Radical Cure Article

Suspect Chronic Prostatitis, What Examination Can the Doctor Do?

Clinicians often compare chronic prostatitis to the "cold" of men, indicating that the disease, like cold and fever, will inevitably occur many times in a man's life.

Doctors will take a blood test when patients have a common cold, sometimes even taking a chest X-ray. Then, what tests will be done when diagnosing chronic prostatitis?
Routine inspection
1. External genitalia and scrotum examination
Generally, the doctor will check whether the glans or foreskin has redness or exudates, whether the urethra outer mouth has flow pus or white liquid, and whether the testes and epididymis have tenderness. When pain or discomfort occurs on one side, epididymis or spermatic cord infection may appear on the same side. Therefore, checking whether the penis, scrotum, testis, epididymis, and spermatic cord have abnormal lesions is conducive to the doctor's overall judgment of the condition.
2. Digital rectal examination
A digital rectal examination gives the doctor a more intuitive understanding of prostate morphology and stiffness changes. When the seminal vesicles become inflamed, they may be palpable above the prostate. It may also follow tenderness, enlargement, hardening, or nodules touching. The prostate can also be massaged to extract fluid during the digital rectal examination. And the prostatic fluid examination is one of the essential bases for diagnosing prostatitis.
Laboratory examination
1. Microscopic examination of prostate massage fluid
The white blood cell count exceeding 1000/ml in prostate massage fluid is generally set as the diagnostic criteria for prostatitis. In clinical practice, more than 10 white blood cells per high magnification field or piles of pus balls are regarded as abnormal. Some scholars regard 15 or 20 as an anomaly. To be clear, a prostatic fluid test is not always reliable.
2. Bacteriological examination of prostatic fluid
A bacterial culture before antibiotic treatment can determine whether a bacterial infection causes inflammation. Because a small number of Gram-negative bacteria are fragile, the presence of bacterial infection cannot determine whether the bacteria exists if checking when symptoms are not intense.
3. Quantitative immunoglobulin
Both IgA and IgG levels are elevated in the prostatic fluid of patients with chronic bacterial prostatitis. Thus the quantification of immunoglobulin is of some significance in the diagnosis of the disease.
Ultrasound and other auxiliary examinations
Transrectal ultrasound of the prostate (TRUS) was first commonly used to diagnose prostate cancer, and prostatic hyperplasia, then used to diagnose various types of prostatitis. In patients with prostatitis, an ultrasound examination can find that the prostate tissue structure is chaotic and the boundary is unclear. However, the diagnosis of prostatitis by ultrasound is unreliable and depends on the examiner's experience.
In addition, to remove other diseases and avoid the possibility of misdiagnosis, the doctor will perform a rectal prostatic puncture, histological examination and urodynamic examination if necessary.
When you are diagnosed with chronic prostatitis, aggressive treatment is needed. You can take traditional Chinese medicine Diuretic and Anti-inflammatory Pill to improve symptoms, improve quality of life, and promote the recovery of related functions.
At the same time, you can also use massage, heat therapy, and so on. Proper massage can increase the local concentration of the drug, allowing the prostate gland ducts to empty to relieve inflammation. Hyperthermia is physical therapy through the heat effect to increase the prostate tissue blood circulation, having a good impact on anti-inflammatory and elimination of tissue edema.
In addition, patients should rest more, eat more fresh vegetables and fruits daily, avoid wearing tight pants, avoid sitting for too long, and drink plenty of water. Do not hold back urine, stay up too late and cause excessive fatigue. The treatment of chronic prostatitis can be quick. It requires a step-by-step process and a good state of mind, which can speed up the recovery from the disease.
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