How to define prostatitis? This question is often asked of doctors. According to doctors, it is possible to identify the inflammatory process in the prostate gland only when undergoing a comprehensive examination.
Verbal questions and a physical exam are used to make a diagnosis. In addition, the doctor assigns instrumental and laboratory studies to the patient. Based on the data obtained, the final diagnosis is made and treatment tactics are selected.
Prostatitis can be removed 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 become enlarged and swollen. As a result of the development of inflammatory processes, dysuric disorders appear, the quality of spermatozoa 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, which is why it is often diagnosed in later stages.
So the following symptoms are inherent in prostatitis:
- Dysuric disorders. The disease can manifest itself by frequent urination, intermittent urination, and even urinary retention. At night, the patient is tormented by a false urge to urinate. After emptying the bladder, there may be a feeling of incomplete emptying.
- Painful sensations. With prostatitis, the perineum hurts. The severity of the symptom increases during urination and during sexual contact. The pain can radiate to the testicles, lower back, and penis.
- Constipation. Observed in the chronic form of congestive prostatitis.
- Sexual dysfunction. The potency and libido of the patient decrease and premature ejaculation occurs. It happens that a man, on the contrary, has difficulty cumming during sex. The severity of orgasm with prostatitis decreases.
- Blood or mucus in the urine. In this case, during urination, severe itching may occur in the urethra. These symptoms are seen in the bacterial form of the disease.
- Decreased quantitative and qualitative parameters of sperm.
- 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 made?
Physical examination and oral questions
Let's take a closer look at the question of how to identify prostatitis in men. The patient should first consult a urologist. The doctor must study the patient's history data and identify whether the man had chronic diseases of the genitourinary system before.
Initially, a physical exam of the prostate is performed. The doctor inserts a finger into the patient's anus and feels the gland. Distinguishing a healthy prostate from a diseased prostate is very simple. If the organ is inflamed, on palpation, the doctor notes that the pancreas is edematous and has a heterogeneous structure. In principle, prostatitis can be diagnosed at this stage.
To obtain an accurate clinical picture, an oral history is performed. The urologist clarifies:
- What is the patient's lifestyle?
- How long ago did the symptoms of prostatitis appear?
- Have you had any infectious / viral illnesses before?
- What is the patient's work activity related to?
- Has the patient had surgery that involves interventions on the pelvic organs?
Important!In addition, your doctor may perform a physical exam 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.
To identify prostatitis, instrumental diagnostics are required. The main diagnostic measure is ultrasound (ultrasound) examination of the prostate gland.
Ultrasound is performed in several ways. The organ can be examined through the anterior abdominal wall or with a specialized transrectal sensor. A more accurate clinical picture can be obtained using the transducer.
In addition to ultrasound, the following may be prescribed:
- MRI of the prostate.
- CT scan of the prostate.
Important!If a benign / malignant tumor is suspected, a biopsy of the glandular organ may be recommended.
In case of inflammation of the prostate, it is imperative to pass a series of tests. Laboratory diagnostics will make it possible to understand what exactly triggered the pathogenic processes in the glandular organ and whether the prostatitis has a bacterial / infectious nature in this case.
First, patients are prescribed a blood test for PSA-specific prostate antigen. The test is necessary to determine 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 is recommended:
- Complete blood count.
- Cytological, general and bacteriological analysis of urine.
- Taking a swab from the urethra.
- Investigation of the secretion of the pancreas.
- Investigation by PCR method.
Important!Based on the data obtained, the doctor can make the final diagnosis and, accordingly, choose the treatment tactics.
How to treat prostatitis?
How to detect inflammation of the prostate is very clear. Now consider the methods of treating prostatitis. So, as noted above, there are two ways to solve the problem: 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 preferable and is used in the vast majority of cases. Provide:
- Lead 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.
- Balanced nutrition. In case of urological diseases, it is imperative to follow a diet. It is recommended to eliminate fatty foods, semi-finished products, fast food, fried foods from the diet. Carbonated drinks are also prohibited, as they cause intestinal irritation, which is not helpful for prostatitis.
- Physiotherapy treatments. You can get rid of inflammatory processes by acupuncture, moxibustion, electrophoresis, UHT, Thai massage. Prostate massage is also very helpful.
- Avoid hypothermia, as it is the main cause of congestive prostatitis.
- Taking certain medications for prostatitis. Antibiotics, bioregulatory peptides, alpha-1 blockers, NSAIDs, antispasmodics, and phytopreparations are prescribed.
- Have a satisfying sex life (if possible). If a man refrains from having sex, he may get prostatitis again after undergoing therapy. Sexual activity with inflammation of the pancreas will be beneficial. The main thing is to use barrier methods of contraception.
Alternatively, patients can use traditional treatment methods. But you must remember that they are nothing more than an addition. With inflammation of the pancreas, aspen decoction, sbiten honey, microclysters with chamomile are useful.