Post Date December, 03 2023
Due to the specific location of the disease, prostatitis can pose significant difficulties in diagnosis. Some people even find themselves experiencing symptoms of frequent or urgent urination and are embarrassed to go to a hospital for treatment, thus missing the best treatment opportunity. There are some misunderstandings in the diagnosis of prostatitis in real life, so let's take a deeper look at these misunderstandings!
Misunderstanding: Genital inflammation is all prostatitis
Case: A patient came to a clinic for treatment due to several small red papules on the glans. The doctor diagnosed it as "prostatitis" after a glance and prescribed "infusion" for a week. After treatment, the condition became increasingly severe. Not only were there many red papules, but there was also a white film on the surface. Later, the patient went to the General Hospital of the Beijing Military Region to seek medical attention before discovering that it was a misdiagnosis.
Urinary surgery experts analysis: Acute prostatitis often occurs when you are tired, catch a cold, ride a bicycle for a long time, drink excessively, have excessive sexual activity, suffer injury, or have weakened systemic or local resistance. The symptoms include high fever, frequent urination, urgency in urination, and pain in urination; Chronic prostatitis occurs repeatedly, with mild symptoms, and some may be asymptomatic at all.
Therefore, this is a typical misdiagnosis and mistreatment. Patients are actually infected with Candida albicans, commonly referred to as fungal infections, which are often caused by decreased resistance or the abuse of antibiotics. Inappropriate antimicrobial treatment will inevitably lead to increased infection.
Mistake 2: The prostate fluid collected from the anus
Case: A patient came to a clinic that specializes in prostate cancer, and the doctor asked for a laboratory examination. After putting on the gloves, the doctor inserted his index finger into the anus and pressed it twice, then wiped it with a cotton swab and took it to the microscope for examination. He said that the patient had typical prostatitis.
Urinary surgery expert analysis: There are three main steps in diagnosing prostatitis in a professional hospital. First, the doctor carefully asks the patient about the specific symptoms, then checks the prostate fluid, and finally tests the urine routine. The doctor will determine whether it is prostatitis based on the two test results.
The correct method for collecting prostate fluid is to perform a digital rectal examination, gently press the prostate from the rectum, and then receive and collect prostate fluid using a sterilized slide with the urethral orifice fully exposed. Therefore, the diagnosis of prostatitis as in this case cannot be accurate.
Misunderstanding Three Prostate Fluid Bacterial Culture Clinic
Case: When a considerable number of patients come to the hospital for treatment, doctors often do not first undergo a microscopic examination of prostate fluid (routine) when considering prostatitis. Instead, they first undergo bacterial culture of prostate fluid. As long as there is bacterial growth, they are diagnosed as bacterial prostatitis.
Urology expert analysis: This can cause many misdiagnosis situations. "When taking prostate fluid, it flows out of the prostate through the urethra. As long as there are bacteria in this process, they will be cultured.". But many of these are urinary tract resident bacteria, not pathogenic bacteria. As a result of bacterial culture of prostate fluid, many of them were found to be gram positive bacteria. Most researchers believe that gram-positive bacteria rarely cause bacterial prostatitis.
It is hoped that all men who suspect they have prostatitis should use the correct methods for diagnosis and avoid these misunderstandings, so that the diagnosis result is accurate and there will be no misdiagnosis. Once diagnosed, I want to go to a professional andrology hospital for treatment, which is the only way to avoid some serious injuries.
