Prostatitis is a common and frequently-occurring disease in men. Due to the unclear understanding of the causes of its onset, as well as its relatively special anatomical structure and its frequent occurrence in sexually active populations, its treatment is not easy. In daily life, it is often seen that patients with prostatitis cannot be cured after multiple treatments. In fact, with the continuous development of medicine, many methods have achieved significant therapeutic effects in the treatment of prostatitis. As long as patients establish the confidence to overcome the disease and cooperate closely with doctors, they can cure prostatitis and start a new life.
First of all, it is important to understand the medical history. Most patients have a history of urinary tract infection before the diagnosis of chronic prostatitis, and have experienced symptoms of urethritis such as frequent urination and painful urination. Some people have had some symptoms of chronic prostatitis that were misdiagnosed as an orthopedic or anorectal disease without being diagnosed.
Secondly, ask about symptoms. Although some patients with chronic prostatitis have only a single symptom or even no symptoms at all, most patients have two or more symptoms, which can be referred to as a syndrome of chronic prostatitis. Patients with prostatitis syndrome should be carefully examined, and even if one or more tests are negative, the disease cannot be easily excluded. Then a digital rectal examination is performed, with the doctor's finger inserted into the patient's anus for examination. The discovery of uneven and hard prostate surface with localized tenderness suggests prostatitis; The doctor also performs a prostate massage, and the number of white blood cells in the prostate fluid exceeds 15 per high-power field of vision, which is of diagnostic value. There are two points that need to be highlighted here:
1. Non specialist doctors often do not perform anal examinations for various reasons, and recklessly diagnose chronic prostatitis based solely on the subjective symptoms of patients. This is very harmful, not only causing many patients who are not suffering from this disease to take medication for a long time, causing great trouble and waste, but also subjecting them to the harm and mental pain caused by side effects of drugs.
2. A negative prostate microscopic examination cannot exclude chronic prostatitis because chronic prostatitis can be severe and mild, and the one or two drops of prostate fluid flowing out during the examination may not just be the secretion from the inflammatory lesion. Therefore, when patients develop chronic prostatitis syndrome, it is best to see a doctor at a urological specialist. If a prostate fluid test is negative, it may be advisable to review it once or twice over a period of time. Choosing a time when the symptoms are severe may be more beneficial for diagnosis.
In addition, for bacterial culture of prostate fluid, it is best to conduct segmented and localized culture of urine and prostate fluid. It is of diagnostic significance to detect the growth of pathogenic bacteria. At the same time, drug sensitivity testing is conducive to the selection of antibiotics. "If necessary, urography, urethroscopy, B-ultrasound, zinc content determination, and serum antibody testing can also be performed to help diagnose chronic prostatitis and identify predisposing factors for chronic prostatitis such as obstruction and stones.".
In summary, if the patient does not have urinary tract infections and systemic symptoms; Have symptoms of chronic prostatitis; Prostate fluid examination showed more than 15 white blood cells per high-power field of vision; Pathogenic bacteria grow in prostatic fluid culture; Can be diagnosed as chronic prostatitis. Those who meet the above criteria and only have no symptoms are referred to as latent prostatitis.
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.