Post Date December, 03 2023
If a male friend unfortunately suffers from prostatitis, he/she needs to hurry up and go to the hospital for treatment. It is important not to avoid medical treatment. So, what physical examination items are needed for prostatitis? Below, experts will answer for you.
1. Prostate fluid examination: There are more than 10 white blood cells in the prostate fluid in the high magnification field of the microscope, and there are fewer lecithin bodies, which can be diagnosed as prostatitis. If bacterial culture is conducted simultaneously, a clear diagnosis and classification of chronic prostatitis can be made. If the bacterial culture result of prostatitis fluid is positive, chronic bacterial prostatitis is diagnosed; On the contrary, it is chronic non bacterial prostatitis.
2. Intestinal digital examination: The prostate is plump, enlarged, soft, and slightly tender. "If the disease lasts a long time, the prostate gland will become smaller, harder, uneven in texture, and have small nodules.". At the same time, the method of prostate massage is used to obtain prostate fluid for a routine physical examination.
3. B-ultrasound examination: It shows that the boundary of prostate tissue structure is unclear and disordered, which can indicate prostatitis.
4. Urodynamic examination: The main manifestations include decreased urinary flow rate, incomplete relaxation of the bladder neck urethral sphincter muscle, and abnormal increase in the maximum urethral closure pressure.
In addition to clinical manifestations, digital rectal examination can touch the swollen and plump prostate, with significant tenderness. When there is abscess formation, both glandular lobes are asymmetric and may have localized fluctuations. During the acute phase, prostate massage should be avoided to prevent infection from spreading to the epididymis and testis, or bacteria entering the blood causing bacteremia. Urethral secretions can be smear stained for microscopic examination and bacterial culture. Microscopic examination of urine often involves more red blood cells or piles of pus cells. The first cup of urine in the three cup test was slightly mixed, and microscopic examination showed white blood cells. The second cup of urine was clear, without white blood cells. The third cup of urine was turbid, with a large number of white blood cells and pus cells.
Auxiliary physical examination for acute prostatitis:
For patients with the above symptoms, a digital rectal examination is required. The prostate gland can be palpated as swollen, with a smooth surface, high tension, and significant tenderness. Acute prostatitis can only be examined by digital examination. Do not massage the prostate to prevent the spread of inflammation. Purulent cells and red blood cells can be seen on urine examination, and B-ultrasound examination is also helpful in diagnosis.
Auxiliary examination for chronic prostatitis:
Expert advice: For those with one or more of the above symptoms, perform digital rectal examination and touch prostate massage. Segmental localized culture of urine and prostate fluid is also valuable in the diagnosis of chronic prostatitis. When chronic prostatitis occurs, the pH of prostate fluid increases and the zinc content decreases, which is also helpful for diagnosis.
