

First of all, patients are prescribed a blood test for PSA - prostate specific antigen. The test is needed to find out if there is a predisposition to BPH / cancer. Normally, the PSA level should tend to zero.

In addition to a blood test for PSA, the following are recommended:

  • Spermogram.
  • Complete blood count.
  • Cytological, general and bacteriological analysis of urine.
  • Taking a swab from the urethra.
  • Research of the pancreas secretion.
  • Research by PCR method.

Important!Based on the data obtained, the physician can make the final diagnosis and, accordingly, choose the treatment tactics.

How to treat prostatitis?

methods of treating prostatitis in men with drugs

How to detect prostate inflammation is very clear. Consider now the methods of treating prostatitis. So, as noted above, there are two ways to solve the problem - to undergo conservative or surgical treatment.

Surgery is prescribed if prostatitis is accompanied by complications such as BPH, abscess, urinary retention, anuria, stones in the glandular organ. Three main techniques are used - prostatectomy, prostate resection and laser therapy.

Conservative treatment is more preferable and is used in the vast majority of cases. It provides:

  1. Leading a healthy lifestyle. The patient must understand that bad habits will slow down the healing process. You will have to give up cigarettes and alcohol once and for all.
  2. Balanced nutrition. With urological diseases, it is imperative to adhere to a diet. It is recommended to remove fatty foods, semi-finished products, fast food, fried foods from the diet. Carbonated drinks are also banned, as they provoke intestinal irritation, which is not useful for prostatitis.
  3. Physiotherapy treatments. You can get rid of inflammatory processes through acupuncture, moxibustion, electrophoresis, UHT, Thai massage. Prostate massage is also very helpful.
  4. Avoiding hypothermia as it is the main cause of congestive prostatitis.
  5. Taking certain medications for prostatitis. Antibiotics, bioregulatory peptides, alpha-1-blockers, NSAIDs, antispasmodics and phytopreparations are prescribed.
  6. Have a fulfilling sex life (if possible). If a man refrains from sex, then he may again get prostatitis after undergoing therapy. Sexual activity with inflammation of the pancreas will be beneficial. The main thing is to use barrier contraception.

Alternatively, patients can use traditional methods of treatment. But you need to remember that they are nothing more than an addition. With inflammation of the pancreas, aspen decoction, honey sbiten, microclysters with chamomile are useful.