Post Date December, 03 2023
Prostate diseases are rarely welcomed by men in early childhood, but as they mature and grow into the elderly, prostate problems gradually appear. This is because at a certain age, men's sexual maturity may suffer from some male diseases that can lead to prostatitis, and it is believed that men are very disgusted with diseases such as prostatitis, Because such a disease not only has a high incidence rate in life, but also has the characteristic of recurrent attacks, which is difficult to cure. Experts suggest that people must check and treat prostatitis in a timely manner when it occurs. Next, we will first learn about the examination methods of prostatitis.
Common diagnostic methods:
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.
4. Urodynamic examination: The main manifestations include decreased urinary flow rate, incomplete relaxation of the bladder neck-urethral sphincter muscle, and abnormal increase in the maximum urethral closure pressure.
In addition to clinical manifestations, digital rectal examination can touch the swollen and plump prostate, with significant tenderness. When there is abscess formation, both glandular lobes are asymmetric and may have localized fluctuations. During the acute phase, prostate massage should be avoided to prevent infection from spreading to the epididymis and testis, or bacteria entering the blood causing bacteremia. Urethral secretions can be smear stained for microscopic examination and bacterial culture. Microscopic examination of urine often involves more red blood cells or piles of pus cells. The first cup of urine in the three cup test was slightly mixed, and microscopic examination showed white blood cells. The second cup of urine was clear, without white blood cells. The third cup of urine was turbid, with a large number of white blood cells and pus cells.
Auxiliary examination of acute prostatitis
For patients with the above symptoms, a digital rectal examination is required. The prostate gland can be palpated as swollen, with a smooth surface, high tension, and significant tenderness. Acute prostatitis can only be examined by digital examination. Do not massage the prostate to prevent the spread of inflammation. Purulent cells and red blood cells can be seen on urine examination, and B-ultrasound examination is also helpful in diagnosis.
Auxiliary examination for chronic prostatitis:
For those with one or more of the above symptoms, perform digital rectal examination and touch prostate massage. Segmental localized culture of urine and prostate fluid is also valuable in the diagnosis of chronic prostatitis. When chronic prostatitis occurs, the pH of prostate fluid increases and the zinc content decreases, which is also helpful for diagnosis.
In short, when male friends find themselves suffering from prostatitis, they should not blindly choose treatment methods. The first thing to do is to cooperate with the doctor to perform the above examinations, and then go to symptomatic treatment, because such diseases are chronic diseases that are not easy to recover from. We hope that our patients can adhere to good treatment.
