Symptoms of prostatitis in men and its treatment

pain in a man with prostatitis

Prostatitis is one of the most common urological diseases in men. It is generally accepted that after 30 years, 30% of men suffer from prostatitis, after 40 - 40%, after 50 - 50%, etc. At the same time, the real incidence is much higher than the registered one, this is due to the peculiarities of diagnosis and the possibility of the disease occurring in a latent form. With prostatitis, there are numerous problems with urination, decreased libido and impaired erectile function.

Prostatitis is one of the most common urological diseases in men. It is generally accepted that after 30 years, 30% of men suffer from prostatitis, after 40 - 40%, after 50 - 50%, etc. At the same time, the real incidence is much higher than the registered one, this is due to the peculiarities of diagnosis and the possibility of the disease occurring in a latent form.

The prostate gland is a small glandular-muscular organ that is located in the small pelvis under the bladder, covering the initial section of the urethra (urethra). The prostate gland produces a secret that, mixed with seminal fluid, maintains the activity of spermatozoa and their resistance to various adverse conditions.

With prostatitis, there are numerous problems with urination, decreased libido and impaired erectile function. The saddest thing is that in the absence of competent treatment, approximately 40% of patients are threatened with one form or another of infertility, since the prostate gland can no longer produce enough high-quality secretion to ensure sperm motility. It is important to remember that such symptoms can occur not only with prostatitis, but also with prostate adenoma and cancer.

Forms of prostatitis

In accordance with the criteria of the American National Institute of Health (NIH USA) from 1995, there are four categories of prostatitis:

  • Category I - Acute prostatitis;
  • Category II - Chronic bacterial prostatitis;
  • Category III - Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS):
    • Category IIIa - Chronic prostatitis / chronic pelvic pain syndrome with signs of inflammation;
    • Category IIIb - Chronic prostatitis / chronic pelvic pain syndrome without signs of inflammation;
    • Category IV - Asymptomatic (asymptomatic) chronic prostatitis.

    Occasionally, chronic granulomatous prostatitis, not mentioned in this classification, also occurs.

    Most experts distinguish 4 main forms of prostatitis:

    • acute bacterial prostatitis,
    • chronic bacterial prostatitis,
    • non-bacterial prostatitis
    • prostatodynia.

    Causes of prostatitis in men

    In persons younger than 35 years, the disease usually occurs in the form of acute bacterial prostatitis. Bacterial prostatitis is called when there is laboratory confirmation of an infection. Most often it turns out to be chlamydia, trichomoniasis, gardnerellosis or gonorrhea. The infection enters the prostate gland from the urethra, bladder, rectum, through the blood and lymphatic vessels of the small pelvis.

    However, recent studies prove that in most cases the infection is superimposed on existing disorders in the structure of the prostate tissue and blood circulation in it. In nonbacterial prostatitis, bacteria cannot be isolated, although this does not exclude their presence.

    Older patients are more likely to be diagnosed with chronic forms of the disease.

    Prostatodynia refers to the presence of a clinical picture of prostatitis, thickening of the prostate tissue without signs of inflammation.

    Symptoms of prostatitis in men

    Symptoms of prostatitis can be divided into 3 groups:

    • disorders of the urinary apparatus (frequent and painful urge to urinate, feeling of incomplete emptying of the bladder), pain in the lower abdomen;
    • disorders of sexual function (pain along the urethra and in the rectum during ejaculation, weak erection, premature ejaculation, loss of orgasm, etc. );
    • increased anxiety and nervousness of a man, due to the fixation of the attention of patients on their condition.

    Acute prostatitis usually begins with an increase in body temperature to 39-40 ° C with fever and chills. Urination is difficult and painful. Swelling of the prostate gland develops, which can cause acute urinary retention.

    Chronic prostatitis proceeds more calmly, but at any time, with adverse factors, an exacerbation can occur. Possibly asymptomatic.

    Complications of prostatitis

    In the absence of timely therapy, prostatitis can cause the following complications:

    • the transition of acute prostatitis to chronic,
    • bladder obstruction with acute urinary retention, which requires surgical treatment,
    • development of male infertility,
    • narrowing and scarring of the urethra,
    • recurrent cystitis,
    • pyelonephritis and other kidney damage,
    • abscess (suppuration) of the prostate, which requires surgical intervention,
    • sepsis is a life-threatening complication, more often develops in people with reduced immunity (patients with diabetes mellitus, renal failure).

    Treatment of prostatitis in men

    The modern arsenal for diagnosing prostate diseases is very wide.

    The doctor will prescribe you a bacteriological examination of urine and prostate secretions. To clarify the localization of the urinary tract infection, a study of different portions of urine is performed. In addition, a mandatory diagnostic method is a digital examination of the prostate gland. This procedure is not very pleasant, but it is very informative. Your doctor may refer you for an ultrasound of your prostate and pelvic organs. If necessary, appoint a computer or magnetic nuclear tomography, cystoscopy, urography and the study of prostate enzymes.

    When making a diagnosis, your doctor must rule out benign prostatic hyperplasia and prostate cancer. To quickly relieve pain in acute prostatitis, analgesics and warm baths may be recommended.

    Bacterial prostatitis requires the mandatory prescription of antibiotics, the selection of which is carried out according to the results of bacteriological seeding of secretions on nutrient media and determining the sensitivity of the pathogen to chemotherapy drugs.

    Non-bacterial prostatitis is treated with anti-inflammatory drugs.

    Prevention of prostatitis

    Do not allow hypothermia of the body, do not sit on cold objects. Follow a sparing diet (excluding alcohol, spicy, fried and canned foods). Regular sex life is also a way to prevent prostatitis (since one of the provoking factors is sperm stasis and frequent erections without subsequent ejaculation). Equally important is the prevention of sexually transmitted diseases.

    In adulthood, every man should undergo regular (once a year) examinations by a urologist. After undergoing prostatitis, preventive courses of outpatient treatment are carried out at least 2 times a year for a month and one course of spa treatment.