Prostatitis is a disease that can suddenly catch up with any man.
The urinary tract passes through the prostate gland, which contributes to the manifestation of one of the first signs of the disease - difficulty urinating.
Prostatitis - the beginning
The onset of the disease is always associated with certain circumstances in our lives.
There are several types of prostatitis:
- Sharp;
- Chronic;
- Infectious (bacterial);
- Non-infectious.
![prostate change with prostatitis](/images/articles/194/prostate%20change%20with%20prostatitis.jpg)
In this case, the nomenclature is binary, for example, infectious prostatitis can be chronic and acute.
Each type of prostatitis will start differently and will be preceded by its individual circumstances. Let's look at them.
Risk factors, circumstances of occurrence
- ЗППП. When infected with any sexually transmitted infection by a sexual partner, the man has a good chance of getting an acute infectious prostate, which can then become chronic. Thus, sexually transmitted diseases will be the first factor predisposing to prostatitis.
- Sedentary lifestyle, sedentary work, apathy for sports and morning exercises, obesity. This is the cause of non-infectious prostatitis, which can be exacerbated or with vague symptoms.
- Hypothermia - in this case, the genitourinary system undergoes frequent bouts of cold, as a result of which the bladder, seminal ducts, prostate gland and testicles can become inflamed.
- Age. When a man reaches 40-45 years, irreversible changes in his prostate gland begin. This is due to male menopause - a direct consequence of hormonal rearrangement in the body. The prostate grows (hyperplasia), which is accompanied (or may be accompanied) by the full range of symptoms of prostatitis.
Let's summarize once again - these factors increase the chances of getting prostatitis tenfold.
![malaise and headache with prostatitis](/images/articles/194/malaise%20and%20headache%20with%20prostatitis.jpg)
Then let's look at the first signs of different types of prostatitis.
Be careful before engaging in self-diagnosis, when the first signs are detected, or in a panic look for a doctor's contact - pay attention to the above risk factors. Maybe you don't have prostatitis!
Symptoms
Acute process
Let us clarify that the first signs of acute prostatitis in most cases are similar in all patients:
- Pain when urinating, burning after;
- Rising temperature;
- After the heroic emptying of the bladder, the patient feels that there is still urine in it;
- Complaints of pain in the groin and perineum.
The pain starts suddenly, and so do the toilet problems. This is due to the rapid increase in swelling of the inflamed prostate.
![healthy and inflamed prostate with prostatitis](/images/articles/194/healthy%20and%20inflamed%20prostate%20with%20prostatitis.jpg)
The symptoms may go away on their own, but they do not create illusions: this does not mean that the disease has passed.
Prostatitis becomes chronic. It can take a long time (years) from the first signs of acute prostatitis to the onset of chronic prostatitis.
Chronic process
Perhaps the patient did not have a pronounced acute period and the disease, surrounding it, has become a chronic form.
In this case, the symptoms will be as follows:
- Dull pain in the anus after defecation, radiating to the coccyx;
- Regular or irregular groin pain;
- Going to the toilet is not very difficult, but you need to strain your stomach a little to start urinating. The patient does not pay much attention to this;
- Occasionally there is a burning sensation in the urethra after urination.
The first signs of chronic prostatitis may appear for a long time. They may disappear, then be felt again.
Infectious prostatitis
Often with infectious prostatitis, the patient carries other sexually transmitted diseases.
Among the first signs should be emphasized:
- Cutting in the urethra, blood in the urine;
- Rising temperature;
- Whitish urine (pus)
- Frequent urges to use the toilet.
The first signs of bacterial prostatitis are similar to acute prostatitis, as the latter type often occurs precisely due to the efforts of an infectious agent.
![lower abdominal pain in a man with prostatitis](/images/articles/194/lower%20abdominal%20pain%20in%20a%20man%20with%20prostatitis.jpg)
Non-infectious prostatitis
After 40 years, a man can detect the first signs of non-infectious prostatitis. It's not the bacteria's fault, it's just the time.
The prostate enlarges, which may somehow manifest itself or go unnoticed.
If the man is experiencing problems, they are reduced to such manifestations as:
- Difficulty urinating
- Residual urine in the bladder.
![problems urinating with prostatitis](/images/articles/194/problems%20urinating%20with%20prostatitis.jpg)
If it causes inflammation of the prostate, then pain, burning and possibly fever are added.
Every prostatitis has basic (basic) manifestations in problems with urination. The pain may be of different localization and intensity, burning at the end of urination and after it may be absent.
Sexual problems occur in 99 out of 100% of cases, but this process is long, taking several years or more.
Among the first signs is a decrease in urine pressure. If you need to strain your abdomen to start urinating (even if you don't pay attention to it), it's time to see a urologist.
This is the first sign of impending prostatitis.
What if you ignore all these symptoms?
Assume that acute prostatitis has passed on its own (let's imagine it has passed).
After a few days of torment, we easily go to the toilet again and the burning and pain sensations have left us.
The euphoria will not last long - chronic inflammation is linked to the prostate, so prostatitis will again remind itself.
This is not the worst thing, because you can live with such feelings. The important thing is what happens inside the prostate gland.
Let's remember what its function is - to maintain the vital activity of sperm.
Prostatitis inhibits and blocks this function. As a result of advanced prostatitis, a man may lose his ability to fertilize.
![lack of potency in prostatitis](/images/articles/194/lack%20of%20potency%20in%20prostatitis.jpg)
Another unpleasant consequence of advanced prostatitis is depression and bad mood. Constant toilet problems add stress to the man.
Incomplete emptying of the bladder leads to inflammatory processes in it and other parts of the urinary system.
So do not be idle.
How is prostatitis detected?
At the first signs of illness, contact your urologist and tell us about your feelings.
Prostatitis is diagnosed by history, rectal examination of the prostate and TRUS.
Other methods are used in addition to identify comorbidities or to rule them out.
You can diagnose at home. But prostatitis can be confused with inflammation of the urethra or bladder, so read the diagnosis of prostatitis carefully.
Treatment
The treatment of prostatitis depends on its form.
The main tasks of the doctor are:
- Restoration of a normal ureter. This means that you need to reduce swelling, relieve muscle spasm and stimulate the production of urine and its excretion.
- Fighting an infectious agent or physically eliminating the cause of prostatitis.
- Prevention of relapse (diet, lifestyle and good habits).
- Stimulating the activity of the prostate gland - rectal massage of the prostate.
You can also be treated at home, having previously agreed on the methods of treatment with a urologist. For example, it is useful to place special microenemas with herbal decoctions.
To speed recovery, the doctor will prescribe physiotherapy.