Post Date December, 03 2023
The diagnosis of acute prostatitis is generally not difficult, mainly based on medical history, symptoms, digital rectal examination, and routine blood and urine examination. Diagnostic points are:
1. Medical history: Before the onset of the disease, whether the patient had other systemic infections, such as skin suppurative infections, or upper respiratory tract infections, or a history of acute urethritis, as well as a history of urethral instrument operation.
2. Symptoms: Acute onset, whether there are high fever, chills, anorexia, fatigue, and other systemic symptoms, and local symptoms include frequent urination, urgency, pain in urination, and rectal irritation.
3. Laboratory examination: The white blood cells are generally between 15000 and 20000/cubic millimeter, with significant nuclear left shift. Urinary microscopy showed a large number of white blood cells and purulent cells, and urine pH>urine in the first cup of the three cup test showed debris and pyuria; The second cup is often clearer; The third cup is cloudy with debris and epithelial cells. Urinary secretion examination and bacterial culture can detect pathogenic bacteria, while prostate fluid examination and smear staining can often find a large number of white blood cells and bacteria.
4. Digital rectal examination:
① Catarrhal inflammation: The prostate can be normal or slightly enlarged, with tension, and local irregularities in one or both lobes.
② Follicular inflammation: The prostate has small induration, or the entire gland is swollen, soft and elastic, with positive tenderness.
③ Substantial inflammation: The prostate gland is significantly enlarged, hard, with high tension, and significant tenderness. Soft areas can also be felt locally, and pus can be discharged when gently pressed.
(Intern Editor: Cai Junyi)
