Clinical significance and precautions of prostate diagnosis

Prostate problems are one of the diseases with an increasing incidence rate in recent years. It may be caused by dietary pollution and irregular work and rest schedules. Of course, a considerable reason is the burden on the prostate caused by external factors. Therefore, how to correctly judge and diagnose prostate problems is the key to timely detection and timely treatment of symptoms. So what we will introduce to you below is the method of diagnosis, focusing on the clinical significance and details to give some suggestions.

Digital rectal examination of the prostate is the simplest and necessary examination method for BPH. It is mainly to understand the shape, size, hardness of the prostate, whether the surface is smooth, whether there are nodules and tenderness, whether the central groove exists, becomes shallow or disappears, whether the gland is fixed, whether there is a twisting sensation when touched, etc. At the same time, it also understands the condition of the anal sphincter, rectum and seminal vesicle.

1. Clinical significance

Abnormal results: (1) Grade I hyperplasia: the prostate enlarges to the size of an egg. (2) Grade II hyperplasia: the prostate enlarges to the size of a duck egg. (3) Grade III hyperplasia: the prostate enlarges to the size of a goose egg.

Chronic prostatitis often presents focal changes. During digital prostate examination, irregularities of the prostate surface are often found, and localized hard nodules and localized tender areas can be felt. People who need to be examined: patients with prostatic hyperplasia and chronic prostatitis.

2. Notes

Unsuitable people: patients with anal injuries.

Taboos before examination: Prostate patients should empty their urine before examination.

Requirements for examination: The size of the prostate estimated by digital prostate examination is not necessarily its actual volume. For example, if the middle lobe is hyperplastic and the gland protrudes into the bladder, the prostate enlargement is not obvious during rectal examination. If the prostate is found to be hard and uneven, with suspicious nodules during rectal examination, it should be recommended to go to the hospital for needle aspiration cytology and other examinations to rule out prostate cancer, etc. At the same time, the contraction function of the anal sphincter should be checked, and attention should be paid to distinguishing it from neurogenic bladder and urethral dysfunction.

Therefore, diagnosis still plays an important role in the examination and diagnosis of prostatitis. It is one of the effective and convenient means of preliminary judgment and timely detection of symptoms. Of course, during the examination, you should try your best to cooperate with the doctor's operation in terms of posture, etc. It is best to lie in the knee-chest position. Standing examination is relatively difficult. In addition, for middle-aged and elderly people or those with more serious circumstances, it is generally sufficient to lie on your back.