Features of different types of chronic prostatitis
These symptoms for many years does not manifest itself. Their manifestations depend on the duration of the disease, the stage of inflammation and its activity, as well as involvement in the inflammatory process of organs surrounding the prostate gland and the ensuing complications.
Only an experienced doctor can timely detect the disease even at an early stage and not allow it to develop and carry out the necessary remedial measures for speedy deliverance from disease.
The following types of chronic prostatitis:
1. Chronic bacterial.
2. Chronic abacterial (non-infectious) prostatitis (chronic pelvic pain syndrome):
- inflammatory pain syndrome in the pelvic region;
- non-inflammatory pain syndrome in the pelvic region.
Signs of chronic bacterial prostatitis
Chronic bacterial prostatitis is a long course disease, the clinical picture which is characterized by the sudden alternation of exacerbations and remissions. In bacterial prostatitis, the prostate gland secretion contains inflammatory cells and various bacteria.
Because of the frequent involvement of the inflammatory process in other organs, located in the urogenital system (urethra, bladder neck, VAS deferens, seminal vesicles) clinical manifestations of this disease is very diverse.
Various are the complaints of patients and objective symptoms of the disease detected in the physical examination (manual) survey and other research methods.
Subjective feelings range from a lack of any symptoms to the various manifestations of high intensity.
Often patients complain of frequent urination, discomfort in the urethra, premature ejaculation (ejaculation), rarely observed discharge from the urethra, especially in the afternoon under the influence of self-massage of the prostate gland, during exercise, walking or defecation.
Also in patients with chronic bacterial prostatitis are marked with different paresthesia in the perineum and in the rectum (i.e., feeling of heaviness, pressure and fullness), and in many patients these symptoms are aggravated by prolonged sitting, riding a bike, riding in the car, at work, etc.
Some men complain of pain of varying intensity in the perineum, which gradually passes into the penis, lower back, sacrum, scrotum, thigh. In rare cases, the pain is characterized by recurrent painful neuralgic attacks.
Disorders of urine outflow in chronic bacterial prostatitis can be different: rapid, labored, patients may experience a feeling of incomplete emptying of the bladder. For thisthe disease is characterized by and recurrent urinary tract infection.
Some men complain of mucus discharge from the urethra, hemospermia (appearance of blood in semen), painful ejaculation. In chronic prostatitis observed sexual disorders, including erectile dysfunction, decreased libido and premature ejaculation.
In patients of young age are often first showing of complaints of serious sexual dysfunction. Their character depends mainly on the duration of the disease.
In the first stage are usually observed frequent erections, especially at night) and the early ejaculation, decreased libido and weaker orgasms. Observed pain upon ejaculation and the secretion of a grayish color after defecation and urination.
These manifestations affect the health and psyche of the patients, draw their attention to their illness and contribute to the development of neurasthenia, anxiety and depression, which in turn greatly aggravate the course of chronic prostatitis. Suffering overall health of the patient, violated his work and sleep.
Some men there is subfebrile (fever) body temperature for a long time in the morning, afternoon and evening, which can be determined using a thermometer (set of methods of temperature measurement). Sustained low-grade fever in mild form of chronic prostatitis indicates the aggravation of the pathological process in the prostate by type parenchymatous and follicular inflammation.
Signs of chronic abacterial prostatitis
Abacterial (non-infectious) chronic prostatitis – chronic inflammation of the prostate gland, where secretions of the prostate are not detected bacteria. The development of abacterial prostatitis mainly occurs due to autoimmune destruction of the prostate tissue.
This form of prostatitis is the greatest difficulty both diagnostic and therapeutic plan. The origin of the abacterial prostatitis is still a lot of uncertain factors, which greatly complicate the selection of proper treatment.
Differences experienced doctors and now preserved in the assessment of the causes of the disease and adequacy of treatment.
One group of patients suffering from non-communicable chronic prostatitis, often complains of sexual dysfunction, which can indeed be detected by a significant decrease in reproductive function without apparent clinical manifestations from the prostate.
The other group of patients complain of dysuric disorders, pain of different localization and intensity (the so-called pelvic pain syndrome). Howeverthorough examination experts can detect only neurotic symptoms.
The pelvic pain syndrome is characterized exhausting monotonous pain, varying degrees of intimate dysfunction simulates a depressed emotional state.
Most often for men suffering from chronic prostatitis (pelvic pain syndrome), there are signs of asthenia (a painful condition that is characterized by increased fatigue) and anxiety. In period painsyndrome appears pronounced emotional decline.
Region of mental disorders is quite extensive: from complaints to anxiety or lack of sleep, decreased performance, increased irritability to vegetative changes (significant fluctuation of arterial pressure, labile pulse, etc.). Often fear, anxiety over their condition and the quality of life, depression, depressed condition manifested due to feelings of inferiority, loss of drive and interests.
Signs of non-inflammatory syndrome of chronic pelvic pain (prostatodynia)
Causes of prostatodynia as inflammatory syndrome is not clear. Prostatodynia, are presented patients have a reduced rate of outflow of urine. Psychological factors are often also involved in the pathological process of non-inflammatory syndrome, but doctors difficult to determine, they are the consequence or cause of the disease. In men with prostatodynia, are presented manifest the symptoms of anxiety and depression.
Medical study of the psychological profile of patients with non-inflammatory syndrome of chronic pelvic pain has been established:
- if a disturbance of the cerebral cortex and neuroses manifest signs of disturbance of the internal organs in 55% of cases;
- chemical dependency in 26% of cases;
- clear-cut depression;
- emotional decline in the period of the pain syndrome occurs in 19% of patients.
Stress is one of the main features of the pelvic pain and tension of the pelvic muscles.