Symptoms: How is prostatitis manifested?
All forms are more or less painful; there may be additional complaints and complications:
- Acute form: Typical are a very painful urinary urgency and difficult urination, pain in the perineal area and during bowel movements. At the beginning there is often blood in the urine. Those affected usually have a high fever with chills and feel really sick. As a complication, the infection may spread and it may cause inflammation of the bladder, epididymis, renal pelvis, abscesses to life-threatening septic shock (colloquially blood poisoning).
- Chronic form: Chronic prostatitis, regardless of whether germs are the trigger or not, is said to last for more than three months. Here, too, urinary symptoms and drawing, stinging or even dull pain in the area of the bladder, anus, perineum or pelvis, which can radiate into the back. However, the symptoms are usually less severe than the acute clinical picture. Some patients also complain of erectile dysfunction and muscle or joint pain.
Prostate Inflammation: How is the diagnosis made?
Often the doctor will already make the suspected diagnosis based on the symptoms described. In the palpation of the rectum, the prostate often feels enlarged and is very painful - especially in the acute infection.
The range of diagnostic options include urine examination (before and after a prostate massage), urethral swab, the search for signs of inflammation and germs in the blood, ultrasound examination (eg to exclude an abscess) and x-ray examination using contrast media (urography). Furthermore, functional measurements of the urinary bladder and its sphincters (urodynamics) are carried out in the pelvic chronic pain syndrome.