The clinical symptoms of trichomonal prostatitis are roughly the same as bacterial prostatitis, and can manifest discomfort such as pain at the end of urination, dull pain in the perineum, and rectal bloating. During acute episodes, urinary tract irritation symptoms such as frequent urination, urgency, pain in urination, and even systemic symptoms such as fever can occur.
It is generally difficult for patients with trichomonal prostatitis to detect trichomonas in the outpatient clinic. Even if fresh urine or prostate samples are taken for microscopic examination, it often requires repeated attempts to detect trichomonas. Asking your spouse if they have a history of trichomonas vaginalis is very useful for diagnosis.
"Because trichomonas in men almost invariably come from the infection of women, while vaginal trichomonas testing for women is both convenient and accurate. Therefore, whether the man directly detects trichomonas or the woman has trichomonal vaginitis, both spouses should jointly take metronidazole orally for treatment.".
Mycotic prostatitis is a type of prostatitis caused by fungal (also known as fungal) infection. Although it has been reported in the literature, there are few cases of this disease.
The clinical manifestations of mycotic prostatitis are similar to bacterial prostatitis, and there is often testicular pain. In general, fungal prostatitis is often associated with other lower urinary tract infections, characterized by increased leukocytes in the urine, negative bacterial culture in the urine, and positive bacterial culture in the urine; A digital examination of the prostate and anus can reveal a hard and tender prostate.
Have symptoms of chronic prostatitis; Coccidiospora skin test was positive, and serum complement binding test was positive; "Or if mold is found in urine or prostate tissue culture, it can be diagnosed as mycotic prostatitis.".
The treatment of mycotic prostatitis can be treated with immunotherapy, such as transfer factors; Anti fungal therapy such as amphotericin B intravenous drip can also be used, which is effective in most cases.