Prostatitis: Diagnosis Methods

Written by Wang Shuai
Urology
Updated on August 31, 2024
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For the diagnosis of prostatitis, it is necessary to diagnose through the patient's medical history, clinical manifestations, and related examinations. People with prostatitis often have obvious symptoms such as frequent urination, urgency, incomplete urination, pain and heaviness in the perineum and lower abdomen. A routine prostate fluid examination will reveal a decrease in lecithin bodies and possibly an increase in white blood cells. If there is an increase in white blood cells, bacterial prostatitis should be considered. Further prostate fluid culture and drug sensitivity testing are needed to identify the pathogen causing prostatitis and the drugs it is sensitive to. Then, based on the test results, sensitive antibiotics are used for treatment for about 4 weeks. (Please use medication under the guidance of a doctor.)

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Written by Wang Shuai
Urology
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How to check for prostatitis?

For the examination of prostatitis, the main methods currently used are color ultrasound, routine prostate fluid analysis, culture of prostate fluid, and susceptibility testing. After contracting prostatitis, a color ultrasound examination often reveals varying degrees of prostate swelling, routine prostate fluid analysis will indicate a decrease in lecithin bodies, accompanied by either an increase in white blood cells or normal white blood cell levels. If the lecithin bodies are decreased and there is an increase in white blood cells, bacterial prostatitis is a likely consideration. If the white blood cell count is normal, nonbacterial prostatitis may be considered. Regardless of the type of prostatitis, timely examination and treatment are necessary. If it is bacterial prostatitis, further culture and susceptibility testing of the prostate fluid should be performed, and treatment should be conducted using antibiotics that are sensitive to the results of the susceptibility test.

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Written by Chen Feng
Urology
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What are the symptoms of prostatitis?

Prostatitis is generally divided into acute prostatitis and chronic prostatitis. Acute prostatitis mainly manifests as frequent urination, urgent urination, and painful urination. Patients will also experience pain and discomfort in the perineal area and the suprapubic area. Due to the swelling of the prostate gland in acute prostatitis patients, it compresses the urethra, causing difficulty urinating, thinning of the urine stream, and even an inability to urinate. Some patients may also experience fever. Chronic prostatitis has a longer course and also presents with symptoms of frequent urination, urgent urination, and painful urination. After urinating, patients may notice a white discharge from the urethral opening, and they may also experience pain and discomfort in the perineal area and the suprapubic area. Some patients may also experience sexual dysfunction, such as erectile dysfunction, premature ejaculation, or frequent nocturnal emissions.

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Written by Chen Feng
Urology
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How is prostatitis caused?

Prostatitis is generally caused by the retrograde infection of bacteria in the urethra through the prostatic ducts, and it is often seen in patients with urethritis or cystitis. This is because such patients have a large number of bacteria in the urethra, and these bacteria or pathogenic microorganisms can easily cause prostatitis through retrograde infection. Especially in cases of urethral stones or instrumented operations, such as cystoscopy or ureteroscopic lithotripsy, these conditions are more likely to lead to prostatitis. When prostatitis occurs, symptoms such as frequent urination, urgent urination, and painful urination may be present. The patient may also experience difficulty in urination, a thinner urine stream, interrupted urine flow, and pain or discomfort in the suprapubic area and perineum.

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Written by Wang Shuai
Urology
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Where does prostatitis hurt?

Patients with prostatitis mainly present with symptoms of urinary discomfort and pelvic pain. Urinary discomfort typically manifests as frequent urination, urgency, and a feeling of incomplete bladder emptying. Pain symptoms mainly include pain around the pelvic area, usually located in the lower abdomen, perineum, and anal region. Some patients may experience pain in the sacral area, with the pain being continuous, distending, or sore. When such symptoms occur, prostatitis should be considered as a likely possibility. It is advisable to promptly visit the urology department of a regular public hospital where diagnosis can be confirmed through ultrasound, digital rectal examination, and routine prostate fluid analysis. Targeted treatment should then be administered, and if necessary, some non-steroidal anti-inflammatory drugs can be taken orally for pain relief. (Please use medications under the guidance of a doctor.)

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Written by Zeng Zhong
Urology
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What is the best treatment for prostatitis?

The treatment of prostatitis requires following the treatment plan and course prescribed by the diagnosing doctor, taking medications on time and in the correct dosage. Generally, it is necessary to first conduct a bacterial culture and drug sensitivity test on the prostatic fluid. Based on the results, the pathogenic bacteria and sensitive antibiotics are identified, and then sensitive antibiotics are selected for oral treatment. At the same time, patients should adopt a light diet, avoid spicy and stimulating food, avoid alcohol, avoid prolonged sitting, and avoid holding in urine. A warm water sitz bath can be taken daily.