What should we pay attention to in the diagnosis of prostatitis? How to judge whether you have prostatitis? When going to the hospital, what tests should be done for the diagnosis of prostatitis. The diagnosis of prostatitis is the premise of the treatment of prostatitis. Now let's invite experts to explain the diagnosis of prostatitis in detail.
The diagnosis of acute bacterial prostatitis is very simple because of its obvious and typical clinical manifestations; The clinical characteristics of chronic prostatitis syndrome vary greatly and are uncertain. Many symptoms, signs and pathological examinations are often indistinguishable from those of chronic bacterial prostatitis, non-bacterial prostatitis and prostatalgia. Radiology and cystoscopy may be helpful for the diagnosis of prostatitis, but they are also uncertain.
Prostate histology is only required for some rare types of prostatitis, such as granulomatous prostatitis. Histological changes in chronic bacterial prostatitis have no specificity in determining inflammation as a bacterial cause. In the first group, 162 consecutive cases of benign prostatic hyperplasia were resected, and the incidence rate of prostatitis was 98%. There were 6 clear morphological types of inflammation, but there was no significant difference between positive and negative culture of bacterial infection of prostate. In most cases, the inflammatory reaction is localized, involving only a small part of the whole prostate, so prostate biopsy has little guiding significance in the treatment of prostatitis. Tissue culture of prostate biopsy specimens has little value in the diagnosis of chronic prostatitis.