Post Date April, 15 2023
Prostatitis diseases are divided into multiple types, and chronic prostatitis is divided into chronic bacterial prostatitis and chronic non bacterial prostatitis. Due to different causes and manifestations, it is a complex set of syndromes. To sum up, the clinical manifestations mainly include the following aspects:
① In terms of urination, there are frequent urination, urgency, pain in urination, burning urethra, incomplete urination, and sometimes difficulty urinating, and excessive nocturnal urination.
② Urethral Whitening: During the end of urination or defecation, white secretion drips out of the urethral orifice.
③ Pain: Due to persistent chronic inflammatory stimulation, there are severe tenderness and swelling sensations in the perineum, anus, and scrotum, and they can often radiate to the suprapubic, lumbosacral, bilateral groins, and perineum, as well as cause lower limb pain. The symptoms are generally more obvious in the morning.
④ Sexual function changes: premature ejaculation, ejaculation, decreased libido, or impotence. Some patients have ejaculatory pain and blood semen. Chronic prostatitis is an important cause of some infertility.
⑤ Neurasthenia: insomnia, dreaminess, fatigue, dizziness, lack of self-confidence, depression, and memory loss.
Diagnosis of Prostatitis
Our commonly used inspection methods include the following:
1. Digital rectal examination
The prostate is plump, enlarged, soft, and slightly tender. "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
Prostatitis can be diagnosed by having more than 10 white blood cells in the prostatic fluid and a decrease in lecithin bodies in the high magnification field of the microscope. 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
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. We suggest that patients with symptoms of prostatitis should not blindly diagnose themselves, but should go to the hospital for corresponding examinations and diagnoses to guide treatment and medication, reducing unnecessary waste.
