"Science is an honest thing, and knowledge cannot be false at all." We must tell patients the truth, tell the truth, and use the truth, so that doctors and patients can work together to obtain the relatively best curative effect under the current medical level.
Tell the truth
Three conclusions about prostate massage and prostate fluid examination:
We have made a special presentation on prostate massage and prostate fluid examination before, but many patients still have doubts about it, which may be due to the fact that our reception staff did not fully understand the problem themselves, or did not explain the problem to the patients in advance.
When the patient has doubts about the above problems, our ex-post explanation is like covering up and sophistry, which greatly reduces the patient's trust in us. For this, we will give another special explanation. We hope that at the first visit, our reception staff can explain these problems to the patient clearly, just as the patient should explain the possible drug reaction before taking medicine, rather than explain it when it occurs.
conclusion
With regard to prostate massage and prostate fluid examination, after more than 20 years of clinical observation and clinical research, we have reached the following three conclusions:
1. Most prostate diseases are not suitable for massage. Frequent massage and improper manipulation may lead to aggravation of the disease.
2. The results of prostate fluid examination have reference value only when the white blood cells are outside the normal range, indicating that there is inflammation in the gland; In fact, white blood cells are within the normal range, or no white blood cells are found, which does not mean that there is no inflammation.
3. During the treatment, the change of prostate fluid test results cannot reflect the true change of the condition.
Not suitable for massage
Most prostatitis should not be massaged: if the prostate is not massaged for thousands, the finger will not become an "endoscope", and the accurate pathological changes of the gland cannot be obtained through the touch of the finger.
Prostate inflammation is not the inflammation of the whole gland, nor even inflammation of the whole gland. Many inflammation are focal inflammation, which is often accompanied by inflammatory secretion retention;
Complex prostate diseases, accompanied by cysts, calcifications, inflammatory induration, stones and other diseases, massage in this case, on the one hand, will allow the retention of inflammatory secretions to spread deeper inside, increase the risk of inflammation spread, and directly lead to aggravation of the disease;
On the other hand, repeated pressing and stimulation of chronic inflammatory lesions will turn the inflammatory lesions into inflammatory induration and accelerate the process of fibrosis. It is like a boil on the skin, which will turn into a knot after repeated extrusion. For inflammation caused by calcification and stone stimulation, repeated press stimulation will directly aggravate the disease.
So prostate massage is completely useless? Neither.
When it is confirmed that a large number of inflammatory secretions remain at the focus, and the glandular duct is relatively smooth and can drain normally, massage can promote the discharge of inflammatory secretions. Just as we squeeze out the pus from the suppurated boil, it will recover faster than natural drainage.
In fact, most of the inflammation of the prostate is chronic, and even is mainly caused by the slight inflammation caused by the stimulation of gland fibrosis and calcified tissue. In this case, repeated massage stimulation will only aggravate the disease, which can be said to be harmful without any benefit.