Acute Prostatitis Symptoms
October 16, 2009 by Prostate Dr.
We will now deal with the acute prostatitis signs and symptoms. In cases of hematogen origin, this disorderdoesn't provoke urinary tract pains. On the other hand, it starts with high fever, chills, nausea, vomit.
Prostatitis may occur in conjunction with epididymitis or orchitis, especially if caused by an Sexually Transmitted Disease, in which case symptoms of the accompanying condition may also be present.
The symptoms of acute prostatitis are as follows:
- In the follicular prostatitis stage, urine is cloudy because of the purulent secretion of the prostatic glandular epithelium and local manifestations predominate:
- sensation of heaviness in the perineal area
- rectal tension sensation
- miction disorders
- strong need to urinate
- increase in urination counts (every 1-2 hours)
- discomfort while urinating
- sometimes (rarely) the impossibility to urinate
- rarely, defecation disorders
If treatment is delayed, the heaviness sensation will turn into strong pains while walking and sitting.
- During the abscess stage, the local phenomenons increase in intensity: the pain is stronger and miction and defecation disorders increase in intensity. The urine, cloudy in the previous phase, will now turn clear and a complete retention is possible. General symptoms appear: fever, lack of appetite, etc. Left untreated, the abscess could open in the urethra or the rectum or infiltrate in the surrounding tissues, and evolve into periprostatitis.
- After opening in the urethra, pus will appear in the urethral meatus (meatus=opening). Spontaneous opening into the urethra can constitute sometimes, when the communication is large and the abscess is small, a way to cure by total emptying of the collection. If the communication is narrow, insufficient for emptying, then the evacuation is incomplete and the remaining cavities maintain a chronic prostatitis.
- The opening into the rectum could end in the same way as the urethral opening: spontaneous cure or chronic prostatitis.
- In the periprostatic phase, general acute prostatitis symptoms will re-emerge (high fever, chills, altered general state).
Generally, symptoms of acute prostatitis include the following:
- Low back pain
- Abdominal pain (above the pubic bone)
- Perineal pain (pelvic floor)
- Pain and burning urination (dysuria)
- Urinary retention (inability to completely empty bladder)
- Painfull bowel movement
- Painfull ejaculation
Additional symptoms which may be associated with this condition:
- Hematuria (blood in the urine)
- Hematospermia (blood in the ejaculate)
- Difficulty urinating
- Increased urinary urgency or frequency
- Decreased force of urinary stream
- Foul-smelling urine
- Pain in the testicles
There is (was) also another type of prostatitis, in older people. It would evolve in silence, without local or general reactions (like in adult cases) because of general weak reaction of the used body. Nowadays, these forms have dimished a lot because the ill come to the doctor and receive anti-inflammatory therapy, inexistent some 40-50 years ago: chimio- and antibiotherapy.
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