Post Date April, 15 2023
How is prostatitis diagnosed
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.
3. B-ultrasound examination shows that the boundary of prostate tissue structure is unclear and disordered, which can indicate prostatitis.
Through the above several examinations, we can make a diagnosis, differentiation, and classification of prostatitis. In addition, based on the results of the examination, a diagnosis of another type of prostate disease is made: prostate pain, which clinically has the symptoms of chronic prostatitis, especially in the pelvic and perineal regions. The prostate fluid examination is normal, and there is no bacterial growth in the culture.
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. Manlong Liquid believes that prostate massage should be avoided during the acute phase 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.
Prostatitis is a common disease of the reproductive system in young men. Traditional Chinese medicine belongs to the category of "Lao Lin, Jing turbid, Bai turbid", etc.
Prostatitis is divided into acute bacterial, chronic bacterial, and non bacterial types. Its pathogenesis is bacterial infection; Staphylococcus epidermidis immune response; Arthritis, iritis, examination of urethral instruments, placement of urinary catheters, upper respiratory and urinary tract infections, changes in sexual function, or improper diet. Pleasure and anger can occasionally cause dampness and heat accumulation, infertility, and turbidity, leading to inflammation of the glands and abscess. The typical symptoms in the acute phase are chills and fever, elevated body temperature, nausea and vomiting, frequent urination, urgency in urination, pain and turbidity in urination, constipation, pain in the perineum and lower back, and swelling and pain in the prostate. The clinical manifestations of the chronic stage are dizziness, waist pain, frequent urination, urgency, incomplete urination, mucus excretion after urination, decreased libido, impotence, premature ejaculation, and testicular swelling and pain.
Prostatitis is characterized by complex symptoms, prolonged course, refractory, and easy recurrence. Traditional medicine uses the methods of clearing away dampness and heat, and clearing away heat, toxin, and gonorrhea, which can be effective.
