Bacterial prostatitis is the inflammation of the glands and glands caused by bacteria or their toxins. Acute bacterial prostatitis is a rare type of prostatitis. Acute onset, high fever, frequent urination, urgency of urination, and pain in urination. In the examination, compared with other prostatitis, it has more obvious characteristics.
1. Physical signs
(1) The lower abdomen tenderness is positive, and there is purulent secretion in the urethra.
(2) The digital examination of the rectum showed that the swelling of the prostaglandins was obvious, the surface was smooth and regular, and the tenderness was obvious. If there was a sense of fluctuation, it was abscess formation, and sometimes there was redness and tenderness in the perineum.
2. Laboratory inspection
(1) Blood routine test: white blood cell count and neutrophil count increased.
(2) Urinary routine: the routine urine of acute prostatitis caused by hematogenous infection can be normal; When prostatitis is caused by urinary tract infection, there are inflammatory changes in the urine.
(3) Prostate fluid examination: lecithin decreases or disappears, and there are more than 10 high power fields of purulent leukocytes.
3. If the symptoms last for more than 1 week, the white blood cell count will increase rapidly, the perineum and anus will swell and pain violently, and the symptoms of lower urinary tract will worsen.
In general, the prostate capsule of patients with acute bacterial prostatitis can pass through the antibiotic for treatment, and most of them can reach the effective treatment concentration. Therefore, acute bacterial prostatitis can be cured, and does not change into chronic prostatitis; If the treatment is not timely or improper, acute bacterial prostatitis will develop into acute urinary retention and prostatic abscess.