The first signs of prostatitis in men

Prostatitis can affect potency or cause infertility. The success of treatment depends largely on how quickly treatment is started, so a man should pay attention to the first signs independently. Consider how prostatitis manifests itself in acute and chronic forms, as well as provide information on clinical manifestations and symptoms.

pain in a man with prostate

Signs of acute and chronic prostatitis

Acute prostatitis most often occurs in men of reproductive age who are sexually active. The first signs of the disease in this case appear suddenly, develop rapidly and can not go unnoticed.

With acute prostate, a man will feel:

  • sharp, often throbbing pain in the perineum;
  • temperature rise to 39 ° C;
  • pain when urinating.

With a disease, the focus of the inflammatory process on the prostate gland is wide, therefore, nearby organs may be involved in the pathological process. For example, prostatitis can affect the rectum, resulting in painful bowel movements.

Chronic prostatitis is most often diagnosed in men of retirement age. The disease can continue without specific symptoms. Sometimes patients complain to the doctor about burning or itching while urinating, notice mucous or purulent secretions from the glass of the penis. The pain in chronic prostatitis is either absent or insignificant, and the temperature rises to 37 degrees.

Initial symptoms

Doctors identify a number of manifestations that are considered the vanguard of the disease. They are the signal for a man to visit a doctor in the near future. The six symptoms listed below indicate a problem in the genitourinary system and are therefore combined into one group - dysuric syndromes:

  1. Urine is excreted in droplets, the husband makes an effort to do so.
  2. The plane is slow, the range is not more than 20 cm.
  3. Urine splashing, involuntary separation or cessation of flow.
  4. Frequent desire to use the toilet at night.
  5. Pain when urinating.
  6. Feeling of empty bladder.

If there is only one symptom - prostatitis, most likely, we are not talking. However, if a man can notice two or three signs in himself, this is a reason to consult a doctor. Most likely, an inflammatory process has started in the prostate.

groin pain with prostate

The doctor will make a more accurate diagnosis after rectal examination, TRUS, laboratory methods, which together constitute a comprehensive examination. Based on the results of these measures, treatment is also chosen, therefore self-medication is strictly prohibited.

Problems with urination can indicate prostate cancer, then therapy tactics will be fundamentally different.

Some manifestations are not always indicative of prostatitis; they may indicate any other inflammatory process in the genitourinary system. However, when they do appear, there is reason to be cautious. Think about how a man would feel if he had an inflammation in the prostate.

Violation of urination

In a patient with acute prostate, the urination process is disturbed. Normally, a man can feel up to 15 stimuli to alleviate a small need per day, this is due to the drinking regime. Average indicators - 4-5 times. However, with prostatitis, the appearance changes. A man may feel the urge twice as often, but the volume of urine will not increase. This means that the kidneys work smoothly, but the bladder walls are compressed by the prostate.

Narrowing of the prostatic urethra causes stenosis. It is a pathological condition in which a man feels severe pain while urinating. The development of ischuria is also possible (inability to go to the toilet).

Rising temperature

The first sign of acute prostatitis will be an increase in temperature to febrile levels (38-39 degrees). This symptom is particularly characteristic of purulent prostatitis and is a vanguard of septic shock. As a severe infectious process progresses, the body temperature can drop to 35-36 ° C.

In some cases, this condition can be life threatening. It is especially dangerous for men with diffuse intravascular coagulation syndrome (diffuse intravascular coagulation).

The appearance of blood in the urine

This symptom is most often detected in a laboratory study of urine, less often visually by man himself. This is a dangerous manifestation of prostatitis, which is very difficult to fight. The cause of hematuria (scientific name of the feature) can be:

  • the location of blood vessels in the area of the purulent-inflammatory process;
  • development of prostate cancer or adenoma;
  • trauma to the urethra or prostate on examination.

Also, such a manifestation is possible with calculous prostatitis, when stones and sand damage the glandular tissue. Fortunately for men, hematuria with prostate is very rare.

Groin pain syndrome

Acute prostatitis, as well as cases of complications in the chronic form, can be associated with pain of a different nature, from moderate to severe. This is not the first sign of prostatitis, but it can not be ignored. The following types of anxiety are distinguished:

  • shooting, sharp pain;
  • sensation of pain or pressure;
  • itching and burning (most often with chlamydial prostate).

In some cases, men may also feel pain in the anus. It grows with the stool, in the sitting position and disappears if the male is at rest.

Laboratory signs of the disease

It can be said that a man started prostatitis only after laboratory tests of blood and urine, as well as according to the results of ultrasound, CT, MRI and palpation. There are several known signs by which it is possible to create inflammation in an organ:

  • the appearance of leukocytes in the blood and urine;
  • identification of pathogenic microflora in urine and prostate secretions;
  • an increase in the number of leukocytes against the background of a decrease in the number of lecithin granules in the prostate fluid;
  • pain in the prostate area during rectal examination;
  • an increase in gland size in TRUS images, the presence of areas with increased echogenicity.

Also, the presence of inflammation in the body can be judged by other parameters - an increase in ESR in blood tests, a shift in the leukogram, the presence of immobile sperm in ejaculation.

Various bacteria can be found in the urine - Trichomonas, chlamydia, E. coli, etc.

Instrumental methods, in addition to TRUS, may include contrast-enhanced X-ray examination. In photos of the prostate in different projections, the signs of inflammation will be clearly visible - areas with disorders of tissue structure.


From a practical point of view, the following first signs of prostatitis are important for a man - urinary incontinence and pain in the perineum. If the temperature rises at the same time, we can talk about acute bacterial prostate.

In any case, you should make an appointment with a doctor, undergo an examination and only then begin treatment. It is forbidden to choose your own therapy, focusing only on unpleasant manifestations.