Mycoplasma prostatitis positive reaction

If you find a positive reaction when you go for a prostate mycoplasma test, you will need to do further tests to determine the specific cause of your symptoms. If this is caused by prostatitis, you need to receive timely treatment to avoid clinical symptoms of prostate enlargement in the future, which will lead to the spread of infection.

1. Rectal examination

In type I prostatitis, rectal examination can reveal enlarged prostate, obvious tenderness, and increased local temperature. It should be noted that prostate massage should be avoided in acute prostatitis to prevent the spread of infection.

For type II and type III prostatitis, digital rectal examination can reveal the size, texture, presence of nodules, tenderness and its range and degree of the prostate, the tightness of the pelvic floor muscles, and tenderness of the pelvic wall. Prostate massage can obtain prostatic fluid for laboratory testing.

2. Routine examination of prostatic fluid (EPS)

EPS routine examination usually adopts wet image method and blood cell counting plate method 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 suspected to be prostatitis, especially when fat-containing macrophages are found in the prostatic fluid, prostatitis can be basically confirmed.

However, the number of white blood cells in the prostatic fluid of some patients with chronic bacterial prostatic fluid may be below 10/field, and the number of white blood cells in the prostatic fluid of some normal men is >10/field. Therefore, the examination of white blood cells in prostatic fluid is only an auxiliary method for the bacteriological examination of prostatic fluid.

3. Routine urine analysis and urine sediment examination

Routine urine analysis and urine sediment examination can be used to determine whether there is a urinary tract infection and is an auxiliary method for diagnosing prostatitis.

4. 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.

5. Other inspections

Patients with prostatitis may experience abnormal semen quality, such as leukocytosis, semen liquefaction, hematospermia and decreased sperm motility.

Ultrasound examination can reveal uneven prostate echo, prostate stones or calcification, and dilation of the venous clusters around the prostate.

Urine flow rate test can give a general understanding of the patient's urination status and help to distinguish between prostatitis and diseases related to urination disorders.