The first signs of prostatitis, how to recognize the disease and what to do

Prostatitis is a disease that can strike any man suddenly.

The urinary tract passes through the prostate, which contributes to the manifestation of one of the first signs of the disease - difficulty urinating.

Prostatitis - the beginning

The onset of the disease is always associated with certain circumstances in our life.

There are several types of prostatitis:

  • Acute;
  • Chronic;
  • Infectious (bacterial);
  • Not infectious.
prostate change with prostatitis

The nomenclature, in this case, is binary, for example, infectious prostatitis can be chronic and acute.

Each type of prostatitis will have a different start and will be preceded by its own individual circumstances. Let's consider them.

Risk factors, circumstances of occurrence

  1. STDs. When infected with any sexually transmitted infection from a sexual partner, a man has a high chance of acquiring an acute infectious prostate, which can then become chronic. Thus, sexually transmitted diseases will be the first factor predisposing to prostatitis.
  2. Sedentary lifestyle, sedentary work, apathy for sports and morning exercises, obesity. This is the cause of non-infectious prostatitis, which can be exacerbated or with vague symptoms.
  3. Hypothermia - in this case, the genitourinary system suffers frequent attacks of cold, as a result of which the bladder, seminal ducts, prostate and testicles can become inflamed.
  4. It was. When a man reaches 40-45 years old, irreversible changes in the prostate begin. This is due to male menopause - a direct consequence of hormonal rearrangement in the body. The prostate grows (hyperplasia), which is accompanied (or can be accompanied by) the entire palette of symptoms of prostatitis.

Let's generalize again - these factors increase the chances of getting prostatitis tenfold.

malaise and headache with prostatitis

Next, we will examine the first signs of various types of prostatitis.

Attention, before starting the self-diagnosis when the first signs are detected, or in a panic, look for the doctor's contacts - pay attention to the risk factors above. Maybe you don't have prostatitis!


Acute process

Let's clarify that the first signs of acute prostatitis in most cases are similar in all patients:

  • Pain when urinating, burning afterwards;
  • Temperature increase;
  • After heroic emptying of the bladder, the patient feels that there is still urine in it;
  • Complaints of pain in the groin and perineum.

The pains start abruptly, problems with the bathroom too. This is due to the rapid increase in swelling of the inflamed prostate.

healthy and inflamed prostate with prostatitis

Symptoms may disappear on their own, but they do not create illusions: this does not mean that the disease has passed.

Prostatitis becomes chronic. It may take a long time (years) from the first signs of acute prostatitis to the onset of chronic prostatitis.

Chronic process

Perhaps the patient has not had a pronounced acute period and the disease, bypassing it, has become a chronic form.

In this case, the symptoms will be as follows:

  • Annoying pain in the anus after bowel movement, radiating to the coccyx;
  • Regular or irregular groin pain;
  • Going to the bathroom is not particularly difficult, but you need to push your stomach a bit to start urinating. The patient does not pay much attention to this;
  • Sometimes, after urination, there is a burning sensation in the urethra.

The first signs of chronic prostatitis can appear for a long time. They can disappear and make themselves felt again.

Infectious prostatitis

Often, with infectious prostatitis, the patient also has other sexually transmitted diseases.

Among the first plates, the following should be highlighted:

  • Cut in the urethra, blood in the urine;
  • Temperature increase;
  • Whitish urine (pus)
  • Frequent desire to use the bathroom.

The first signs of bacterial prostatitis are similar to those of acute prostatitis, since it often occurs precisely due to the action of an infectious agent.

pain in the lower abdomen in a man with prostatitis

Non-infectious prostatitis

After 40 years, the man may find the first signs of non-infectious prostatitis. It is not the bacterium's fault, it is just that the time has come.

The prostate enlarges, which may somehow manifest or may go unnoticed.

If a man is experiencing problems, they boil down to manifestations such as:

  • Difficulty urinating
  • Residual amount of urine in the bladder.
trouble urinating with prostatitis

If it causes inflammation of the prostate, pain, burning and possibly fever are added.

Any prostatitis has basic (main) manifestations in urination problems. The pain can be of different locations and intensities, burning at the end of urination and then can disappear.

Sexual problems occur in 99 out of 100% of cases, but this process takes time, taking several years or more.

Among the first signs is a weakening of urinary pressure. If you have to force your abdomen to start urinating (even if you don't pay attention to it), it's time to see a urologist.

This is the first sign of impending prostatitis.

What if you ignore all of these symptoms?

Let's say that acute prostatitis has gone by itself (let's imagine it has).

After several days of torment, we easily go to the bathroom again, and the burning sensation and pain left us.

The euphoria will not last long - chronic inflammation is linked to the prostate, so prostatitis will still remember itself.

This is not the worst, as you can live with these sensations. The important thing is what happens inside the prostate.

Let's remember what their function is - to maintain the vital activity of sperm.

Prostatitis inhibits and blocks this function. As a result of advanced prostatitis, the man may lose the ability to fertilize.

lack of potency in prostatitis

Another unpleasant consequence of advanced prostatitis is depression and a bad mood. Constant bathroom problems increase man's stress.

Incomplete emptying of the bladder leads to inflammatory processes in the bladder and other parts of the urinary system.

So don't be idle.

How is prostatitis detected?

At the first signs of illness, contact your urologist and tell us how you feel.

Prostatitis is diagnosed by history, rectal examination of the prostate and TRUS.

The other methods are used as adjuvants, to determine concomitant diseases or to exclude them.

You can diagnose at home. But prostatitis can be mistaken for inflammation of the urethra or bladder, so read the diagnosis of prostatitis carefully.


The treatment of prostatitis depends on its form.

The doctor's main tasks are:

  • Restoration of a normal ureter. This means that you need to reduce swelling, relieve muscle spasm and stimulate urine production and excretion.
  • Fight an infectious agent or physically eliminate the cause of prostatitis.
  • Relapse prevention (diet, lifestyle and good habits).
  • Stimulate prostate activity - rectal prostate massage.

You can also be treated at home, having previously arranged the treatment modalities with a urologist. For example, it is useful to place special microclysters with herbal decoctions.

To speed recovery, the doctor will prescribe physical therapy.