Prostatic cystic nodules

We often hear that many people develop prostate diseases when they get older, such as urinary tract infection, prostate urination obstruction, and various prostate problems. Some people are even troubled by prostate nodules. These male prostate nodules can be considered to be due to viral infection or squamous cell lesions, which lead to complications.

Acute Prostate Diagnosis and Treatment

1. Laboratory diagnosis: mainly prostatic fluid smear examination, which can be obtained by rectal massage. Normal prostatic fluid is light milky white with a protein luster, and the daily secretion volume is about 0.5 to 2 ml. Prostatic fluid is a part of semen, accounting for about 15% to 30% of semen, and its pH value is around 6 to 7, which is slightly acidic; when the inflammation is severe, the secretion is thick, the color becomes yellow or light red and turbid, or contains flocs, and may have sticky threads. The following components can be seen under a microscope:

(1) Phosphatidylcholine bodies: Phosphatidylcholine bodies are almost everywhere in normal prostatic fluid. When the prostate becomes inflamed, macrophages engulf a large amount of lipids, so the number of phosphatidylcholine bodies decreases. Therefore, the number of phosphatidylcholine bodies reflects the severity of prostatitis to a certain extent.

(2) Blood cells: Normal prostatic fluid contains very few red blood cells, which often only appear during inflammation. Excessive massage can also cause an increase in the number of red blood cells. Normal prostatic fluid contains scattered white blood cells, with no more than 10 per high-power field of view. During inflammation, due to poor drainage of the excretory ducts, piles of pus cells or red blood cells may be seen. If there are more than 10 to 15 white blood cells per high-power field of view under a microscope, prostatitis can be diagnosed.

2. Differential diagnosis: This disease should be differentiated from gonorrhea. Prostatitis can also cause frequent urination, urgency, and pain, but no urinary tract urination. Male prostatitis can be divided into infectious prostatitis and non-infectious prostatitis. The most common clinical type is non-infectious prostatitis, which is caused by chronic congestion of the prostate or some inappropriate stimulation. Chronic prostatitis has white exudate at the urethral opening at the end of urination, while chronic gonorrhea has white mucus at the beginning of urination. Prostatitis often causes swelling and discomfort in the perineum. Further examination requires the culture of prostatic fluid to confirm.