Radical Cure Article

Diagnosis of Chronic Pelvic Pain Syndrome(2)

Pathogen location examination
The four-cup method is a classical method, but the experiment is complicated, and the operability is limited. This consensus does not recommend the application in daily diagnosis and treatment. It is recommended to use two cup method or PPMT before and after the massage.
The diagnostic accuracy of the latter is more than 96%. Only 8% of CPPS patients were positive in bacterial culture, which was not significantly different from asymptomatic patients. Therefore, it is not necessary for the diagnosis of CPPS.
In addition, mild to moderate bladder neck obstruction and trabecula formation could be found.
Examination of the immune response
Studies have shown that both systemic and local immune responses to bacterial infection of the prostate can be produced. However, the value of the detection of antibodies in a prostatic fluid is limited.
However, shorilffe et al. found that the specific antibodies against Chlamydia trachomatis and Ureaplasma urealyticum were significantly increased in the prostatic fluid of nonbacterial prostatitis, suggesting that the detection of antibodies may have some value in the etiological study of CPPS.
Cytology of urine
Although some scholars recommend urine cytology, so far, there is no definite evidence to prove its value in the screening of prostatitis.

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