Post Date December, 03 2023
So, how to treat fungal prostatitis? Theoretically, because fungal infection of female vulva and vagina is a common infection that requires long-term sexual contact, fungi can be retrogradely infected to the forefront through male genitourinary tract and cause chronic prostatitis; In particular, some patients with chronic prostatitis, due to long-term use of antibiotics or repeated direct injection of antibiotics, glucocorticoids, etc. into the prostate, have dysbacteriosis and decreased immunity, thus increasing the incidence of fungal infection in the prostate. Diagnosis of fungal prostatitis Fungal prostatitis is often caused by systemic fungi: secondary infection, or infection from a woman, and rarely occurs alone. Its symptoms are sterile pyuria and common prostatitis symptoms. Urine culture is negative. Digital rectal examination shows that the prostate is hard and tenderness is obvious. Urine sporococcus culture is positive. Prostate puncture culture can find characteristic fungal spheres. At present, there is no diagnostic standard for fungal infection of the prostate. When people diagnose fungal infection of the urinary tract, they usually use urine to culture fungal colonies>10000/ml; Diagnostic criteria. Therefore, for those patients with chronic prostatitis who have been treated with antibiotics for a long time and have poor treatment effect, the possibility of prostate fungal infection, especially secondary fungal infection, should be considered. Treatment of fungal prostatitis For these patients, in addition to routine examination of prostate fluid and common bacterial culture, special attention should also be paid to observe whether there is fungal pseudohyphae in prostate fluid. If necessary, fungal culture of prostate fluid should be carried out. Once the diagnosis is established, broad-spectrum antibiotics should be stopped immediately, puncture and intubation should be stopped, and effective and sufficient antifungal drugs should be given. There are three main characteristics of acute prostatitis on the B-ultrasound image: 1. There is hypoechoic halo around the urethra. 2. The echo of glandular parenchyma is uneven, with multiple hypoechoic areas. 3. There is anechoic area around the prostate due to congestion and swelling of the prostatic venous plexus. In addition, the prostate is slightly enlarged, and the capsule is sometimes blurred, but the shape is still symmetrical. The characteristic changes of B-ultrasound images of chronic prostatitis are not obvious, but in severe cases, there are the following manifestations: 1. The prostate enlargement is not obvious, and the shape 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. 。
Therefore, for those patients with chronic prostatitis who have been treated with antibiotics for a long time and have poor treatment effect, the possibility of prostate fungal infection, especially secondary fungal infection, should be considered. Treatment of fungal prostatitis For these patients, in addition to routine examination of prostate fluid and common bacterial culture, special attention should also be paid to observe whether there is fungal pseudohyphae in prostate fluid. If necessary, fungal culture of prostate fluid should be carried out. Once the diagnosis is established, broad-spectrum antibiotics should be stopped immediately, puncture and intubation should be stopped, and effective and sufficient antifungal drugs should be given. There are three main characteristics of acute prostatitis on the B-ultrasound image: 1. There is hypoechoic halo around the urethra. 2. The echo of glandular parenchyma is uneven, with multiple hypoechoic areas. 3. There is anechoic area around the prostate due to congestion and swelling of the prostatic venous plexus. In addition, the prostate is slightly enlarged, and the capsule is sometimes blurred, but the shape is still symmetrical. The characteristic changes of B-ultrasound images of chronic prostatitis are not obvious, but in severe cases, there are the following manifestations: 1. The prostate enlargement is not obvious, and the shape 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. 。
3. There is anechoic area around the prostate due to congestion and swelling of the prostatic venous plexus. In addition, the prostate is slightly enlarged, and the capsule is sometimes blurred, but the shape is still symmetrical. The characteristic changes of B-ultrasound images of chronic prostatitis are not obvious, but in severe cases, there are the following manifestations: 1. The prostate enlargement is not obvious, and the shape 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. 。
