How to check for prostatitis? How to confirm the diagnosis

If we want to determine whether we have prostatitis, we mainly need to conduct routine EPS examination, routine urine analysis and urine sediment examination, bacteriological examination and other examinations, but we still need to follow the doctor's advice on the specific content of the examination.

1. EPS routine inspection

Routine examination of EPS usually adopts wet image method and blood cell counting plate microscopy, the latter has better accuracy. The content of white blood cells in normal prostatic fluid sediment should be less than 10 per field of view under a high-power microscope. If the number of white blood cells in the prostatic fluid is >10/field of view, it is highly likely to be prostatitis, especially if fat-containing macrophages are found in the prostatic fluid, which can basically confirm prostatitis. However, the number of white blood cells in the prostatic fluid of some patients with chronic bacterial prostatic fluid may be less than 10/field of view; some normal men have more than 10 white blood cells in their prostatic fluid/field of view. Therefore, the examination of white blood cells in prostatic fluid is only an auxiliary method for bacteriological examination of prostatic fluid.

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-cup method or the four-cup method is commonly used. These methods are particularly suitable before antibiotic treatment. Specific methods: Before collecting urine, tell the patient to drink more water, and if the foreskin is too long, the foreskin should be turned up. After cleaning the glans penis and urethral opening, the patient urinates and collects 10ml of urine; after continuing to urinate about 200ml, 10ml of midstream urine is collected; then stop urinating, do prostate massage and collect prostate fluid; finally collect 10ml of urine again. Each specimen is examined microscopically and cultured separately. By comparing the number of bacterial colonies in the above specimens, it can be identified whether there is prostatitis or urethritis.

4. Other laboratory tests

Patients with prostatitis may experience abnormal semen quality, such as leukocytosis, semen liquefaction, hematospermia and decreased sperm motility.