The course of chronic prostatitis

Chronic prostatitis different long and hard over, and in some patients for years, he proceeds without a clear clinical symptoms.
Divided into 3 stages:
I (stage alterativnyh changes)
II (stage of proliferative changes) and III (sclerosis of the prostate gland).
In I (alterativnoy) being most often the beginning of the disease indicates the appearance of pain in the rectum, perineum, lumbar-sacral region, in the testes Fire inguinal areas. At the same time can appear mucous discharge from the urethra, as well as frequent and painful urination, nocturia. Most patients note increased libido, increased frequency of spontaneous erections, decrease the duration of sexual intercourse, possible pain during ejaculation. Depending on the structure of the individual patient's awareness of their illness may impose one or the other mark on the further course of the disease and its complications.
Typically, patients with chronic prostatitis stage II on the background of persistent discomfort in the genital area is deteriorating overall health - drowsiness, weakness, fatigue, decreased libido, erectile dysfunction, dysfunction of the autonomic nervous system: sweating and hyperesthesia, vegetative dystonia.
The emerging psycho-emotional status makes it difficult to contact with the doctor, and sometimes with others, and suppresses his belief in the success of the frequently observed development of neuroses and neurosis-like states, may result in an asthenic syndrome, a syndrome of waiting, overvalued ideas syndrome, a syndrome of obsession, etc.
The clinical picture of disease in stage III acquire infravesical obstruction symptoms, although some patients may present symptoms characteristic of I and II stages of chronic prostatitis.
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