One of the most common diseases among men is prostatitis, ICD-10 code 41. What disease is prostatitis? A sedentary lifestyle, addiction to smoking and alcohol, and excessive consumption of fatty and salty foods contribute to the spread of the disease.
Like most diseases, prostatitis is easier to treat in the early stages. The difficulty is that inflammation of the gland practically does not show itself for a long time. The disease is most often diagnosed in later stages or during seasonal exacerbation. How to determine the signs of prostatitis in men and its symptoms will be discussed in the following article.
What is the prostate?
The prostate is a small organ located below the urethra.It is difficult to overestimate the importance of this organ, because it is responsible for normal urine and male strength. The shape and size of the prostate is similar to a walnut, the gland can grow with age.
Prostate tissue has a glandular and muscular structure, the glands are responsible for the production of hormones and prostate juice, and the muscles regulate the size of the lumen of the urethra.
The probability of developing the disease increases with age. According to statistics, the majority of patients suffering from inflammation of the prostate gland are men of retirement age.
However, in recent years, this disease has been detected in men under the age of 30. In general, one or another type of prostatitis is present in 30% of the male population.
In order to avoid unpleasant consequences of the disease, it is important that a person pays attention to his well-being and ignores the appearance of alarm signals that indicate the presence of a disease.
The best treatment for prostatitis is carried out as early as possible, so it is important to be aware of the characteristic symptoms of the disease. What signs can be used to determine the presence of problems related to men's health?
Causes of the development of prostatitis
What is prostatitis in men? The prostate is a very sensitive organ, many negative aspects can cause inflammation of the gland. If we talk about the causes of its appearance, there are two types of the disease: bacterialAndviral.
Bacterial prostatitis, caused by the entry of pathogenic bacteria into the prostate tissue. Often, microorganisms enter the body together with urine residues or through the circulatory system. The pathology occurs unexpectedly and progresses rapidly, the body temperature rises, the man feels severe pain in the groin.
If the patient ignores these symptoms, the result can be very unfavorable, even fatal. With chronic bacterial prostatitis, symptoms will be expressed by severe pain during exacerbations.
Infectious (bacterial) prostatitis. In this case, the causative agent of the disease is a virus. The most common pathogens are influenza viruses, rubella, cytomegalovirus and papillomavirus. This type of illness is rare and is characterized by fever, joint pain or a large skin rash.
The development of the disease can be caused by various factors:
- Complications of previous diseases;
- Hypothermia of pelvic organs;
- The presence of chronic infection in the female partner;
- Urethral reflux - if the prostate does not prevent the reverse flow of urine, bacterial infection enters the surface of the gland and inflammation begins;
- Inconsistent intimate life. Prolonged abstinence and excessive sexual activity have equally negative effects;
- Stagnation of blood in the genitourinary system - can appear against the background of hemorrhoids or other diseases;
- Hormonal imbalance. If the gland does not produce enough male hormones, muscle tone gradually weakens and erectile dysfunction occurs;
- Weakened immunity;
- regular stress and lack of sleep;
- The practice of coitus interruptus, the deliberate prolongation of intercourse.
Often, the first symptoms of prostatitis are characterized by difficulty urinating and pain in the penis.
Unfortunately, most men prefer to ignore this alarm signal from the body. A visit to a urologist is postponed sooner rather than later, treatment is limited, at best, to taking pills recommended by a friend or colleague. As a result of this approach, inflammation goes into a chronic stage.
The painful sensations are not so strong and the man thinks that everything is getting better. In fact, the process continues and soon a number of problems in the intimate area and regular exacerbation of prostatitis begin.
It becomes difficult to choose an effective drug for prostatitis in men, at this stage the treatment will be more expensive and the therapy will take a long time. Therefore, it is important not to ignore the first signs of the disease, if you have difficulty urinating or feel discomfort in the groin area, you should immediately consult a doctor.
Since prostatitis syndromes in men are not always pronounced, it is recommended to check the condition of the gland regularly, at least once a year. A timely visit to a urologist will help to avoid unpleasant consequences and complications.
Types of prostatitis
Modern medicine has successfully identified many undeniable signs of inflammation of the prostate gland in men. The choice of treatment strategy is determined by the type of disease.
Doctors distinguish two main types of the disease:
- Acute prostatitis.The diagnosis of this type of disease is quite simple, because the inflammatory process manifests itself very noticeably and is quite obvious. The cause of inflammation is the presence of pathogenic flora. The disease can be treated quite successfully with appropriate antibiotics;
- Chronic prostatitis.If acute inflammation of the gland is not treated or therapy is not carried out at all, the disease takes a chronic form. Pronounced signs of chronic prostatitis in men are less pronounced, and even they can be observed only during an exacerbation (most often this happens in the spring or autumn).
Chronic prostatitis is often preceded by nagging pains, but more often the disease develops without any visible symptoms, this inflammatory course is observed in people engaged in sedentary work (office workers, drivers).
The cause of inflammation is poor circulation in the genitourinary system, which occurs due to lack of physical activity and long-term sexual intercourse.Everyone should know what symptoms of chronic prostatitis are more common in men, because the success of the treatment depends on it.
If there are signs of bacterial prostatitis expressed in the general intoxication of the body, the treatment will be based on the use of antibiotics. If the inflammation is caused by blood and lymph stagnation, the main focus will be on adjusting the lifestyle and eliminating accompanying diseases.
Classification of symptoms of prostatitis
How does the disease manifest itself? Typically, all unpleasant symptoms that indicate the presence of disorders in the work of the prostate gland are divided into three main groups:
- Any deviation from the norm observed in the urinary system;
- Difficulties arising in the intimate area;
- Symptoms of severe depression caused by a decrease in the amount of male hormones and sexual weakness.
All these symptoms can occur in the first stages of inflammation of the gland. Over time, the symptoms will become more and more obvious, and more serious diseases may develop in the future.
The first signs of inflammation
The most common initial symptom of prostatitis is regular aching pain in the lower abdomen. At the same time, the nature and localization of unpleasant sensations can be very different. A man feels periodic cutting pain while urinating, but in some cases the pain is felt constantly.
Acute prostatitis occurs more noticeably, often the manifestations of this form of the disease greatly interfere with normal life activities. Exacerbation of the chronic form of the disease rarely occurs, and symptoms may disappear completely during the recovery period after treatment.
Pain with prostatitis is usually localized in the groin area. Unpleasant sensations do not arise only in the perineum - both the lower back and lower abdomen can hurt. During urination and ejaculation, a man feels discomfort in the scrotum, penis and testicles.
Difficulty urinating
One of the most frightening symptoms is problems with urination. The following characteristic signs should alert a man:
- Very frequent need to urinate;
- Discomfort caused by insufficient emptying of the bladder;
- unrealistic urge to urinate;
- During urination, the flow has low pressure and is often interrupted.
When the disease is in an advanced stage, long-term urinary retention can often be observed. This symptom indicates active inflammation of the prostate gland, and severe tissue swelling can also be observed.
Urine doesn't just pass through the urethra. Often, traces of inflammation can be seen in the urine. Pathological impurities are in the form of mucous threads, most often they can be seen in the urine in the morning. Often this symptom is the only manifestation of the disease, which is especially true for the chronic form of the disease.
If prostatitis is not treated in time, in most cases prostate adenoma develops (proliferation of glandular tissue and the formation of nodes and tumors in them).
Urinary incontinence along with pain are the first signs of prostatitis, so when they appear, you cannot delay a visit to the urologist. The doctor prescribes several tests (for example, a total PSA blood test for prostatitis).
Intimate problems
Perhaps the most unpleasant symptom of prostatitis for men is sexual dysfunction. This manifestation of the disease usually appears during the actively developing inflammatory phase. Often, sexual dysfunction is a manifestation of old inflammation.
The most common symptoms are:
- Hard erection. Normal mating with a woman becomes impossible. Arousal is short-lived, sexual intercourse does not end with ejaculation;
- Ejaculation too fast. Erection is good, but ejaculation occurs a minute or two (or sooner) after the penis is inserted into the vagina;
- Sensitivity is boring, feelings are less expressed during sex;
- Changes in the smell and color of sperm. Inflammation can manifest itself in the form of an unpleasant, pungent smell of sperm, yellow or brown pus spots are often noticeable;
- Psychological problems arise. Failures in bed have a negative effect on the nervous system, sleep is disturbed and well-being deteriorates.
Since the depressed state of mind causes stress, patients often experience unprovoked attacks of aggression and often have a tendency to physical violence. What to do if irritation and stress constantly remind you of yourself?
In such cases, drug treatment of prostatitis should be carried out simultaneously with the observation of a psychologist. For greater effectiveness, a patient with such symptoms of prostatitis can be prescribed drugs from the group of antidepressants.
Sometimes the help of a psychologist may be needed even after completing the course of treatment for prostatitis. Often, slow chronic prostatitis does not manifest itself at all, but it is the cause of infertility. This form of the disease can be detected only during the examination of impossibility of childbirth.
The old inflammatory process does not manifest itself externally, but it irreversibly changes the composition and structure of the seminal fluid. The number of viable active sperm decreases and their motility becomes insignificant.
General symptoms
Regardless of the existing form of the disease, prostatitis can be identified by a number of common symptoms. These symptoms indicate the presence of an inflammatory process. If there is a chronic form of the disease, these symptoms are very mild, but it is impossible not to see them in the acute stage of the disease.
Here is a list of common symptoms:
- Increase in body temperature. The more actively the inflammation spreads, the higher the temperature will be. This symptom is especially evident in acute bacterial prostatitis - the thermometer can show numbers of 39-40 degrees. This symptom is usually accompanied by pain in the groin;
- Painful headache, constant weakness and apathy;
- Pain in the muscles of the whole body or in the lower back;
- Cold accompanied by a rise in temperature.
An increase in temperature in itself can indicate inflammation of any nature. Sometimes (for example, with slow chronic prostatitis) a temperature of 37-38 degrees is observed for a long time. The real cause can only be determined by a complete examination of the body.
Symptoms characteristic of different stages of the disease
Each stage of inflammation of the prostate is characterized by a number of symptoms. By carefully monitoring the body, a man can see the warning signals from the body in time and start treating prostatitis in time.
There are three main stages of prostatitis:
- The first stage.At this stage, inflammation begins to spread to all tissues of the gland. A man periodically feels pain in the perineum, anus and lower back. The desire to urinate is more frequent, the process itself is accompanied by burning and pain in the urethra. At the same time, the level of sexual desire decreases, accompanied by unpleasant feelings during ejaculation and excretion.
- The second stage.If the above symptoms remain ignored, the disease begins to progress. The size of the inflammation and the swelling that accompanies it decreases, but the formation of scars and damage to blood vessels begins. Painful sensations when visiting the toilet are more noticeable, men experience more and more discomfort, and failures in the intimate area occur more and more often. It is at this moment that the development of accompanying diseases is observed - radiculitis, vegetative-vascular dystonia, heart problems.
- The third stage of prostatitis is considered chronic.At this stage, the gland is covered with scars, degeneration of the gland tissue into muscle tissue is observed. During the examination of such patients, necrosis (tissue death) can be detected. The increased size of the glandular tissue compresses the urethra, and complete emptying of the bladder becomes impossible. Changes can not only affect the urinary system, inflammation often spreads to the kidneys and other organs.
How to treat inflammation? Treatment of prostatitis is quite a long process. In addition to drug treatment, patients are prescribed a special diet and massage. Gymnastics is also useful for prostatitis, for which a number of exercises are prepared by the doctor.
Any stage and form of prostatitis threatens a man with serious complications. Prevention of chronic prostatitis is of great importance, drugs are prescribed by a doctor after examination to protect men's health.
Inflammation can spread to neighboring organs, causing infertility and even the development of cancer. Paying attention to your own health, proper prevention of prostatitis and timely visit to the urologist will help prevent the development of the disease.