Prostatitis is a common disease in men, which poses a great threat to their health. Once prostatitis occurs, it should be treated immediately and the condition should not be delayed. Prostatitis can be divided into acute and chronic types. How can chronic prostatitis be diagnosed? This is not an easy task. Below, the editor will provide a comprehensive answer for everyone.
Firstly, it is important to understand the medical history. Most patients have a history of urinary tract infections, such as frequent urination and painful urination, before the diagnosis of chronic prostatitis. Some people have had some symptoms of chronic prostatitis, but were misdiagnosed as orthopedic or anorectal diseases without being diagnosed.
Secondly, it is necessary to inquire about symptoms. Although some patients with chronic prostatitis only have a single symptom or even no symptoms at all, most patients have two or even more symptoms, which can be called a syndrome of chronic prostatitis. Patients with prostatitis syndrome should be carefully examined, and even if one or more tests are negative, the disease cannot be easily excluded. Then, a digital rectal examination should be performed, and the doctor should insert his finger into the patient's anus for examination. Discovering uneven and hard surface of the prostate with localized tenderness indicates prostatitis; The doctor massages the prostate at the same time, and the number of white blood cells in the prostatic fluid pressed exceeds 15 per high-power field, which is of diagnostic value. There are two points that need to be emphasized here:
1. Non specialized doctors often do not undergo anal examination for various reasons, and hastily diagnose chronic prostatitis based solely on the subjective symptoms of patients. This is very harmful, not only causing many patients who are not affected by this disease to take medication for a long time, causing great trouble and waste, but also causing them to suffer from the harm of drug side effects and mental pain.
2. A negative prostatoscopy does not exclude chronic prostatitis. This is because chronic prostatitis can be sometimes severe and sometimes light, and one or two drops of prostatic fluid flowing out during the examination may not be the secretion of the inflammatory focus. Therefore, when the patient has chronic prostatitis syndrome, it is better to see a doctor in the urological department. If the prostatic fluid test is negative once, it may be better to recheck once or twice after a period of time. The recheck may be more helpful for diagnosis when the symptoms are serious.
In addition, for bacterial culture of prostatic fluid, it is better to conduct segmented localized culture of urine and prostatic fluid, and it is of diagnostic significance to find the growth of pathogenic bacteria. Simultaneously conducting drug sensitivity tests is beneficial for selecting antibiotics. If necessary, urography, urethroscopy, B-ultrasound examination, zinc content determination, serum antibody test, etc. can also be performed to help diagnose chronic prostatitis and identify the triggering factors of chronic prostatitis such as obstruction and stones.
In short, if the patient does not have urinary tract infections and systemic symptoms; Symptoms of chronic prostatitis; The number of white blood cells in prostatic fluid exceeds 15 per HPF; Pathogenic bacteria grew in prostatic fluid culture; It can be diagnosed as chronic prostatitis. Those who meet the above criteria and only have no symptoms are referred to as latent prostatitis.
Prostatitis poses a huge threat to men, and it is important to promptly diagnose and treat it. The diagnosis of chronic prostatitis must be carried out according to the above methods, and it is not advisable to diagnose the condition without examination, as this often causes dual physical and psychological harm to the patient.
(Intern Editor: Cai Junyi)