Post Date December, 03 2023
Prostatitis is a male frequently-occurring disease, which seriously affects the health of men. Because of the particularity of the prostate position, it causes great difficulties in diagnosis and treatment, so there will be some misunderstandings in diagnosis and treatment. There have been many misunderstandings about the diagnosis of prostate. Here is your explanation one by one:
Mistake 1: Genital inflammation is prostatitis
Case: A patient came to a clinic for treatment because of several small red papules on the glans. The doctor diagnosed it as "prostatitis" after seeing it for a week. After the treatment, the patient became more and more serious. Not only were there many red papules, but there was also a white film on the surface. Later, the patient went to the General Hospital of the Beijing Military Region and found that it was a misdiagnosis.
Urinary surgery experts analyzed that acute prostatitis usually occurs when fatigue, cold, long time cycling, alcoholism, excessive sexual life, injury, systemic or local resistance is weakened, and symptoms such as high fever, frequent urination, urgency of urination, and pain in urination; Chronic prostatitis occurs repeatedly with mild symptoms, and some may be asymptomatic.
Therefore, this is a typical misdiagnosis and mistreatment. In fact, the patients are infected with Candida albicans, which is commonly referred to as fungal infection. It is mainly caused by the decline of resistance or the abuse of antibiotics. Improper antibiotic treatment will inevitably lead to the aggravation of the infection.
Mistake 2: over-treatment
The Guide to the Diagnosis and Treatment of Prostatitis in China says that not all patients with prostatitis need treatment, and only those who significantly affect the quality of life need treatment.
For chronic prostatitis, comprehensive treatment should be taken, mainly oral medicine. Although there are many therapeutic methods or drugs, none of them can achieve the goal of treating all patients or relieving all symptoms.
The treatment goal of chronic prostatitis is mainly to relieve pain, improve urination symptoms and improve quality of life.
The therapeutic effect of invasive treatment of prostatitis (such as prostate injection, sealing and urethral perfusion) is uncertain, but it may damage the prostate and urethra, and lead to prostate tissue fibrosis and urethral stricture.
Mistake 3: bacterial culture and diagnosis of prostatic fluid
Case: When a considerable number of patients go to the hospital for treatment, the doctors often do not do the microscopic examination of prostate fluid (routine) first, but do the bacterial culture of prostate fluid first. As long as there is bacterial growth, they will be diagnosed as bacterial prostatitis.
Urology expert analysis: this will cause many misdiagnosis. When taking the prostatic fluid, the prostatic fluid flows out from the prostate through the urethra. As long as there are bacteria in this process, it will be cultured. But many of them are urethral resident bacteria, not pathogenic bacteria. The result of bacterial culture of prostate fluid shows that many of them are gram-positive bacteria. Most researchers believe that gram-positive bacteria rarely cause bacterial prostatitis.
(Intern editor: Lin Yanjuan)
