Acute prostatitis diagnosis
Bacterial prostatitis is caused by bacteria or their toxins in the prostate body and duct inflammation. Acute bacterial prostatitis is a rare type of prostatitis. Incidence of acute, high fever, urinary frequency, urgency, dysuria. During the inspection, as compared with the other prostatitis, there are the more obvious features.
1. Signs
(1), abdominal tenderness positive, there is purulent urethral discharge.
(2) digital rectal examination, prostate swelling significantly, the surface smooth and rules, tenderness obviously, if a sense of volatility, compared with abscess formation, perineum and sometimes redness and tenderness.
2. Laboratory
(1) blood count: white blood cell count and neutrophil count increased.
(1) Urinalysis: blood-line infections in acute prostatitis urine may be normal; urinary tract infections caused by prostatitis, the urine within the inflammatory changes.
(3), prostate fluid examination: lecithin reduced or disappeared, pus more than 10 white blood cells high power field.
3. If the symptoms persisted for more than 1 week, the rapid increase of white blood cell count, perineum, anus severe pain, lower urinary tract symptoms increased.
General, acute bacterial prostatitis in patients with prostate capsule can be treated through the use of antibiotics, most of the effective therapeutic concentrations can be achieved, so many of acute bacterial prostatitis can be cured, do not change for chronic prostatitis; not treated or treated inappropriate, acute bacterial prostatitis developed acute urinary retention, prostatic abscess.
4. Prostatic fluid examination
Prostatitis syndrome due to limitations in some duct, or in the inflammatory potential attack deep in the prostate massage easily discharged, it is only once or twice a prostate massage fluid examination results do not necessarily reflect the real situation of the prostate should be time lag between the post – do check to confirm the diagnosis.
1) If unmarried young people could be considered for prostate congestion. This is because these patients the prostate and seminal vesicle secretion of fluid generation and the role of non-conforming ejaculation reasons, resulting in prostate and seminal vesicle duct obstruction The occurrence of such symptoms in the past, also known as congestive prostatitis.
2) Also, some patients, multiple checks prostatic no white blood cells, infection is also no obvious pathological changes, training can not find the bacteria, but there are varying degrees of urinary frequency, dysuria, and urinary difficulties, often lasting urodynamics change in maximum urinary flow rate decreased urinary bladder manometry for the instability and spastic, these patients often were not really prostatitis, but the urethra and prostate muscle muscle authenticity, spastic pain, check compression on both sides of DRE levator ani muscle and hip external rotation brevis tenderness, but usually the normal prostate without tenderness, in the past this disease is often referred to as piriformis syndrome levator ani muscles.
3) Another small group of people, due to limitations in some duct prostatitis syndrome, or such inflammatory potential attack deep in the prostate massage easily discharged, it is only once or twice a prostate massage fluid examination results do not necessarily reflect the actual prostate circumstances, should be done after intervals between tests to confirm the diagnosis.
After repeated examination of prostate fluid, such as normal, side by side, in addition to other factors, according to the treatment of prostate pain, this time use of antibiotics is ineffective, should be based on TCM treatment is appropriate.