Abacterial prostatitis (grade 3). Distinctive signs and methods of treatment of prostatitis at different stages

Prostatitis is an inflammation of the prostate gland. It is believed that it occurs in men aged 22 to 50 years - just during the period of active sexual life. Many are embarrassed to go to the doctor and prefer to hush up the problem, in cases it will not reach the last stage of prostatitis. Needless to say, in the end, you still have to go to the hospital, but you will spend much more money, effort and nerves to fight prostatitis than if you had done everything at the initial stage of prostatitis.

Yes, sometimes prostatitis does not manifest itself at all, and in this case it is quite difficult to identify it. However, the transition to different stages makes the disease more or less noticeable. We will talk about how the stages of prostatitis develop, what symptoms are characteristic for each stage, and how to treat inflammation of the prostate gland, we will talk right now. Be sure to stay with us!

The first stage of prostatitis

At this stage of prostatitis, the functions of the prostate gland are activated. Inflammation predominates here, but tissue regeneration occurs at the same time. At this stage of prostatitis, pain in the rectum, in the groin, lower back, perineum, and testicles can be observed. Mucous discharge from the urethra also occurs, urination becomes frequent and quite painful. The man often begins to feel the urge to empty the bladder, especially at night. There is also a decrease in erection, loss of interest in sex. At the same time, painful ejaculation may occur. As for well-being in general, it remains normal, unchanged. This stage of prostatitis lasts about 1-3 years, and during this time a man may not even be aware of the presence of prostatitis.

Second stage of prostatitis

At this stage of prostatitis, inflammation processes decrease, but this is not a good sign, because the results of these same inflammations, in combination with insufficient regeneration, lead to a violation of the anatomical features of the structure of the prostate. As a result, scars begin to develop. During this period, the vessels suffer quite strongly. Of the symptoms of this stage of prostatitis, painful urination, drowsiness, and too rapid fatigue can be distinguished. Changes also apply to erections. So, for example, it can persist after orgasm or, on the contrary, stop even before ejaculation. In general, during this period, sexual desire is very much reduced.

One of the signs of prostatitis at this stage can also be ... sciatica! Other important symptoms to watch out for are sweating and increased sensitivity of the skin around the perineum. In addition, men often have a heart rhythm disturbance, vegetovascular dystonia.

The third stage of prostatitis

At this stage, a chronic form of prostatitis develops. There is necrosis of the prostate tissue. The scars that formed in the second stage now compress the bladder. Because of this, not only pain can occur, but complete urinary retention can also occur. This is very dangerous, because there is a risk of developing pathologies in the kidneys and bladder. By the way, manifestations of sciatica at this stage of prostatitis are becoming more frequent, but sweating gradually disappears.

How to treat prostatitis?

Of course, you should not reach the third stage of prostatitis - you need to treat the disease immediately. When you go to a doctor and he diagnoses you with prostatitis, the main tasks of treatment will be reduced to the following:

eliminate the infection, if any;

restore the normal functioning of the muscles of the prostate gland, cleanse its glandular part and improve the functioning of the bladder;

improve blood circulation to restore prostate function.

Do not delay the treatment of prostatitis at an early stage and be healthy!

Chronic prostatitis is an inflammatory disease of the prostate gland. According to the severity, functional changes in the gland, there are 3 stages: initial, medium, severe.

The initial stage of prostatitis is characterized by primary changes in the prostate. Against the background of the development of the inflammatory process, tissue regeneration continues at this stage. Changes in the ducts are expressed slightly, which often allows the patient to lead a full life. However, the development of the disease leads to the formation of adhesions, circulatory disorders, and a general deterioration in well-being.

The reasons

The causes of the initial stage of prostatitis, depending on the source of inflammation, may be:

Infections (bacterial prostatitis): bacteria, streptococci, chlamydia.
Congestion, physiological features of the structure in the male pelvic organs (non-bacterial prostatitis).

According to the degree of damage, the duration of the course and the complexity of treatment, prostatitis is

Sharp.
Chronic.

Concomitant causes of the onset of congestion in the prostate gland are:

Age-related changes (decrease in testosterone levels, narrowing of the ducts, an increase in the body of the prostate gland).
Sedentary lifestyle.
Alcohol abuse, which leads to swelling, narrowing of the ducts.
Transferred chronic infectious diseases (tonsillitis, caries, bronchitis, infections of the genitourinary system).
Irregular sexual life.
Injuries of the perineum, the consequences of surgical interventions on the pelvic organs.
General hypothermia.
Intestinal disorders (constipation).
Weakening of immunity associated with stress, unhealthy lifestyle, smoking.

Symptoms

The initial stage of prostatitis is a signal of the onset of the inflammatory process. Initial symptoms:

Drawing pains in the perineum with localization in the scrotum, rectum, radiating to the leg, abdomen, lower back.
Sharp pains, burning during urination.
Sensation of incomplete emptying of the bladder. Frequent urination.
Difficulty in urination.
Violation of sexual functions: pain during intercourse, during ejaculation; decreased libido, weakened erection.
Discharge from the urethra.
The consequence of the above symptoms is depression, sleep disturbance, a general decrease in the quality of life.

In some cases, the disease is asymptomatic: pain occurs periodically, the clinical picture is not clearly expressed. As a result, the disease passes into the next stage, with more severe consequences.

Diagnostics

The complexity of identifying the initial stage of chronic inflammation of the prostate gland is due to the similarity of its symptoms with the symptoms of other diseases. Fever, malaise, the patient may associate with a cold; drawing pains in the perineum - with cystitis; radiating back pain - with osteochondrosis.

Do not rely on self-cessation of symptoms, the disease itself will not “resolve”. Only a qualified urologist can make a diagnosis based on an in-depth examination.

You must submit:

General urine analysis.
General blood analysis.
Bacterial culture of urine.
Prostate secretion analysis.
Analysis of the secret from the urethra.
Computed tomography of the pelvic organs.
PCR (Polymer Chain Reaction) - diagnostics.

In addition to general tests and studies, if cancer is suspected, the doctor prescribes additional studies:

Blood test for PSA (Prostate Specific Antigen). An increased content of a specific protein indicates a possible prostate cancer.
TRUS (Transrectal Ultrasound) of the prostate, performed by inserting an electronic probe into the patient's rectum.
spermogram.
Biopsy of prostate tissue (if cancer is suspected).

Having established an accurate diagnosis based on the anamnesis and research data, the doctor will prescribe a comprehensive treatment.

Treatment Methods

The initial stage of prostatitis includes drug therapy. The sooner treatment begins, the better the prognosis.

In case of bacterial infection, treatment with antibiotics, antibacterial, anti-inflammatory drugs, alpha-adenoblockers is prescribed as the main one.

Groups of antibiotics in the treatment of bacterial prostatitis are penicillins, cephalosporins (amoxicillin, biseptol). Treatment with antibiotics should continue for 5-7 days. Sudden discontinuation of tablets can lead to a loss of sensitivity of microorganisms to this type of antibiotic.
Alpha adenoblockers relax the smooth muscles of the bladder, normalize the sensitivity of the mucosa, reduce the frequency of urges (tamsulosin, doxazosin). When using these drugs, side effects may occur: blurred vision, lowering blood pressure.
Non-steroidal anti-inflammatory drugs reduce pain, reduce swelling (diclofenac, ibuprofen).

Physiotherapy procedures can alleviate symptoms, relieve inflammation - magnetic, ultrasound, laser therapy.
Prostate massage allows you to stimulate blood circulation, secretion of glandular secretions.

Non-traditional methods of treating prostatitis include:

Reflexology(acupuncture, acupuncture) allows you to influence biologically active points. As a result, blood circulation, metabolism are normalized, the general condition of the patient improves.
Apitherapy(treatment with bee venom and waste products of bees) stimulates the endocrine glands - adrenal glands, thyroid gland, gonads.
Hirudotherapy(treatment with leeches).
Balneotherapy(bathing in mineral springs) is a general tonic, has a beneficial effect on the nervous system.

Folk methods of treatment

At the initial stage of prostatitis, it is useful to combine the use of drugs with alternative methods of treatment. Herbal medicine involves the use of decoctions, tinctures, the use of microclysters. They are an additional method of treatment of chronic diseases of the prostate. Known for their ability to maintain immunity, have a bactericidal, sedative effect.

Ginseng boosts immunity, relieves inflammation.
St. John's wort has an antispasmodic effect, stimulates the production of male hormones.
Pumpkin seeds stimulate the production of zinc - a vitamin necessary to strengthen the genitourinary system.
Sagebrush is an effective antimicrobial agent. It is used as a decoction, microclysters.

Prevention

Prevention of prostatitis involves taking care of men's health before the first symptoms of the disease appear.

Healthy lifestyle. Good rest after work, fresh air, quitting smoking and alcohol strengthen the body's defenses, preventing infections.
Physical activity. Sports, outdoor activities help to improve blood circulation in the pelvic organs, the circulation of prostate secretion. Useful exercises to eliminate congestion: squats, "scissors", exercises on the press, walking.
Proper nutrition. Eating foods rich in fiber, lean meat, fish help eliminate constipation as a risk factor for prostatitis.
Regular sex life. The healthy functioning of the prostate gland is inextricably linked with the regularity of sexual activity. Frequent change of sexual partners, immoderation, irregularity lead to premature exhaustion of the nervous system, infection of the male urogenital area and, as a result, inflammation of the prostate gland.

The initial stage of prostatitis is a disease that should be taken seriously. Self-medication, a late visit to a doctor, can lead to serious problems: deterioration of health, development of the initial form into the stage of moderate, and then high severity.

If, at the initial stage, conservative drug treatment can be dispensed with, then a severe degree of the disease requires surgical intervention with a poor prognosis.

An important element of the male reproductive system is the prostate gland. Its function is to produce a secret (fluid) that ensures the mobility of spermatozoa in the seminal fluid.

The narrowing of the ducts leads to congestion in the prostate. The result of impaired blood flow, reproduction of microorganisms is an inflammatory disease - prostatitis.

There are different stages of prostatitis. They differ from each other in clinical symptoms and features of the course. The most effective is the treatment of the initial stage of the development of inflammation of the prostate gland. At this stage, the disease does not have time to greatly affect the functioning of the genitourinary system. The later a man with prostatitis turns to a doctor for help, the less his chances of a full recovery.

Prostatitis is an inflammatory process that has appeared in the prostate gland. More than half of the older male population is personally familiar with this disease. Doctors distinguish several forms of the disease, each of which proceeds in its own way. When making a diagnosis, urologists specify the type of prostatitis found in a patient. Inflammation can be bacterial or non-bacterial. Both pathologies negatively affect the functioning of the gland and neighboring organs.

The pathological process has 2 types of flow:

Spicy;
Chronic.

The initial symptoms of acute prostatitis appear from the first days of the disease. Their severity increases if a man does not try to cope with inflammation. The chronic course is characterized by the absence of obvious symptoms of malaise. Therefore, this form of prostatitis is usually detected during a routine examination by a urologist.

Acute prostatitis, even in the initial stage, gives vivid symptoms, while chronic prostatitis does not manifest itself for a long time.

Stages of chronic disease

Chronic prostatitis is divided into several stages, which follow each other if a man does not try to fight the disease. It can be latent for several years. In this case, the pathology is periodically exacerbated. Remission and relapse of the disease gradually replace each other.

It depends only on the actions of the patient how long he will treat the disease, to what stage it will be able to reach and whether he will be able to fully recover.

1 stage

The initial stage of the prostate is considered the safest for health. That is why doctors recommend starting treatment at this stage. But the difficulty lies in the fact that at the very beginning the disease does not cause much discomfort. A man does not even always know that he is sick. If for a number of reasons the patient could not overcome the pathological process in the prostate gland, he will move to a more difficult stage. And so it will continue until the causative agent of the infection is stopped by therapy.

Prostatitis of the 1st degree is characterized by such symptoms that will be mild:

Body temperature rises to 38 degrees. After some time, it can increase to the mark of 40 degrees;
Severe pain is felt in the area of the hip joints;
There is discomfort during bowel movements;
Member becomes more sluggish;
In the process of urination, you can notice mucus that does not have a color;
Pain appears during urination;
The urethra becomes more narrowed, so you have to strain to empty the bladder;
At night, frequent urges to the toilet begin to disturb;
Sexual intercourse becomes shorter.

All these signs are a good reason to visit a specialist. They will disturb a man up to 3 years. It is during this time that the course of the first stage of the disease is usually observed.

Symptoms of inflammation of the prostate will come and go, as at this stage the disease manifests itself in waves. It will seem to a man that the disease has receded, but after a while she again betrays herself.

Very often, patients do not finish the initial stage of inflammation in the prostate gland. Because of this, the disease becomes chronic. It is very difficult to deal with this form of pathology. Treatment will take a long time and will require large sums of money to be invested. At the same time, there is no guarantee that the disease will recede upon completion of the therapeutic course.

The urologist can identify the initial stage of prostatitis in a patient if he undergoes a series of diagnostic procedures. The disease is detected through such studies:

Palpation of the rectum;
Collection of secretions and sperm;
General analysis of urine and blood;
Sperm analysis;
Ultrasound of the prostate.

Analysis of the research results will allow the specialist to determine the disease and its cause. If the prostatitis turns out to be infectious, then the man will be offered to drink antibiotics and other drugs that help restore the affected prostate tissue and normalize its performance. A non-infectious form of inflammation also needs drug therapy. Such treatment will be based on immunomodulatory drugs, dietary supplements and rectal suppositories with anti-inflammatory action.

If the initial stage of the disease proceeds in a non-aggravated form, then the patient is additionally prescribed physiotherapy along with a diet.

At an early stage, inflammation of the prostate responds well to treatment.

2 stage

Prostatitis of the 2nd degree is accompanied by a temporary weakening of symptoms. Many men perceive this condition as recovery. They postpone visits to the doctor or stop paying due attention to therapy. But a decrease in the inflammatory process with such a diagnosis is a bad sign. While the first stage of the disease was going on, there was an increase in the size of the prostate due to the active division of its cells. As a result, scars form on the walls. Ruptures of blood vessels lead to disruption of the blood supply to the prostate gland.

The second stage of prostatitis is usually accompanied by such signs:

Violation of biological rhythms;
Nervousness;
Pain when urinating;
Failure of the heart;
Exacerbation of sciatica;
The disappearance of orgasm;
Lack of sexual desire.

At this stage of prostatitis in men, it is difficult to correctly determine the specific localization of the pain syndrome. Initially, pain is felt at the location of the prostate. After it spreads to all areas of the small pelvis.

Patients with stage 2 prostatitis are recommended to take immunostimulating medications and attend physiotherapy procedures. So that the situation does not become more complicated, they need to avoid hypothermia, give up bad habits and normalize nutrition.

It is very important to have a healthy lifestyle

3 stage

The third stage of the development of inflammation in the prostate gland brings the most problems. In this case, a man is diagnosed with a chronic form of prostatitis. At this stage, there is a serious change in the tissues of the prostate. They begin to die off quickly. The scars formed in the past stages strongly compress the bladder. This provokes the development of urinary retention, which is an extremely dangerous complication.

Prostatitis at 3 degrees of development leads to the appearance of pathological changes in the kidneys and bladder. The danger lies in the fact that they are irreversible. At this stage, men often complain of sciatica.

The last stage of the development of the disease has the following symptoms:

Frequent urge to urinate;
Severe pain during urination;
Weak urine flow;
Cutting in the region of the kidneys;
Lack of sensation of complete emptying of the bladder after going to the toilet.

The last stage of chronic prostatitis is considered the most dangerous. At this stage, the dying cells are replaced by connective tissue. This change leads to a decrease in the size of the prostate gland and narrowing of the urinary tract. Due to the fact that the system does not function properly, a man develops cystic formations. He also develops impotence.

Since in the last stages of the disease its symptoms are very pronounced, the life of the patient is greatly complicated. Constant pain haunts him day and night. Quite often, for the first time, men turn to a urologist precisely because of such obvious symptoms of prostatitis. But, since irreversible processes have occurred in the gland by this moment, doctors do not guarantee getting rid of the pathology even if the patient fulfills all their requirements. It is difficult for them to predict how inflammation will behave at a given stage of development.

If the case is severe, and antibiotics do not bring significant relief, then the patient is referred for surgery to partially or completely remove the prostate gland.

At stage 3, pain becomes severe, and changes in organs become irreversible.

Stages of acute illness

It is with acute inflammation in the glandular organ that prostatitis begins. It gradually escalates. The prostate gland is affected by an infection that develops safely in it with a weakened immune system. Chronic prostatitis is observed in those who could not cope with the acute form of pathology. In this case, the man will not feel the special symptoms of the disease until it is in the acute stage.

Inflammation of the prostate, which is caused by an infectious agent, manifests itself from the first days of the disease. Therefore, this form of pathology is diagnosed earlier than chronic. Acute prostatitis is characterized by slightly different stages of development. Doctors distinguish 4 degrees of the disease, which follow each other.

catarrhal stage

At this stage, the inflammatory process in the prostate begins. It spreads in the ductal tissues of the glandular lobules. There is swelling of the prostate, which continues to progress. At this stage, the man does not have purulent discharge, which could indicate an infection in the gland. He will be disturbed by other symptoms:

Frequent urge to go to the toilet;
Painful urination;
General weakness in the body;
Variable psycho-emotional state;
apathetic mood;
Irritability.

Another distinguishing feature of acute prostatitis at the 1st stage of development is an enlargement of the prostate gland. Although this symptom is also characteristic of the chronic course of pathology. The doctor will be able to notice this feature during the palpation of the problem area. Special analyzes allow to confirm the fears of a specialist. He must necessarily refer the patient to the delivery of prostatic secretion to study its composition. With prostatitis, an increased number of leukocytes will be found in the fluid. Also in the sample, the physician will detect impurities of pus and mucus.

Treatment of the catarrhal stage of acute prostatitis consists of taking a group of medications that suppress inflammation and reduce the severity of the main symptoms of the disease.

Massage with such a course of pathology is strictly prohibited, like many other similar physiotherapeutic procedures.

On average, the treatment of the initial stage of acute inflammation of the prostate gland takes about 2 weeks. During this time, the patient completely gets rid of the disease. The positive outcome of therapy is due to the fact that it was started before the moment when the pathology had not yet managed to lead to the development of irreversible processes in the organs of the genitourinary system.

Follicular stage

With the development of this phase of prostatitis, edema spreads to the follicles and excretory channels of the prostate. Its structures begin to squeeze neighboring tissues, which causes serious suppuration. Symptoms of the disease intensify and become more pronounced and noticeable. In this condition, men complain of the following signs of malaise:

Body temperature rises to 38 degrees and does not fall;
apathetic mood;
The appearance of pain in the groin area;
Spread of pain to the genitals, anal area and hip joint;
painful urination;
Pain in the head of the penis;
Defecation becomes more difficult;
The excretion of a minimum amount of urine.

When probing the problem area, you can detect an asymmetric increase in prostate tissue. While examining the results of a urinalysis, the doctor will detect the presence of an excessive amount of pus and white blood cells in the sample.

It is very important to start urgent treatment of the follicular stage of acute prostatitis, otherwise a malignant process may develop in the structures of the glandular organ.

If therapy is ignored, there is a risk of developing cancer

Parenchymal stage

The tissues of the prostate are subject to constant damage. Because of this, a large number of small pustules form in them. The urinary tract is further compressed. As a result, acute urinary retention is observed. Other symptoms of the parenchymal stage are the following conditions:

Painful defecation;
An increase in body temperature to 39 degrees or more;
Constant feeling of intense thirst;
Loss of appetite;
severe weakness;
Chronic fatigue;
Difficulty urinating;
Severe pain in the pelvis, anus and lower back;
Flatulence and constipation.

Impurities of abnormal mucus begin to appear in the feces, as inflammation affects the intestines. The gland becomes quite large, and its contours are blurred.

Stage of abscess formation

This stage of acute prostatitis is accompanied by a number of painful signs that prevent a man from leading a full life. They are more pronounced than at the initial stage of the development of the inflammatory process. At this stage, small pustules merge into a whole formation. Purulent masses quickly accumulate inside it. When it gets too big, it bursts. As a result, the accumulated pus comes out through the urethra. At the stage of abscessing, the patient is tormented by the following symptoms:

severe malaise;
Increase in body temperature up to 40 degrees;
Passivity to any actions;
Intense pain in the anus and genitals;
Difficulty in defecation and urination.

If a man in this condition is not given adequate treatment, he may die. It is very important to eliminate the abscess in order for the patient to feel better. Only then will the main signs of the disease begin to subside.

Complications

The sooner the treatment of prostatitis is started, the less harm the inflammatory process will bring to the body. That is why it is best to deal with the disease at an early stage. But not all men adhere to this recommendation, as many hope that the ailment will go away on its own. Because of this, the disease progresses and leads to the development of unpleasant complications. Neglecting the help of a specialist, a person faces the following consequences of untreated prostatitis:

The appearance of various inflammatory processes in the organs of the genitourinary system;
Decreased sex drive;
Psychological disorders;
Infertility;
Impotence.

It is not uncommon for men who have had prostatitis to have a normal erection. It is because of this that the sexual activity of the patient is significantly reduced. In some cases, the absence of ejaculation is considered as a complication. A man's penis may fall sharply. If such deviations are found, it is required to visit a specialist in order to find out the nature of the violation and find ways to get rid of it.

Do not forget that the inflammatory process can actively spread to neighboring tissues and organs. That is why, against the background of prostatitis, men additionally develop cystitis and urethritis. These diseases lead to a violation of the outflow of urine. The appearance of chronic incontinence is not excluded.

Impotence is perceived by men as one of the most severe complications of acute or chronic prostatitis. With such a deviation, the ability to excite disappears. This is due to inflammation, which interferes with the process of tissue nutrition. Edema does not allow the cavernous bodies to fully fill with blood. Medicine has learned to treat this complication with long-term drug therapy. However, not all patients who have completed such a course are satisfied with the result.

It is prostatitis that is called the main cause of the development of infertility of the 1st degree. In this case, a variant of the disease is considered, in which the composition of the seminal fluid changes. The secret changes its acidity and viscosity level. All these deviations are detected during the study of the sperm sample, which was submitted for analysis.

With the problem of infertility, men should contact an andrologist. It will help you choose the best treatment.

If prostatitis is severe, then it will lead to the appearance of infertility of the 2nd degree. This condition is not amenable to therapeutic treatment.

The psycho-emotional mood of a man suffers greatly due to inflammation of the prostate. Frequent failures in the intimate sphere make him worry. Against this background, depressions appear, which further worsen the general condition of the patient.

More than 30% of patients who have been diagnosed with prostatitis face psycho-emotional experiences. A psychologist helps them restore male libido, which was reduced due to stress.

Impotence and infertility are common complications of the disease

Remission of chronic prostatitis

If the treatment of prostatitis was started, the patient can achieve its remission. This is the name of the condition in which there is a significant weakening of the symptoms of the disease or their complete disappearance. Prostatitis in remission is fixed in most patients who have completed a full treatment course. This period varies from person to person. If a man does not adhere to the recommendations of a doctor, then after a while there will be an exacerbation of inflammation of the prostate. And then the patient will have to be treated again.

Kinds

Remission with prostatitis can be complete and incomplete. In the first case, after a full therapy, the man ceases to be disturbed by absolutely all the symptoms of the pathology. He forgets about them for a long period. Incomplete remission usually lasts no more than 3 months. During this time, the patient may complain of minor symptoms that characterize prostatitis. For example, many continue to experience painful urination and discomfort in the pelvic area.

Duration

Even experienced doctors sometimes find it very difficult to predict how long the remission will last for a particular person who has been treated for prostatitis. This indicator is individual. The duration of this period directly depends on a number of factors:

The causative agent of the disease;
General condition of the body;
The quality of treatment;
The severity of the disease;
Disease stage.

It also takes into account how conscientiously the patient follows the recommendations of the attending physician, which relate to the prevention of recurrence of prostatitis.

If a man fulfills all the requirements of a specialist and carefully takes care of his own health, then his remission can last several decades. Sometimes the disease completely recedes.

Forecast

If a patient who had to undergo treatment for chronic prostatitis begins to lead a correct lifestyle, take control tests and regularly visit his doctor, as well as take drugs to prevent the recurrence of inflammation of the prostate, then he will have a favorable recovery prognosis. In this case, the disease may never bother a person at all again.

Prostatitis is a painful disease that causes depression in men. This is a disease when the inflamed prostate (seminal) gland disrupts the normal functioning of the entire genitourinary system.

The disease affects more than a third of the male population of middle age (22-50 years). Most often, 40-45-year-old patients suffer from prostatitis.

Many of them are embarrassed by their disease and are in no hurry to visit a doctor. But it is dangerous to start the disease. At the first signs of prostatitis, treatment should be started immediately. At first, the disease may not manifest itself. But the subsequent transition from one stage to another makes prostatitis more noticeable. About what are the stages of prostatitis in men, how they are treated, you will learn from this article.

At this stage, the disease does not manifest itself clearly. And complex therapy will help to find it. Timely treatment in this case is safe. But if the disease is started, it can go into a chronic phase and become a threat to the development of prostate cancer.

The initial stage of prostatitis is characterized by the following symptoms:

body temperature rises to 37.5-38 °C. Later it can reach up to 40°C. This is a very common symptom;
pain in the hip joints;
severe pain during bowel movements;
flaccid member;
when urinating, colorless mucus may be released;
pain during urination;
the urethra is narrowed and you need to strain when urinating;
frequent (night) urges;
sexual activity decreases, may occur;
prolonged intercourse.

This condition can last up to three years. Symptoms come and go periodically. The patient thinks that the disease has receded and treatment is not necessary. But the disease will eventually return in the chronic phase. And the treatment will be expensive, long and painful. Therefore, it is important to undergo regular preventive monitoring by a specialist.

Diagnosis and treatment of the disease at stage 1

The initial stage of prostatitis treatment involves a complex. It consists of:

palpation of the rectum (rectal);
general analysis of blood and urine;
semen analysis;
collection of prostate secretion and sperm;
Ultrasound of the prostate.

Analyzing the obtained laboratory results, the doctor will identify the cause of the disease.

If it is infectious, antibiotics are prescribed. After the course of treatment, a re-diagnosis is necessary.

If the cause of the disease is non-infectious, the following drugs are prescribed:

rectal suppositories. Reduce inflammation of the prostate (suppositories Procto-Glivenol or);
alpha blockers. Contribute to a better outflow of urine and reduce unpleasant symptoms: Tamsulosin and Alfuzosin tablets;
medicines to boost immunity(if necessary): Anaferon or Immunal.

Sometimes it is useful to take safe and beneficial dietary supplements in combination with general treatment.

Second

At this stage, the disease "weakens" the grip - the inflammatory processes subside. Therefore, patients perceive this condition as the beginning of recovery. Unfortunately, reduced inflammation is a bad sign. The initial stage of the disease leads to active regeneration (division) of prostate tissue cells, and it increases in size, scars form on the gland. As a result of rupture of blood vessels, the blood supply to the gland is disrupted.

Symptoms of the second stage:

nervousness;
failure of biological rhythms, fatigue, sweating;
painful urination;
erection problems;
orgasm and sexual desire disappear;
pain during intercourse;
failure of the heart (vascular dystonia);
sciatica can be a sign of prostatitis.

At this stage, it is difficult to establish the localization of pain syndromes. At the beginning, pain sensations appear in the prostate, but then the pain manifests itself in the entire small pelvis. These symptoms make the patient irritable, withdrawn. Treatment at this stage includes physiotherapy and taking immunostimulating drugs.

The patient should be careful: avoid hypothermia, stop smoking and eat more vegetables and fruits.

Third

This stage is chronic. Prostate tissue begins to die. The scars formed on it during the second period put pressure on the bladder. Now urination becomes not only painful, but can also lead to urinary retention. These are dangerous symptoms, as irreversible changes (pathologies) will begin in the bladder and kidneys. Radiculitis at this stage is manifested more and more often. And sweating, on the contrary, decreases.

Symptoms of the third stage:

frequent (imperative) urge to urinate;
when urinating, severe pain is felt;
after emptying, the feeling of a full bladder does not go away;
the pressure of urine is very weak;
severe pain in the region of the kidneys.

The danger of the chronic stage is that the soft, dying tissues of the prostate are replaced by connective tissue and the gland decreases in size. There is a narrowing of the urinary tract. This can lead to cyst formation and impotence.

Untimely treatment of prostatitis leads to complications such as pyelonephritis (kidney deformity) and. Inflammatory processes occur in the testicles, which leads to infertility.

Treatment of the disease in the third stage is carried out only under the supervision of a doctor! Antibiotics are usually prescribed. In severe cases, surgery is performed to remove the prostate.

Spicy

Acute prostatitis is a lesion of the prostate of an infectious nature, characterized by purulent foci in the tissues of the gland.

Stages of acute form of prostatitis:

catarrhal (edema);
follicular (squeezing the follicles);
parenchymal (damage to gland tissue cells);
(purulent inflammation).

catarrhal

The mucous membrane of the urinary canals becomes inflamed and swollen, but there are no abscesses yet. The patient experiences:

rise in body temperature (38°C);
general weakness;
mood swings;
pain in the groin;
imperative pain symptoms.

In the secret of the prostate there are mucous formations. At this stage, therapeutic massage is prohibited (due to pain).

Follicular

Edema of the mucous membrane of the excretory canals leads to squeezing of the follicles and suppuration of the epidermal cells occurs. In this case, the patient experiences:

aching pain in the sacrum, genitals, anus;
body temperature - 38-38.7 ° C;
urination is painful and insignificant;
defecation is difficult due to pain in the anus;
the head of the penis hurts;
general weakness.

On palpation, an asymmetric enlargement of the gland is felt. There are many leukocytes and pus in the urine. Prostate massage is prohibited. Urgent medical treatment is needed.

Parenchymal

The process of damage to prostate tissue is already with the formation of purulent foci. Compressed urinary canals delay the outflow of urine, it becomes difficult to empty the rectum.

Symptoms of the parenchymal stage:

loss of appetite, lethargy;
body temperature rises to 39.5°C. Head spinning, nausea;
pain in the process of urination intensifies, urges become even more frequent;
defecation is accompanied by severe constipation and flatulence, mucus comes out;
in the rectum the pains become throbbing and intolerable.

Palpation determines a strong enlargement of the prostate. In the urine, an increased content of leukocytes and purulent formations remains.

Abscess

The process of pathological changes in the tissues of the prostate continues. Small and numerous pustular foci merge into larger formations. The filled purulent sac breaks, and the purulent masses enter the urinary canal.

Abscess symptoms:

weakness and physical passivity;
body temperature reaches 40°C;
in the genitals and anus, stable severe pain;
going to the toilet becomes very difficult.

Chronic

The chronic phase of the disease can last for a long time. 35% of the male population aged 22-60 years are prone to this disease.

Stages of chronic prostatitis:

infectious. Caused by infection with chlamydia, microplasma. Usually lasts two months;
non-infectious. It is caused by a violation of the anatomy of the prostate and a malfunction of the immune system. This stage can take a very long time. Laboratory tests often do not detect infection, but inflammation continues;
chronic pain in the pelvic area;
asymptomatic stage. The disease has no obvious symptoms.

Symptoms for all cases of chronic prostatitis:

passivity, lethargy and weakness;
increased body temperature;
aggression, nervousness (looping on your problem);
short-term pain (for no reason);
and penis (burning);
slight pain during bowel movements.

Symptoms during an exacerbation of the disease:

painful cramps in the genitals, in the small pelvis, in the anus;
the appearance of mucus in the urethra, an unpleasant odor;
frequent and painful urination;
pain during intercourse (during erection);
ejaculation is not controlled, the time of the act is reduced;
sweating;
insomnia, poor sleep.

At the first symptoms of the disease, it is important to immediately contact a urologist. Self-medication will only hurt, and the prostatitis will go into an exacerbated phase.

Remission

The chronic course of the disease is characterized by a period of remission. At the same time, there is a significant weakening of her symptoms, even their complete disappearance. Remission occurs in most men (up to 80%) with chronic prostatitis.

Types of remission:

incomplete. The tumor of the gland subsides. Lasts about three months. In this case, there is relief. Then the exacerbation of the disease begins;
complete. In this case, the symptoms disappear completely. This period lasts for a very long time.

Remission does not require special treatment. It is enough to follow medical recommendations:

do not overheat and do not freeze;
eliminate bad habits (if any);
be physically active;
streamline sexual contacts;
see a specialist regularly.

It is unlikely that you will be able to completely get rid of a chronic disease.

But the right treatment will help reduce the time of exacerbation, achieve normal urination, and restore an erection. Even after 10-15 years, you need to monitor your well-being and see a doctor (3-4 visits per year).

Medical supervision during remission is very important!

general information

Benign prostatic hyperplasia of the 1st degree is a significant increase in the size of the prostate. At the same time, it begins to put pressure on the urethra, thereby interfering with its normal functioning. As the disease develops, the following stages of BPH are distinguished:

1 stage. At this stage, the disease is just beginning to develop. It is characterized by frequent urge to urinate, especially this symptom is exacerbated at night. At the same time, there is a feeling that the urine did not come out in full. This stage of the disease is easily treatable if it is started in a timely manner. The patient recovers in a short time.
2 stage. Characterized by an increase in symptoms, a man should make an effort to urinate. Urine is excreted in extremely small quantities, the urge to urinate becomes more frequent. This form of the disease requires treatment with medications. If such therapy does not give the desired result, then surgical intervention should be resorted to.
3 stage. A severe form of the disease, which is characterized by damage to the upper part of the urinary tract. In this case, the patient loses the urge to urinate. This process becomes problematic and painful. The man has urinary incontinence. Stage 3 BPH requires immediate surgical intervention. It is not possible to cure it in other ways, that is, taking medications will not bring the desired effect.

Important to remember! If a man is diagnosed with benign prostatic hyperplasia of the 2nd degree, treatment should be started immediately! This will help to avoid more severe forms of the course of the disease.

Types of prostatic hyperplasia

By the nature of neoplasms that contribute to prostate enlargement, prostate adenoma of the 1st degree has the following features:

Glandular stromal hyperplasia of the prostate. It is the appearance of small single nodes that form in the glandular tissue. The danger of neoplasms of this type lies in the fact that the nodes grow very slowly. Therefore, the disease at an early stage is asymptomatic. If it is not detected in a timely manner, then stage 1 begins to move to the next stage, which requires more serious and long-term treatment.
fibrous hyperplasia. It begins to develop not only in the glandular, but also in the connective tissues of the prostate gland. The danger of this form of the disease lies in the fact that neoplasms tend to develop into a malignant tumor if timely treatment is not started.
Adenomyoma of the prostate. It is characterized by the formation of a tumor in the muscle tissue. A fairly rare form of the disease that can lead to kidney failure.
The growths increase more rapidly in men who have pelvic varicose veins (PVV).

Important to remember! In case of atypical urination, a medical examination is required! This will help to identify BPH in a timely manner and avoid unpleasant consequences.

Reasons for the development of the disease

The exact cause of benign prostatic hyperplasia has not yet been identified in urology. Many experts are inclined to believe that the disease develops against the background of hormonal changes due to age. Testosterone enters the prostate gland, transforming into a more active form. This process causes a gradual increase in the size of the prostate. Therefore, with age, a man needs to monitor his health more closely and regularly undergo preventive examinations.

There are a number of factors that contribute to the development of grade 1 BPH, namely:

genetic predisposition to the disease;
excessive consumption of alcoholic beverages, especially beer;
obesity;
the presence of spicy, salty and fatty foods in the daily diet;
VRVMT (varicose veins of the small pelvis);
severe hypothermia of the body;
infectious diseases of the genitourinary system.

If a man leads a healthy lifestyle and the above irritating factors are absent in it, then the risk of the disease is minimized.

Symptoms of the disease

Prostate adenoma of the 1st degree brings a lot of discomfort to a man, which interferes with normal life. The disease is accompanied by such unpleasant symptoms:

unusually frequent urge to urinate;
Urinary incontinence due to overfilling of the bladder.

The disease at an early stage of development does not cause any special painful sensations. Therefore, many men do not seek help from a specialist in a timely manner.

Diagnosis of BPH 1st degree

In order to establish the diagnosis of BPH, you need to consult a specialist. Modern urology offers the following ways to accurately identify the disease:

General urine analysis. Helps to detect inflammatory processes.
Blood test for PSA. It is required to detect malignant tumors in the prostate gland, as well as a predisposition to their appearance.
Ultrasound (ultrasound examination) of the prostate. Helps to see the residual fluid in the bladder.
Uroflowmetry. This study is aimed at assessing the degree of deviation of the outflow of urine. Its essence is to determine the rate of urine excretion.

The patient needs to control and calculate the number of urination per day. This will help the attending physician prescribe the most effective treatment, taking into account the individual characteristics of the course of the disease.

Based on the studies, the doctor determines the stage of prostate hyperplasia, after which the patient can immediately begin treatment.

Methods for the treatment of prostatic hyperplasia of the 1st degree

Hypertension and hypoplasia of the prostate gland is quite easy to treat at an early stage of development. In order to get rid of the disease, medication is prescribed. Treatment of BPH 1 degree is aimed at the use of such drugs:

Alpha blockers. This group of drugs is aimed at relaxing the muscles of the prostate gland, which makes it easier to excrete urine. In this case, the bladder is completely emptied. The disadvantage of using such drugs is the many side effects. The patient may experience dizziness, lowering blood pressure, headaches. Also, a man's potency decreases.
5-alpha reductase inhibitors. These drugs not only relieve the unpleasant symptoms that accompany the disease, but also contribute to the normalization of the size of the prostate gland if there is an underdevelopment or hyperplasia of the prostate. They prevent the activation of testosterone in the prostate. As for side effects, the patient may experience a deterioration in potency.

Prostatitis of the 1st degree is easy to cure if you strictly adhere to the prescriptions of the attending physician. If the tumor is malignant, chemotherapy procedures are required, which, unfortunately, have an emetogenic effect (cause vomiting).

Treatment with folk remedies

Prostate adenoma 1 degree can be eliminated with the help of alternative medicine. The main advantage of this effect on the disease is the complete absence of side effects and contraindications. There are many recipes for the preparation of medicines that help bring the prostate gland back to normal.

Pumpkin

The juice of this plant has a beneficial effect on the male body. For the treatment of stage 1 BPH, it is required to consume 1 glass of such juice with the addition of 1 tsp. liquid honey per day. Duration of admission should be about 3 weeks. After a while, the patient begins to feel much better. For greater efficiency, you can use pumpkin seeds 200 g per day.

Onion

To prepare a healthy infusion, you will need 1 medium-sized onion, which should be chopped in a blender or with a meat grinder. Pour the resulting slurry with 0.5 liters of boiling water, close the container with a lid and leave to infuse for 2 hours. After the time has elapsed, take 50 ml of the strained product 3 times a day.

Celandine

You should take 1 tbsp. l. dried chopped celandine herb, add 1 cup of boiling water. Leave to infuse for 2 hours. After that, the finished product should be used 1 tbsp. l. 3 times a day before meals.

Important to remember! Before using a certain alternative medicine, you need to consult your doctor! Perhaps he will suggest using it as an auxiliary method of influence.

Features of lifestyle during the treatment period

During the treatment of benign prostatic hyperplasia, a man must radically change his usual lifestyle. This will help a more dynamic recovery. The patient must adhere to the following rules:

reduce intimate relationships;
eliminate excessive physical activity, the load should be moderate;
avoid visiting public toilets;
try not to use public transport, especially for long distances;
reduce the amount of fluid consumed, especially before going to bed;
adhere to proper nutrition, which will prevent excessive accumulation of fluid in the body.

The prognosis for the treatment of prostate adenoma at an early stage of development is usually favorable. After passing the required therapy, you can return to your usual way of life for a man, excluding only bad habits from it. Modern methods of diagnosis and treatment contribute to a fairly rapid recovery.

Prevention of BPH

In order to avoid the occurrence of benign prostatic hyperplasia, certain preventive measures are required. They will help maintain men's health even in old age. To prevent BPH and other prostate diseases, the following rules should be followed:

Proper nutrition. It is required to completely exclude spicy, fatty, salty and spicy dishes from the diet. They negatively affect metabolism, and also delay the removal of fluid from the body.
Regular sex life. It has a positive effect on men's health, that is, a man does not face potency problems. Just remember that intimate relationships should be with a permanent partner.
Rejection of bad habits. Smoking and excessive drinking, especially over a long period of time, leads to prostate problems.
Physical activity. Promotes normal blood circulation, which will help to avoid varicose veins of the small pelvis.

Men should not forget about regular visits to the urologist for preventive purposes. This will help to identify male diseases in the early stages of development and start effective treatment in a timely manner.