symptoms and signs of prostatitis

Prostatitis is an acute or chronic inflammatory disease of the prostate gland. The acute form is characterized by clear symptoms. If there is no adequate therapy, it becomes chronic. This variant of prostatitis is less treatable, can cause malignant degeneration of glandular tissue.

In a medical center, every man can undergo a thorough examination to identify any form of prostatitis. The center is equipped with modern high-precision equipment. In the laboratory, you can pass all the tests prescribed by the doctor. An experienced urologist in the highest qualification category will draw up an individual therapy plan that takes into account the characteristics of each clinical case.

About the disease

Prostatitis is a common problem that affects about 40% of men over the age of 40. It does not directly threaten a person's life, however, by reducing efficiency, affecting the patient's neuropsychic sphere, limiting freedom, prostatitis significantly worsens the quality of life.

Prostate inflammation can occur as an independent pathology or combined with adenoma or cancer of this organ.


In 1996 a classification was developed, according to which there are 4 categories of prostatitis in men:

  • Acute prostatitis.
  • Chronic bacterial prostatitis.
  • Non-bacterial chronic inflammation of the prostate gland.
  • IIIA. With the presence of signs of inflammation (leukocytes and any microorganisms found in the secretion of the prostate gland).
  • IIIB. Chronic non-bacterial prostatitis without an inflammatory component (no leukocytes and microorganisms in prostate secretions).
  • Chronic asymptomatic prostatitis (a person does not complain, but leukocytes are found in the secretion of the prostate gland).

Symptoms of prostatitis

Depending on the form of the disease, prostatitis can occur suddenly, manifest itself with clear clinical symptoms, or continue periods of alternating exacerbations and remissions.

Common symptoms of prostatitis in men:

  • varying intensity of pain in the perineum, radiating to the groin and sacrum;
  • lower back pain;
  • urinary disorders (pain at the beginning of the act and throughout its duration, intermittent flow of urine, possibility of urine dripping, frequent urges);
  • decreased potency and libido;
  • painful ejaculation;
  • pain after intercourse;
  • erectile dysfunction;
  • hangover syndrome - weakness, fatigue, fever, headache, sometimes nausea, vomiting.

Not necessarily all these symptoms will be determined by the same man - maybe a different combination of them. With exacerbation of chronic prostatitis, they are, as a rule, less obvious than in the acute form of the disease, and in remission they are practically undetermined. Sexual dysfunction often occurs in men who have chronic prostatitis for more than 5 years.

If prostatitis is ignored, the risk of getting adenoma and prostate cancer, infertility, impotence that is difficult to treat increases. After identifying the first symptoms of the disease, it is necessary to contact a urologist as soon as possible. This will allow comprehensive treatment that stops the pathological process.

Causes of prostatitis

Allocate infectious and non-infectious causes of prostatitis.

Acute infectious prostatitis is caused by bacteria, more often - Enterobacter, Escherichia coli, Pseudomonas, Proteus and sexually transmitted infections, less often - Mycobacterium tuberculosis. The spectrum of microorganisms that can cause exacerbation of chronic prostatitis is wider and can include both opportunistic and atypical infections (candida).

Microorganisms enter the prostate gland from the urethra, bladder, less often with the bloodstream or lymph from a distant focus of infection.

Factors that increase the risk of developing the disease:

  • STDs;
  • distant chronic infectious diseases (caries, sinusitis, lung abscess);
  • congenital and acquired immunodeficiency;
  • manipulation and operations on the pelvic organs;
  • prostate biopsy;
  • sedentary lifestyle, accompanied by blood stagnation in the pelvic area;
  • free sex life;
  • same-sex relationship.

The cause of the non-infectious form of prostatitis is not fully understood. It is believed that it is associated with the stagnation of secretions in the prostate gland due to the violation of venous outflow from the pelvic organs. Prostate vessels overflow with blood, swell, all the functions of the gland are disturbed, signs of inflammation appear. Risk factors for the development of this form of prostatitis are:

  • autoimmune process (attack by body antibodies of prostate cells);
  • prolonged absence of sexual activity;
  • prolonged or interrupted sexual intercourse;
  • sedentary lifestyle;
  • unfavorable working conditions (vibration effect);
  • chronic intoxication with certain chemicals;
  • spinal cord injury;
  • hemorrhoids;
  • constipation;
  • androgen deficiency in the male body.

Diagnosis of prostatitis

Prostatitis is diagnosed based on the patient's complaints, examination data, anamnesis and the results of additional studies. To detect disease, use:

  • general blood and biochemical tests;
  • study of prostate secretion;
  • analysis of biological fluids for urogenital infections;
  • transurethral ultrasound of the prostate (TRUS);
  • prostate-specific antigen test;
  • determination of testosterone levels;
  • Urine analysis.

Treatment of prostatitis

When the diagnosis is established, the man is prescribed complex drug treatment. It includes antibacterial drugs, enzymes, herbal drugs, immunomodulators. If the patient follows all the recommendations of the urologist, outpatient treatment of acute prostatitis leads to complete recovery. On the other hand, violation of the therapeutic regimen leads to the emergence of highly resistant forms of microorganisms that cannot be destroyed by traditional antibiotics. As a result, the inflammatory and dystrophic process worsens, the disease becomes chronic.

Chronic prostatitis is difficult to treat. It requires an integrated approach with the appointment of a long course of medication and special treatment procedures. Clinic urologists prepare individual therapeutic plans for patients, which include:

  • antibiotic therapy for up to a month;
  • angioprotectors;
  • enzyme treatment;
  • non-steroids that stop the inflammatory response;
  • immunomodulator treatment (selected by an immunologist);
  • prostate massage;
  • instillation into the urethra, if the inflammatory process is localized in the urethra;
  • physiotherapy.

Patients can seek treatment in hospitals or outpatient clinics. In the first case, the probability of a positive result increases, because the man strictly adheres to the regimen, obeys all the doctor's prescriptions and is under close medical supervision.

In case of complications of prostatitis (pus of the seminal vesicle, abscess of the prostate gland), a man may be shown surgical treatment.

Physiotherapy treatment

A unique modern device for local effects on the prostate is installed in a specialized center. Physiotherapy improves the effectiveness of complex treatment, reduces the resistance of microorganisms to antibiotics and removes congestion in the body. For the treatment of prostatitis, experienced doctors use:

  • "A device for a complex effect on the prostate and pelvic muscles, accelerated treatment of prostatitis and relieves its symptoms. The therapeutic effect is due to electrical stimulation, laser and magnetic radiation. It improves gland drainage, activates blood circulation in the pelvis, eliminates the inflammatory process and improves drug penetration intoin organ tissue.
  • Device for vacuum massage, restores vascular trophism of the cavernous body of the penis and improves blood circulation in the pelvic organs. It is used to treat prostatitis associated with obvious erectile dysfunction, as well as in complex treatment of impotence. Eliminate the cause of congestion, tk. refresh blood vessels.
  • Device for local heating of the prostate. Heating the tissue up to 39-42°C prevents the reproduction of microorganisms, initiates metabolic processes in the prostate and increases its blood supply. It is used to treat various forms of prostatitis.

A modern clinic helps men overcome chronic prostatitis in the shortest possible time. An experienced specialist will definitely determine the cause of the pathology and choose an effective treatment. By signing up for physiotherapy, you will speed up recovery, quickly get rid of pain and discomfort.


Specific prevention of prostatitis in men has not been developed. Nonspecific measures include patient compliance with several recommendations:

  • drink enough fluids;
  • do not tolerate, if you want to go to the toilet, empty your bladder often;
  • lead an active sex life;
  • avoid hypothermia;
  • avoid hypodynamia;
  • comply with the rules of intimate hygiene;
  • timely treatment of urogenital infections and any other infectious diseases of the body;
  • reduce the amount of spicy food, caffeine, alcoholic beverages in the diet, because they have an irritating effect on the urinary tract.


In a short time, an active lifestyle, compliance with the recommendations of the attending physician regarding maintenance therapy and proper nutrition will help a man recover from acute or chronic exacerbation of prostatitis in a short time.

To avoid stagnation of blood in the pelvic organs, a person should move more, and if the work involves physical inactivity (for example, staying for a long time at the wheel) - whenever possible, get out of the car and move, visit the gym.

Proper nutrition will speed up recovery and reduce the risk of more serious illness. It is important to consume a large amount of plant foods - vegetables, oils, as well as dairy products and fiber.

Question and answer

Which doctor should I contact if I suspect prostatitis?

Urologists deal with the diagnosis and treatment of prostatitis.

Is it possible to fully recover from prostatitis?

Depending on the form of the disease that occurs in a particular patient. Acute prostatitis, if a person consults a doctor in time and follows all recommendations for treatment, may soon pass without a trace. Chronic prostatitis, unfortunately, cannot be cured. However, the correct treatment tactics and a man's responsible attitude to the problem will significantly increase the chances of achieving long-term stable remission.

Chronic prostatitis can be defeated! To get quality care, don't delay treatment.