What tests should be done for prostatitis

As men age, they not only face kidney failure, but also sexual dysfunction. The most troubling problem for men is prostate disease, because the prostate is one of the important urinary organs in the male body. Prostate problems will affect a man's urination ability, causing frequent urination and incomplete urination. So what tests should men with prostatitis take?

Examination items: Routine prostatic fluid examination, bacterial culture, B-ultrasound examination

Common examinations for prostatitis:

1. Rectal examination:

The prostate is full, enlarged, soft and slightly tender. If the disease lasts for a long time, the prostate will become smaller, harder, uneven in texture and have small nodules. At the same time, prostate massage should be used to obtain prostate fluid and perform a routine examination.

2. Prostatic fluid examination:

If there are more than 10 white blood cells in the prostatic fluid in the high-power field of view of the microscope and the lecithin bodies are reduced, it can be diagnosed as prostatitis. If bacterial culture is performed at the same time, a clear diagnosis and classification of chronic prostatitis can be made. If the bacterial culture result of the prostatitis fluid is positive, then chronic bacterial prostatitis is diagnosed; otherwise, it is chronic non-bacterial prostatitis.

3.B-ultrasound examination:

It shows that the boundaries of the prostate tissue structure are unclear and disordered, which may indicate prostatitis.

4. Urodynamics test:

The main manifestations include decreased urine flow rate, incomplete relaxation of the bladder neck-urethral sphincter, and abnormally increased maximum urethral closure pressure.

In addition to the clinical manifestations, rectal examination can touch the swollen and full prostate with obvious tenderness. When abscess is formed, the two lobes are asymmetrical and there may be localized fluctuations. Prostate massage should be avoided in the acute stage to prevent the infection from spreading to the epididymis and testicles, or bacteria from entering the blood to cause bacteremia. Urethral secretions can be smeared, stained, microscopically examined, and cultured for bacteria. Urine microscopy often shows more red blood cells or piles of pus cells. The first cup of urine in the three-cup test is slightly turbid, and white blood cells can be seen under microscopy. The second cup of urine is clear without white blood cells. The third cup of urine is turbid with a large number of white blood cells and pus cells.

Auxiliary examinations for acute prostatitis:

For patients with the above symptoms, rectal examination is required. The enlarged prostate can be felt, with a smooth surface, great tension, and obvious tenderness. Acute prostatitis can only be examined by rectal examination. Do not massage the prostate to prevent the spread of inflammation. Urine examination can reveal pus cells and red blood cells. B-ultrasound examination is also helpful for diagnosis.

Auxiliary examinations for chronic prostatitis:

For patients with one or more of the above symptoms, rectal digital examination and prostate massage are performed, and segmented positioning culture of urine and prostate fluid is used for the diagnosis of chronic prostatitis, which is also of certain value. In chronic prostatitis, the pH of prostate fluid increases and the zinc content decreases, which is also helpful for diagnosis.