Post Date April, 15 2023
"Only after we truly understand prostatitis can misdiagnosis occur during the treatment process. In order to avoid the harm caused by misdiagnosis, we must go to a regular hospital for examination. According to surveys, many patients in our lives experience misdiagnosis when they experience chronic prostatitis, leading to such diseases that are often not treated correctly.", "Diseases often fail to recover, causing patients to experience more pain and suffering. What are the diagnostic misunderstandings of chronic prostate patients?"? Let's wait and see what the editor has to say.
What are the misunderstandings in the diagnosis of chronic prostatitis?
1、 The concept of chronic prostatitis and prostatic hyperplasia is easily confused
Clinically, patients and even doctors often confuse the two. Chronic prostatitis and benign prostatic hyperplasia are both common diseases in men, with the onset organs located in the prostate. The clinical manifestations may include frequent urination and urgency of urination, but they are two diseases with completely different etiology, pathology, and nature.
2、 Mistakes in the diagnosis of chronic prostatitis and countermeasures
（1） Asking for medical history is too simple
Medical history may become an important clue for diagnosing CP and must be taken seriously. Non specialist doctors often collect unknown medical histories of symptomatic patients, and even diagnose CP based on a few symptoms such as frequent urination, white urine dripping, and perineal pain. They also do not pay attention to NIH-CPSI symptom scores. In fact, many medical histories may become important clues to CP. Men rarely develop simple urethritis, and a history of recurrent urinary tract infections may be chronic bacterial prostatitis (CBP). People with a history of sexually transmitted diseases should attach great importance to the possibility of post venereal prostatitis. Attention should also be paid to the spouse's medical history, such as fungal vaginitis, trichomoniasis, etc. The male partner should undergo further examination. Occupational history is also important, and drivers who drive for a long time may indicate CPPS due to prostate congestion. "If there is a history of taking antibiotics that is not effective for a long time, it may be CPPS.". Drinking alcohol and taking spicy food for a long time are the inducements for the aggravation of prostatitis.
（2） Ignore physical examination
Many doctors diagnose CP solely on the basis of increased white blood cells in prostate fluid, but lack comprehensive and detailed physical examination. The lower finger of the prostate during digital diagnosis can be very helpful for the diagnosis of CP, such as increased hardness, uneven surface, induration, and tenderness of the prostate gland in patients with chronic bacterial prostatitis (CBP). In chronic pelvic pain syndrome (CPPS), the glands are plump, slightly larger and softer, and the tenderness is not significant. Of course, when considering acute prostatitis (fever, obvious urinalgia, elevated blood count, etc.), anal diagnosis is contraindicated. During physical examination, attention should also be paid to the presence of swelling and painful nodules in the epididymis, absence and beaded changes in the vas deferens, presence of varicocele, and presence of infections in other areas such as the mouth and skin. These can provide clues for the diagnosis and differentiation of CP.
"After reading the introduction to this article, we have gained an understanding of the diagnostic misunderstandings of chronic prostatitis. We hope that in the future, people can correctly view this disease and avoid misdiagnosis when it occurs. Misdiagnosis can delay the treatment of the disease, so it is also necessary to understand the basic knowledge of chronic prostatitis.".
