How to check for prostatitis?

Written by Wang Shuai
Urology
Updated on September 26, 2024
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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 Wang Shuai
Urology
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Prostatitis: Diagnosis Methods

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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What are the symptoms of prostatitis?

Prostatitis is commonly found in young males, with main clinical symptoms including frequent urination, urgent urination, and a feeling of incomplete bladder emptying. Some patients may also experience discomfort and pain in the perineal, anal, and lower abdominal areas. If it is chronic prostatitis which has not healed for a long time, some patients may also experience irritability, depression, insomnia, and other negative emotions. After being diagnosed with prostatitis, it is necessary to go to the hospital's urology department for a thorough examination to identify the specific causes and pathogenic bacteria of prostatitis. Treatment should be conducted with appropriate antibiotics based on the sensitivity test results, generally for a duration of 3 to 4 weeks. Additionally, it is important to maintain a light diet, avoid spicy and irritating foods, and abstain from smoking and drinking. (Please use medication under the guidance of a doctor.)

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Prostatic calcification refers to the presence of calcium deposits in the prostate gland.

Prostatic calcification caused by prostatitis primarily refers to the fibrous calcification deposits that occur in the local tissue of the prostate after the prostatitis has healed. Simply put, it refers to the scar tissue left after a prostate infection. Under color ultrasound examination, it appears as a strong echo cluster, and under CT examination, it appears as a high-density shadow. The presence of prostatic calcification lesions usually does not cause discomfort for most patients and is often discovered during routine ultrasound examinations during physical check-ups. For those cases where there are no discomfort symptoms associated with prostatic calcification lesions or spots, no special treatment is needed, as they do not pose a significant risk to health.

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What department should I go to for prostatitis?

Prostatitis commonly occurs in young males. After the onset of prostatitis, patients generally exhibit symptoms such as frequent urination, urgent urination, and painful urination. Some patients may also experience heaviness and pain in the perineal and anal region. It is important to timely visit the urology department of a hospital, where diagnosis can be confirmed through routine examination of prostate fluid, culture and antibiogram of prostate fluid, prostate ultrasonography, and even digital rectal examination of the prostate. Treatment should be based on the results of these examinations. If the prostatitis is bacterial, sensitive antibiotics should be used for regular treatment. If the patient has significant urinary discomfort, medications that improve urinary symptoms can be added to the treatment. If the patient also experiences significant pelvic pain, the use of non-steroidal anti-inflammatory pain medications can be considered. (Please take medications under the guidance of a doctor.)

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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.)