Prostatitis is a common and frequently occurring disease in young and middle-aged men, often caused by urethritis, seminal vesiculitis, or epididymitis. There are acute and chronic clinical manifestations, bacterial infectivity and non infectivity, specificity and non specificity. It belongs to the category of "suspended carbuncle, white turbid, labor drenching, cream drenching, and essence turbid" in traditional Chinese medicine. It can be completely asymptomatic and can also cause persistent or recurrent urinary and reproductive system infections.
The diagnosis of prostatitis is mainly based on medical history, digital rectal examination, and prostate fluid examination. However, in some cases, when unwilling or unconditional to undergo these examinations, B-ultrasound can also be used as an auxiliary basis for the diagnosis of prostatitis.
Acute prostatitis has three main characteristics on B-ultrasound images:
(1) There is a low echo halo around the urethra.
(2) The glandular parenchyma has uneven echo and multiple hypoechoic areas appear.
(3) There is anechoic area around the prostate due to congestion and swelling of the prostatic venous plexus. In addition, the prostate gland is slightly enlarged, and the capsule is sometimes blurred, but the morphology is still symmetrical.
The characteristic changes in B-ultrasound images of chronic prostatitis are not obvious, but in severe cases, the following manifestations are present:
(1) The prostate gland is not significantly enlarged, and its morphology is generally symmetrical.
(2) The capsule is thickened or irregular.
(3) The internal echo is uneven, with strong echo spots and low echo areas, often accompanied by prostate stones.
Expert reminder: If you find yourself suffering from symptoms of prostatitis, you should seek medical attention from a professional male specialist hospital as soon as possible to avoid incurring chronic diseases due to prolonged treatment.