Chronic prostatitis examination and treatment methods

Chronic prostatitis has greatly restricted the physiological functions of many of us, and the treatment of prostatitis is also very difficult. The treatment process will be a slow and long process. At the same time, we also need to check in advance and prescribe the right medicine. Many of us may not know much about the examination and treatment methods of chronic prostatitis. Let us learn about the examination and treatment methods of chronic prostatitis.

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.

5. First of all, a clinical assessment should be conducted to determine the type of disease and select treatment methods based on the cause. Misunderstanding of the disease, unnecessary anxiety and excessive abstinence will aggravate the symptoms. Prostatitis may be a disease with mild or no symptoms, a self-limiting disease that can be relieved on its own, or a disease with complex symptoms that leads to urinary tract infection, sexual dysfunction, infertility, etc. The treatment of patients should avoid over-exaggerating the harmfulness of the disease to patients, and should also avoid taking a simple, negative, and blindly focused attitude towards antibiotic treatment. Individualized comprehensive treatment should be adopted.

The above content introduces us to the examination and treatment methods of chronic prostatitis. We should check our prostate problems in advance, understand the cause clearly and then prescribe the right medicine, so that we can more effectively help us treat our chronic prostatitis problems. I hope it can bring some help to everyone.