Prostatitis diagnosis standard
Diagnosis of prostatitis diagnosis approach from the following experts presented unique new concepts, they believe should be the following five aspects to diagnose.
First, bacterial culture of semen must be done
Only take the semen in order to reflect all of the reproductive system, and only take semen to avoid massage parlors, or re-used to the diagnosis of prostate stabbed with a false impression and damage, if it is young and middle aged patients with a better understanding of sperm through the sperm survival, vitality, activity, the number of white blood cells and so on. To help diagnose the extent of infection of the reproductive system and contact.
2, prostate fluid routine examination is not a final diagnosis
Prostatic fluid of semen based on only 1 / 4, as well as from the epididymis, testis fluid and sperm, seminal vesicle fluid of semen accounted for 3 / 4. Most hospitals in our country, whether male or urology section are based on the results of conventional prostatic fluid, which is somewhat lacking in diagnostic methods, the international male scientific diagnostic criteria and diagnostic criteria of the U.S. National Hospital, clearly states: prostate fluid routine examination white blood cells per high power field for more than 10, lecithin reduced to have diagnostic significance, and only doing a bacterial culture can be established diagnosis of bacterial growth. This means that any one patient can not be done by just a piece of the prostate fluid routine examination report solely on the diagnosis of bacterial prostatitis, which is a very unscientific, if thus determine the treatment plan that is even more absurd.
Third, we must do male subjects biochemical
Male patients with prostatitis have to do biochemical tests, if it is young and middle aged patients should at least check the blood testosterone, in particular suffering from a chronic prostatitis or epididymitis, orchitis blood testosterone levels are often associated with the human body spirit, consciousness, physical, psychological status, sexual function and other symptoms have a close relationship. The prostate, testis, epididymis, when there is inflammation of blood levels of testosterone, there will be varying degrees of volume reduction. Even more because of increased blood levels of testosterone on the prostate and reproductive system, whether or not the treatment, the prognosis is closely related to the fast increase of blood testosterone levels, blood circulation will increase, immunity would be enhanced, tissue repair will increase faster symptom improvement on the will be obvious. If it is a middle-aged patients, in search of blood testosterone, should be accompanied by check PSA
4, bacterial culture must be done after the drug
Sensitivity test is only done in order to diagnosis of bacterial culture of semen is a bacterial prostatitis and other inflammatory genital infections, as do bacterial culture, then it should do more strains of drug sensitivity testing after the separation, drug sensitivity testing is to guide Doctors treat patients based on medication, only the use of drug susceptibility was possible to avoid excessive use of drugs, or even to avoid the abuse of drugs caused by drug resistant strains, or due to excessive use of drugs and induced systemic adverse reflection on the stomach, liver, kidney , intestinal and other organ damage, but also because of the long-term high-dose medication irregularities arising from the normal flora imbalances.
5, ultrasound imaging diagnosis of prostate
B-ultrasonography and CT examination showed prostate tissue are unevenly distributed within the spot, some patients showed obstructive urinary flow rate measurement, a small number of patients, there may be residual urine, fine Fu expanded seminal vesicle to the urethra was elevated ridge-like phenomena, which can also be diagnostic imaging to help us right in the elderly is associated with benign prostatic hyperplasia Prostatitis has a very high diagnostic value.
Related to the diagnosis of bacterial prostatitis must be in accordance with the above-mentioned five conditions to the diagnosis, it is an objective law, and no patients and medical workers can not be ignored basic conditions.
Prostatitis diagnosis of pre-preparation for what?
Experts believe that: the five diagnostic criteria in establishing the premise of the above, should ensure that these five conditions around the actual, accurate, standardized to the requirements:
First, diagnostic tests before: to have 3-5 months of drug registration and records in detail.
Second, there must be nearly 4-7 days of medication records and registration.
Third, there must be whether the past 4-7 days refers to pressure and re-poke check the history of the prostate.
4, there must be whether the past 4-7 days, testis, epididymis, treatment history and examination history.
Because it can be avoided to achieve the above-mentioned four illusion that we can to ensure the accuracy of diagnosis. Such as: one in patients with chronic bacterial prostatitis diagnosis is still four days before the drug, especially in medicine. As the role of drugs, bacteria are likely to have a certain degree of inhibition. So there could check the results is no bacterial growth, this is bound to result in any significant risks to the diagnosis and illusion. Another example: A suspected in patients with chronic bacterial prostate, diagnosis, had done that four days before the pressure and re-stab the prostate: At this point the number of white blood cells caused by a sharp rise in the role of gravity, and even gravity of mechanical damage to red blood cells 1 ~ 2 plus sign, or because of the number of white blood corpuscles can not see too many lecithin, this result would be false to you by the admissions of the doctor, so to bring the treatment that is the truth.
So, for prostate and reproductive system organs of the diagnosis should be strict diagnostic criteria, and diagnosis of conditions and security conditions.
Test specimens of prostate treatment of patients with
Currently: All Prostate disease patients to see a doctor first of all want you to do a routine check, but also want you to do a small part of the routine examination of semen, but do get prostate fluid routine examination of patients accounted for the vast majority of these patients do routine inspection, the specimen will have the following basic question of pollution and the possibility of:
1, and do not perineum, glans, especially the urethra of any disinfection treatment.
2, taking semen in the bathroom for three patients, take patients with prostatic fluid is collected with the slide, the patient does not rule out contamination of the hand 4, the patient he would slide transfusion process is affected by air and environmental pollution.
The correct ways and means should be:
1, it is best to do to take semen samples.
2, the best male subjects or urology specimen should be obtained sterile isolation room.
3, specimens of the patients to have medical personnel or specialized collection examiner transfer.
4, it is necessary to the patient’s perineum, glans, especially the urethra strictly disinfected.
Experts hope the majority of patients to master such knowledge, scientific, standardized detection methods in diagnosis of prostate disease is bacterial or non-fungal.