Common inspection methods include the following:
1. The prostate is plump, enlarged, soft, and slightly tender on digital rectal examination. "If the disease lasts a long time, the prostate gland will become smaller, harder, uneven in texture, and have small nodules.". At the same time, the method of prostate massage is used to obtain prostate fluid for a routine examination.
2. Prostate fluid examination: The white blood cells in the prostate fluid exceed 10 in the high magnification field of the microscope, and the lecithin bodies decrease. This can be diagnosed as prostatitis. If bacterial culture is conducted simultaneously, a clear diagnosis and classification of chronic prostatitis can be made. If the bacterial culture result of prostatitis fluid is positive, chronic bacterial prostatitis is diagnosed; On the contrary, it is chronic non bacterial prostatitis.
B-ultrasound examination shows that the boundary of prostate tissue structure is unclear and disordered, which can indicate prostatitis.
Through the above several examinations, we can make a diagnosis, differentiation, and classification of prostatitis. In addition, based on the results of the examination, a diagnosis of another type of prostate disease is made: prostate pain, which clinically has the symptoms of chronic prostatitis, especially in the pelvic and perineal regions. The prostate fluid examination is normal, and there is no bacterial growth in the culture. Therefore, as a specialist, we suggest that patients with symptoms of prostatitis should not blindly diagnose themselves, but should go to the hospital for corresponding examination and diagnosis to guide treatment and medication, reducing unnecessary waste.
(Intern Editor: Cai Junyi)