What are the symptoms of bacterial prostatitis?

Prostatitis is a male disease with a very high incidence rate. One type is called bacterial prostatitis. Obviously, this is caused by bacterial infection. The most common is infection with Escherichia coli. Others may be infections with Staphylococcus aureus and Proteus, etc. People who smoke and drink frequently, or men who have improper sexual life, are prone to bacterial prostatitis. So what symptoms will patients with bacterial prostatitis have?

Bacterial prostatitis symptoms:

Clinical manifestations

1. Acute bacterial prostatitis

The disease occurs suddenly, with chills and high fever, accompanied by frequent urination, urgency, pain and perineal pain. Dysuria or acute urinary retention occurs. Rectal examination shows that the prostate is swollen and full, with obvious tenderness, local temperature rise, and abscess formation with a fluctuating feeling. Acute pyelonephritis may occur at the same time as bloodstream infection.

2. Chronic bacterial prostatitis

Chronic bacterial prostatitis has recurrent lower urinary tract infection symptoms, such as frequent urination, urgency, pain, burning sensation during urination, dysuria, urinary retention, and swelling and discomfort in the posterior urethra, anus and perineum. The duration is more than 3 months.

Check

1. Regular examination of prostate massage fluid (EPS)

In normal EPS, the number of white blood cells is less than 10/HP, the lecithin bodies are evenly distributed, the pH is 6.3-6.5, and red blood cells and epithelial cells are rare or occasionally seen. When the number of white blood cells is greater than 10/HP, the number of lecithin bodies decreases, which has diagnostic significance.

2. Routine urine analysis and urine sediment examination

Routine urine analysis and urine sediment examination are auxiliary methods to exclude urinary tract infection and diagnose prostatitis.

3. Bacteriological examination

The "two cups method" or "four cups method" pathogen localization test is recommended for chronic prostatitis.

4. Other pathogen examinations

Includes testing for Chlamydia trachomatis and Mycoplasma.

5. Other laboratory tests

Prostatitis may cause abnormal semen quality, such as leukocytosis, semen liquefaction, hematospermia, and decreased sperm quality. In some cases of chronic prostatitis, PSA may also be elevated. Urine cytology is valuable in distinguishing bladder carcinoma in situ.

6. Ultrasound

Ultrasound examination of patients with prostatitis can reveal uneven prostate echo, prostate stones or calcification, and dilation of the venous clusters around the prostate. However, there is still a lack of specific manifestations for B-ultrasound diagnosis of prostatitis, and it is also impossible to use B-ultrasound to classify prostatitis.

7. Urodynamics

Uroflowmetry can help understand the patient's urination status and help differentiate between prostatitis and diseases related to urination disorders; urodynamics can detect bladder and urethral dysfunction.

8. CT and MRI

It has potential application value in identifying lesions of pelvic organs such as the seminal vesicle and ejaculatory duct, but its diagnostic value for prostatitis itself is still unclear.