How to diagnose prostatitis? This question is often asked to doctors. According to doctors, the inflammatory process in the prostate gland can be detected only after a thorough examination.
An oral examination and physical examination are performed to make a diagnosis. In addition, the doctor prescribes instrumental and laboratory tests to the patient. Based on the information received, the final diagnosis is made and treatment tactics are selected.
Prostatitis can be treated with medication or surgery. The priority is always drug treatment. Surgery is prescribed only when an abscess, breast or other complications of the disease develop.
What are the symptoms of prostatitis?
Prostatitis is an inflammatory disease of the prostate gland. In this condition, the body may swell to size. As a result of the development of inflammatory processes, dysuric diseases occur, sperm quality decreases and sexual disorders develop.
How to diagnose prostatitis in men and distinguish it from other pathologies? Everything is very simple, because this disease has characteristic symptoms. Unfortunately, the disease can be asymptomatic for a long time, so it is often diagnosed at a later stage.
Thus, the following symptoms are typical of prostatitis:
- Dysuric diseases. The disease can manifest itself with frequent urination, occasional urination and even urinary retention. The patient suffers from a false urge to urinate at night. There may be a feeling of incomplete emptying after emptying the bladder.
- Painful feelings. Pain in the perineum with prostatitis. The severity of the symptoms increases during urination and sexual intercourse. Pain can radiate to the testicles, back and penis.
- Constipation. It is observed in the chronic form of congestive prostatitis.
- Sexual dysfunction. The patient's strength and libido decreases and premature ejaculation occurs. It happens that a man, on the other hand, has difficulty being a cum during sex. With prostatitis, the severity of orgasm decreases.
- Blood or mucus in the urine. In this case, there may be severe itching in the urethra during urination. These symptoms are observed in the bacterial form of the disease.
- Decrease in quantitative and qualitative parameters of sperm.
- Nausea, chills, fever, general weakness, body aches. These symptoms are characteristic of acute bacterial prostatitis.
Important!If you notice any of the above symptoms, you should contact your urologist immediately.
How is the diagnosis made?
Physical examination and oral questioning
Let's take a closer look at how prostatitis is diagnosed in men. The patient should first consult a urologist. The doctor should examine the patient's history and determine if the man has previously had chronic diseases of the genitourinary system.
First, a physical examination of the prostate is performed. The doctor taps a finger on the patient's anus and examines the diaper by touching it. It is very simple to distinguish a healthy prostate from a diseased prostate. If the organ is inflamed, on palpation the doctor sees that the pancreas has an edematous and heterogeneous structure. In principle, prostatitis can be diagnosed at this stage.
An oral survey is performed to obtain an accurate clinical picture. The urologist clarifies:
- What is the patient's lifestyle?
- How long ago did the symptoms of prostatitis appear?
- Do you have any infectious / viral diseases before?
- What is the patient's labor activity related to?
- Has the patient undergone pelvic surgery?
Important!In addition, your doctor may physically examine your scrotum. The doctor pays attention to the size, shape and consistency of the scrotum, as well as the mobility of the testicles.
Instrumental diagnostics are required to diagnose prostatitis. The main diagnostic measure is an ultrasound examination of the prostate gland (ultrasound).
Ultrasound is performed in several ways. The organ can be examined using the anterior abdominal wall or a special transrectal sensor. A more accurate clinical picture can be obtained with the help of a transducer.
Ultrasound can be additionally assigned:
- MRI of the prostate.
- CT examination of the prostate.
Important!If a benign / malignant tumor is suspected, a glandular biopsy may be recommended.
In case of prostatitis, it is important to pass a number of tests. Laboratory diagnosis will allow you to understand exactly what triggers the pathogenic processes in the glandular organ, and in this case, whether the prostatitis has a bacterial / infectious feature.
First of all, patients are prescribed a blood test for PSA - a prostate-specific antigen. Tests are needed to find out if you are prone to BPH / cancer. Normally, PSA levels should be zero.
In addition to the blood test for PSA, the following is recommended:
- Complete blood count.
- cytological, general and bacteriological analysis of urine.
- Take a swab from the urethra.
- Study of pancreatic secretion.
- PCR research.
Important!Based on the information received, the doctor can make a final diagnosis and therefore choose treatment tactics.
How to treat prostatitis?
How to detect prostatitis is very clear. Now consider the treatment options for prostatitis. So, as mentioned above, there are two ways to solve the problem - conservative or surgical treatment.
If prostatitis is accompanied by complications such as BPH, abscesses, urinary retention, anuria, stones in the gland, surgery is prescribed. Three main methods are used - prostatectomy, prostate resection and laser therapy.
Conservative treatment is preferred and is used in most cases. It provides:
- Lead a healthy lifestyle. The patient must understand that bad habits will slow down the healing process. You will have to give up smoking and alcohol once and for all.
- Balanced nutrition. It is important to follow a diet during urological diseases. It is recommended to exclude fatty foods, semi-finished products, fast food, fried foods from the diet. Carbonated drinks are prohibited because they cause intestinal irritation, which is not beneficial for prostatitis.
- Physiotherapy treatments. You can get rid of inflammatory processes with acupuncture, ointment, 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 perfect sex life (if possible). If a man abstains from sexual intercourse, he may get prostatitis again after therapy. With inflammation of the pancreas, sexual activity will be beneficial. The main thing is to use barrier contraception.
Alternatively, patients can use traditional treatments. But you must not forget that these are nothing more than a supplement. With inflammation of the pancreas, microclysters containing maple decoction, honey sbiten, chamomile are useful.