What tests are done for chronic prostatitis

The following are the examinations that need to be done for the prostate, including rectal examination, B-ultrasound examination, etc. You can only know by taking some prostate fluid for examination. In addition to basic examinations and treatments, you should also maintain a good lifestyle, eat a light diet, and exercise regularly. Chronic prostatitis needs good treatment, and it is still very important to maintain a good mood. Follow the doctor's instructions to take medicine and check on time. Morning jogging and climbing are all good for your health.

1. Rectal examination shows that the prostate is full, enlarged, soft and slightly tender. If the disease lasts for a long time, the prostate will become smaller, harder, uneven in texture and have small nodules. At the same time, the prostate massage method should be used to obtain prostate fluid for a routine examination.

2. Prostatic fluid examination If the number of white blood cells in the prostatic fluid exceeds 10 in the high-power field of view of the microscope and the number of lecithin bodies decreases, prostatitis can be diagnosed. If bacterial culture is performed at the same time, 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; otherwise, it is chronic non-bacterial prostatitis.

3. Ultrasound examination shows that the boundaries of the prostate tissue structure are unclear and disordered, which may indicate prostatitis.

After the above-mentioned tests, we can diagnose, identify and classify prostatitis. In addition, based on the results of the tests, we can diagnose another type of prostate disease: prostatitis, which has the symptoms of chronic prostatitis in clinical practice, especially obvious pain in the pelvic cavity and perineum, while the prostate fluid test is normal and no bacteria grow in the culture. Therefore, as a specialist, we recommend that patients with symptoms of prostatitis should not blindly diagnose themselves, but should go to the hospital for corresponding tests and diagnoses to guide treatment and medication to reduce unnecessary waste.

In addition to clinical manifestations, rectal examination can touch the swollen and full prostate, which is obviously tender. When abscess is formed, the two sides of the gland are asymmetrical and may have localized fluctuations. Prostate massage should be avoided in the acute stage to prevent the spread of infection to the epididymis and testicles, or bacteria entering the blood to cause bacteremia. Urethral secretions can be smeared, stained, microscopically examined, and cultured for bacteria. Urine microscopy often shows more red blood cells or piles of pus cells. In the three-cup test, the first cup of urine is slightly turbid, and white blood cells can be seen under microscopy. The second cup of urine is clear and has no white blood cells. The third cup of urine is turbid and contains a large number of white blood cells and pus cells.

Prostate disease is a common disease of the reproductive system in young men. In traditional Chinese medicine, it is classified as "stranguria, turbid semen, and turbid urine".

Prostate glands are classified into acute bacterial, chronic bacterial and non-bacterial types. The pathogenesis is bacterial infection; immune response to Staphylococcus epidermidis; arthritis, iritis, urethral instrumentation, catheter placement, upper respiratory tract, urinary tract infection, sexual function changes or improper diet, mood swings, damp heat, semen turbidity and rot, leading to gland inflammation and abscess. The typical symptoms of the acute phase are chills and fever, elevated body temperature, nausea and vomiting, frequent and urgent urination, painful and turbid urination, constipation, bloating and pain in the perineum and lower back, and prostate pain. The clinical manifestations of the chronic stage are dizziness, back pain, frequent and urgent urination, incomplete urination, mucus discharge after urination, decreased libido, impotence and premature ejaculation, and testicular swelling and pain.

Auxiliary examinations for acute and chronic prostatitis:

1. Auxiliary examination of acute prostatitis:

For patients with the above symptoms, rectal examination is required. The prostate can be felt to be enlarged, with a smooth surface, high tension, and obvious tenderness. Acute prostatitis can only be examined by rectal examination. Do not massage the prostate to prevent the spread of inflammation. Urine examination can show pus cells and red blood cells. B-ultrasound examination is also helpful for diagnosis.

2. Auxiliary examination of chronic prostatitis:

For patients with one or more of the above symptoms, rectal examination and prostate massage are performed. The segmented localization culture of urine and prostate fluid is also of certain value in the diagnosis of chronic prostatitis.

In chronic prostatitis, the pH of prostatic fluid increases and the zinc content decreases, which is also helpful for diagnosis.

I hope the above will be helpful to everyone. The items for prostatitis examination have been listed one by one for patients. Go to the hospital for examination as described above, but the specific situation still depends on the doctor's opinion. Extracting prostatic fluid for examination is very important for diagnosing prostatitis, and then B-ultrasound examination can know the condition of the prostate. Patients need to take medication and reexamination regularly, and follow the doctor's instructions.