Post Date December, 03 2023
In the past, it was widely believed that chronic prostatitis was caused by bacterial infection. The latest data shows that pathogens of sexually transmitted diseases can also cause prostatitis. Pathogens that may cause prostatitis include gonococcus, chlamydia trachomatis, mycoplasma urealyticum, herpes simplex virus type II, trichomonas vaginalis, and candida albicans.
Gonococcal prostatitis is one of them.
In patients with gonococcal urethritis, after gonococcal invasion of the posterior urethra, the prostate gland canal communicates with the posterior urethra and can spread to each other. The pathogen of sexually transmitted diseases can invade the prostate through the prostate gland canal, causing refractory gonococcal prostatitis. "If gonococcal urethritis is infected for more than 24 hours, the detection rate of gonococcal bacteria in the prostate is 20.6%. The longer the course of the disease, the higher the probability of accumulating the prostate.". Gonococcal prostatitis is also the cause of recurrent episodes of gonococcal urethritis, so it should be thoroughly treated as soon as possible in the acute phase. Patients with symptoms of chronic urethritis should be highly suspected of developing gonococcal prostatitis.
The patient has a history of acute gonococcal urethritis, and the main symptoms are burning, tingling, and full whiteness in the urethra, frequent urination, urgency, and pain in urination. In particular, when symptoms such as perineal and low back discomfort occur, routine microscopic examination of white blood cells in prostate fluid is more than 10/hp, and no gonococci are found on the smear of urethral secretion. The diagnosis can be made if polymorphonuclear white blood cells with Gram negative diplococci are found in a double array on the smear of prostate fluid, with a sensitivity and specificity of up to 95% - 99%. Currently, isolation and culture of gonococci from prostate fluid is the "gold standard" for the diagnosis of gonococcal prostatitis. Using PCR to detect gonococci in prostate fluid has a high specificity and sensitivity. The number of gonococci detected in the sample can be clearly amplified by detecting 5-6, and a positive result indicates that the patient has gonococcal infection.
