Post Date December, 02 2023
How should prostatitis be examined? In most cases, many patients do not know after asking. For this common disease, whether it is acute or chronic, the examination items are the same. So how should prostatitis be examined?
Prostatitis is a common disease in urology, and ranks first among male patients under 50 years of age in urology. In 1995, NIH developed a new classification method for prostatitis. Type I: equivalent to acute bacterial prostatitis in the traditional classification method, type II: equivalent to chronic bacterial prostatitis in the traditional classification method, type III: chronic prostatitis/chronic pelvic pain syndrome, and type IV: asymptomatic prostatitis. Nonbacterial prostatitis is more common than bacterial prostatitis.
Four routine examinations of prostatitis
1. Prostate fluid test: the negative result of one test cannot easily exclude the disease; Positive results can generally make the diagnosis of chronic prostatitis.
2. Prostate biopsy in vivo: it is of decisive significance for the diagnosis of chronic prostatitis, but it is not significant for distinguishing bacterial or non-bacterial prostatitis. Because the general method can make a clear diagnosis, this method is not often used in clinical practice.
3. Ultrasonic examination: in some patients with chronic prostatitis, the capsule reflection is not smooth due to local exudation, fibrosis and adhesion, and the envelope boundary is unclear in severe cases; The gland is regular in shape, symmetrical in left and right, and can be seen with limited reflex reduction inside. This test can be used for clinical reference.
4. Digital rectal examination: It is a routine examination of prostatitis. During finger examination, the size of prostate is different, the surface is irregular, some glands become hard or have small induration, and most of them have slight tenderness.
