Prostatitis Diagnosis

Women have gynecological diseases, and men also have male diseases, such as prostatitis. It seems that all kinds of inflammation are difficult to treat. The common arthritis and gastritis we encounter can only be treated with maintenance. It takes a long time to eradicate them, and some may accompany you for life. Prostatitis can cause frequent urination and acute urination, which can hinder life. It is a painful disease for men. Here is an introduction to the diagnosis of prostatitis.

1. Introduction to prostatitis

Prostatitis refers to acute or chronic inflammation caused by specific or non-specific infection of the prostate, which results in systemic or local symptoms. Prostatitis can be divided into non-specific bacterial prostatitis, idiopathic bacterial prostatitis (also known as prostatitis), specific prostatitis (caused by gonococci, tuberculosis, fungi, parasites, etc.), non-specific granulomatous prostatitis, prostatitis caused by other pathogens (such as viruses, mycoplasmas, chlamydia, etc.), prostate congestion and prostate pain.

2. Diagnosis

1. Medical history: whether the patient has had any infection lesions elsewhere in the body before the onset of the disease, such as purulent skin infection, upper respiratory tract infection, etc., or a history of acute urethritis, and a history of urethral instrumentation.

2. Symptoms: The onset is acute. Systemic symptoms include high fever, chills, anorexia, fatigue, etc. Local symptoms include frequent urination, urgency, pain when urinating, and rectal irritation.

3. Laboratory examination: The white blood cell count is generally 15,000 to 20,000 per cubic millimeter, with obvious nuclear left shift. Urine microscopy can show a large number of white blood cells and pus cells, and the urine pH is >7. The first cup of the three-cup urine test contains debris and purulent urine; the second cup is often clearer; the third cup is turbid, with debris and epithelial cells. Examination of urethral secretions and bacterial culture can detect pathogenic bacteria, and smear staining of prostatic fluid examination often finds a large number of white blood cells and bacteria.

4. Rectal examination:

① Catarrhal inflammation: The prostate may be normal or slightly enlarged, tense, with one or two lobes partially irregular;

② Follicular inflammation: There are small nodules in the prostate, or the entire gland is enlarged, soft and elastic, tender and positive.

③Parenchymal inflammation: The prostate is significantly enlarged, hard, tense, and tender. Soft areas can also be felt locally, and pus is discharged when light pressure is applied.

The above is the introduction of the diagnosis of prostatitis. A neighbor suffered from prostatitis and was afraid to go out because he often went to the toilet, which was inconvenient. He took medicine and it improved after a period of time, so he stopped taking medicine. After some time, it became serious, and he took medicine again. It kept coming back and it was never cured. Therefore, male friends should pay attention to the protection of the prostate in order to avoid unnecessary trouble.