Once patients suffer from prostatitis, they often wonder whether they suffer from bacterial or non-bacterial disease? In fact, it is not difficult to identify, as long as the bacterial culture results of prostate fluid can be distinguished. Positive bacterial culture is bacterial, otherwise it is non-bacterial.
Of course, the result of this bacterial culture is not 100% accurate. False positive or false negative results often appear, so sometimes it is necessary to do several times in succession to reach a correct conclusion.
Even in non-bacterial prostatitis, there are other infections, such as chlamydia, mycoplasma, cytomegalovirus, etc., which are difficult to detect by bacterial culture.
A group of reports counted 600 patients and analyzed the proportion of several types of chronic prostatitis. Among them, bacterial prostatitis accounted for only 5%, non-bacterial prostatitis accounted for 64%, and prostate pain accounted for 31%. The other group reported 1451 patients, at least 90% of whom were non bacterial prostatitis, so the incidence rate of non bacterial prostatitis was far more common than bacterial prostatitis.
The uncommon prostatitis includes tuberculous, parasitic, fungal and non-specific granulomatous prostatitis. Many clinical features of various types of prostatitis are similar, but each type has its own unique characteristics. The diagnosis of prostatitis depends on the microscopic and microbiological examination of prostate fluid.
Microscopic examination of prostatic fluid is used to identify whether the prostate is inflamed or not. Microbiological examination is used to distinguish bacteria: non-bacterial prostatitis. Bacterial prostatitis is often accompanied by urinary tract infection. The bacterial culture of prostatic fluid is positive. There are excessive inflammatory cells in prostatic fluid. Non-bacterial prostatitis or prostatalgia rarely cause urinary tract infection. In front of patients with bacterial prostatitis, there are a large number of inflammatory cells in the fluid, while prostatalgia has no signs of inflammation. In patients with bacterial prostatitis, the specific antibodies lga and refusal lgg in the prostate fluid are increased, the increase of non-bacterial prostatitis is not obvious, and the prostate pain is normal.