Normal amount of lecithin in prostatic fluid

Clinically, lecithin bodies are used as a way to judge chronic prostatitis. Generally speaking, after massaging the prostatic fluid, there will be several indicators, one is lecithin and the other is white blood cells. Normal people have more prostatic fluid and lecithin bodies. Therefore, if lecithin bodies are relatively scarce, prostatitis may exist. So, how much lecithin is normal in prostatic fluid?

Manifestations and symptoms

Generally, when the prostate is inflamed, the prostatic lecithin bodies will decrease to + or ++, the red blood cell count will be >6/HP, the leukocytosis may be >10/HP, and a large number of bacteria can be found in bacterial culture, with Staphylococcus being the most common, followed by Streptococcus, Gonorrhea, etc. Acid-fast staining can detect acidobacilli. In addition, during inflammation, the prostatic fluid is sometimes light yellow purulent or light red. When there is a trichomonas infection, trichomonas can be detected; when there are stones, calcium phosphate crystals can be seen; if there is prostate cancer, there may be bloody fluid, and a large number of red blood cells can be seen under microscopy, and tuberculosis can be seen in cancerous prostate tuberculosis. If a large number of sperm are found during the microscopic examination of prostatic fluid, it means that the specimen does not meet the requirements and must be re-sampled and sent for inspection according to regulations. The examination results are often related to the amount and thickness of prostatic fluid, the presence or absence of urinary tract infection or specimen contamination. Therefore, prostate endoscopy should be repeated three times to diagnose chronic prostatitis. Sometimes a routine urine test is performed before prostate massage. If the massage secretions flow out, a small amount of urine can be tested after the massage for comparison. However, the white blood cell count should be multiplied by the corresponding multiple according to the degree of dilution of the prostatic fluid to ensure the accuracy of the observation.

Common knowledge about prostatic fluid: In clinical practice, there are often some patients who have obvious pain in the lumbar and perineal regions, as well as frequent urination, painful urination, white urine and other discomfort symptoms, but the prostatic fluid test is normal. Can this be diagnosed as chronic prostatitis? This needs to be considered from several aspects.

(1) If the patient is an unmarried young person, prostate congestion may be considered. This is due to the lack of coordination between the production of prostate and seminal vesicle secretions and ejaculation in these patients, resulting in blockage of the prostate and seminal vesicle ducts and the above symptoms. This was previously known as congestive prostatitis.

(2) In some other patients, repeated examinations of prostatic fluid revealed no white blood cells, nor obvious pathological changes of infection. Cultures failed to detect bacteria, but they had varying degrees of frequent urination, dysuria, and difficulty urinating. They often had persistent changes in urodynamics, decreased maximum urine flow rate, and unstable and spastic urethral cystometry. These patients often did not have prostatitis, but rather had true, spastic pain in the urethral and prostatic muscles. During rectal examination, pressing the levator ani muscles and short hip rotator muscles on both sides caused tenderness, while the prostate was often normal and without tenderness. In the past, this syndrome was often referred to as piriformis and levator ani syndrome.

(3) For a small number of people, prostatitis is confined to certain glandular ducts or the inflammation is deep-seated and difficult to be discharged after prostate massage.

Dietary taboos

1. Avoid spicy food: Spicy and irritating food can not only cause congestion of sexual organs, but also aggravate the symptoms of hemorrhoids and constipation, compress the prostate, and aggravate urination difficulties.

2. Drink less coffee, eat less acidic foods such as citrus and orange juice, and eat less white sugar and refined flour. This can avoid repeated congestion of the prostate and bladder neck, which can aggravate the feeling of local bloating and pain.

3. As constipation may aggravate the symptoms of prostatic hyperplasia, it is advisable to eat more vegetables and fruits to reduce the occurrence of constipation. If necessary, take sesame seeds or laxatives such as hemp seed pills to help defecation.

4. Avoid eating rooster, cattle, sheep, dog, pig's feet, donkey, turtle, ginseng, deer antler and other tonic foods. In winter, you need to be moderate in your intake of tonic foods. In particular, you must avoid eating seafood such as shrimps and crabs. Avoid taking any tonic, hair-raising, or heat-inducing Chinese medicines.

You can eat fish, which is rich in amino acids and protein, which helps prostate recovery.