How to define prostatitis? This question is often asked of doctors. According to doctors, it is only possible to identify the inflammatory process in the prostate when doing a complete examination.
Verbal questioning and physical examination are performed 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 eliminated with medication or surgery. The priority is always drug therapy. Surgical interventions are prescribed only if abscesses, suppuration or other complications of the disease occur.
What are the symptoms of prostatitis?
Prostatitis is a disease in which the prostate glows. In that case, the organ may increase in size and swell. As a result of the development of inflammatory processes, dysuric disorders arise, the quality of sperm decreases and sexual disorders develop.
How to identify prostatitis in men and differentiate it from other pathologies? Everything is very simple, because this disease has characteristic signs. But, unfortunately, the disease can be asymptomatic for a long time, so it is usually diagnosed in later stages.
Therefore, the following symptoms are inherent in prostatitis:
- Dysuric disorders. The disease can be manifested by the frequent need to urinate, intermittent urination and even urinary retention. At night, the patient is plagued by a false desire to urinate. After emptying the bladder, a feeling of incomplete emptying may occur.
- Painful sensations. In 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 patient's potency and libido decrease and premature ejaculation occurs. It turns out that the man, on the contrary, has difficulty to come during sex. The severity of orgasm with prostatitis decreases.
- Blood or mucus in the urine. In this case, during urination, severe itching in the urethra may occur. These symptoms are seen in the bacterial form of the disease.
- Decreased sperm quantitative and qualitative parameters.
- Feeling nausea, chills, fever, general weakness, body aches. These signs are characteristic of acute bacterial prostatitis.
Important!If the above signs appear, you should contact a urologist immediately.
How is the diagnosis made?
Physical examination and oral questioning
Let's take a closer look at the question of how to identify prostatitis in men. The patient must first consult a urologist. The doctor should study the patient's history data and identify whether the man already had chronic diseases of the genitourinary system.
Initially, a physical examination of the prostate is performed. The doctor inserts a finger into the patient's anus and checks the gland with touch. Distinguishing a healthy prostate from a sick prostate is very simple. If the organ is inflamed, on palpation, the doctor notes that the pancreas is swollen and has a heterogeneous structure. In principle, prostatitis can be diagnosed at this stage.
To obtain an accurate clinical picture, an oral questioning is carried out. The urologist clarifies:
- What is the patient's lifestyle.
- How long ago were the symptoms of prostatitis?
- Have you had any infectious / viral illnesses before?
- The one related to the patient's labor activity.
- Has the patient undergone surgery involving interventions in Organs pelvic organs?
Important!In addition, your doctor may perform a physical examination of your scrotum. The doctor looks at the size of the scrotum, its shape and consistency, as well as the mobility of the testicles.
In order to identify prostatitis, instrumental diagnoses are required. The main diagnostic measure is the ultrasound examination (ultrasound) of the prostate.
Ultrasound is performed in several ways. The organ can be examined through the anterior abdominal wall or using a specialized transrectal sensor. A more accurate clinical picture can be obtained using the transducer.
In addition to ultrasound, the following can be prescribed:
- Magnetic resonance imaging of the prostate.
- Computed tomography of the prostate.
Important!If a benign / malignant tumor is suspected, a biopsy of the glandular organ may be recommended.
In the case of inflammation of the prostate, several tests are mandatory. The laboratory diagnosis will allow us to understand what exactly triggered the pathogenic processes in the glandular organ and whether prostatitis in this case has a bacterial / infectious character.
First, patients are prescribed a blood test for PSA - prostate specific antigen. The test is necessary to find out 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 cotton swab from the urethra.
- Search for pancreatic secretion.
- Search by the PCR method.
Important!Based on the data obtained, the doctor can make the final diagnosis and, consequently, choose treatment tactics.
How to treat prostatitis?
How to detect inflammation of the prostate is very clear. Now consider 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 used in the vast majority of cases. It provides:
- Leading a healthy lifestyle. The patient must understand that bad habits will delay the healing process. You will have to give up smoking and alcohol once and for all.
- Balanced nutrition. In the case of urological diseases, it is essential to follow a diet. It is recommended to remove fatty foods, semi-finished products, fast food, fried foods from the diet. Soft drinks are also prohibited, as they cause intestinal irritation, which is not useful for prostatitis.
- Physiotherapy treatments. You can get rid of inflammatory processes through acupuncture, moxibustion, electrophoresis, UHT, Thai massage. Prostate massage is also very useful.
- 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 abstains from having sex, he may return to prostatitis after undergoing therapy. Sexual activity with inflammation of the pancreas will be beneficial. The main thing is to use barrier contraceptives.
As an alternative, patients can use traditional methods of treatment. But we must remember that they are nothing more than an addition. With inflammation of the pancreas, decoction of aspen, honey sbiten, microclysters with chamomile are useful.