How is prostatitis diagnosed with different methods?
The most effective treatment for prostatitis depends heavily upon an accurate diagnosis. In addition to a complete medical history and physical examination, diagnostic procedures for prostatitis may include the following:
Urine culture, including triple-void urine specimen collection (Also called three-glass urine collection method.) - often used in collaboration with the prostate stripping procedure, the three-glass urine collection method involves collecting and evaluating the prostatic fluid and urine for the presence of white blood cells and bacteria.
Semen culture- Consider a semen culture as a first line test for bacterial prostatitis. It is necessary to get the sample to the lab as fast as possible. Do the culture before you go on antibiotics if possible or go off antibiotics for a week or two and give a specimen after 2 or 3 days of abstinence. Cleanse your hands and privates before collecting the sample and take all steps to avoid contamination.
Cystoscopy (Also called cystourethroscopy.) - an examination in which a scope, a flexible tube and viewing device, is inserted through the urethra to examine the bladder and urinary tract for structural abnormalities or obstructions, such as tumors or stones.
Prostate stripping (Also called massaging.) - a procedure in which prostate fluid is collected for examination. This procedure is usually performed during a digital rectal examination (DRE) and involves the physician "stripping" the prostate gland to drain fluid into the urethra. This fluid is then examined under a microscope to detect the presence of inflammation and/or infection.
Digital rectal examination (DRE) - a procedure in which the physician inserts a gloved finger into the rectum to examine the rectum and the prostate gland for signs of cancer.
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