The diagnosis of chronic prostatitis to be cautious
Of chronic prostatitis symptoms varied, some symptoms, such as bone disease, low back pain is easily confused; other symptoms such as rectal bulge easily confused with anorectal disease; and groin, testicles and scrotum are not easy to be confused within the lesion. So, how to diagnose chronic prostatitis, chronic prostatitis will be easily confused with other diseases to distinguish from?
Should first understand the history, the majority of patients before the diagnosis of chronic prostatitis will have had a history of urinary tract infection, there have been frequent micturition, urine and other symptoms of urethritis. Some people have had some of the symptoms of chronic prostatitis, but misdiagnosed as orthopedics or Anorectal disease have not been diagnosed.
Second, we should ask the symptoms, although some patients with chronic prostatitis symptoms or even just have a single full-asymptomatic, but most patients had more than two, or even two or more symptoms, may be called chronic prostatitis syndrome. Occurs in patients with prostatitis syndrome, care should be given careful examination, even if one or a check-negative, can not easily except for the disease. And then to conduct digital rectal examination, the doctor reached into his patient’s anus with your fingers to check. Uneven surfaces found in the prostate, quality hardware, there are limitations tenderness prompted prostatitis disease; doctors to do the prostate massage at the same time, according to a number of leukocytes in prostatic fluid of more than 15 per high power field have diagnostic value. Here there are two points need special emphasis: the
1, non-specialists for various reasons are often not do anal examination, alone in patients with subjective symptoms rash diagnosis of chronic prostatitis, which is very harmful, not only is not a lot of long-term medication in patients with this disease, resulting in a lot of trouble and waste, but also to enable them to withstand adverse drug reactions, injuries and mental suffering.
2, a microscopic examination of prostate can not be negative except for chronic prostatitis, it is because of chronic prostatitis, when they can be when you re-light, but also check out one or two drops of prostatic fluid may also just not the secretion of inflammatory lesions liquid . Therefore, patients with chronic prostatitis syndrome, it is best to urology specialist medical treatment, if a prostate fluid examination negative, it may be a period of time to review one or two times, choose the heavier the symptoms may be more beneficial when the review diagnosis.
In addition, do prostatic fluid bacterial culture, it is best to do urine and prostatic fluid positioning sub-culture, the growth of pathogenic bacteria was found to have diagnostic significance. Drug sensitivity test done at the same time facilitate the choice of antibiotics. If necessary, can be carried out urography, urinary tract endoscopy, B-mode ultrasound determination of zinc content, serum antibody testing, in order to help diagnose chronic prostatitis, and found that obstruction, stones and other predisposing factors of chronic prostatitis.
In short, if the patient does not have urinary tract infections, and systemic symptoms; with chronic prostatitis symptoms; prostatic fluid white blood cell examination of more than 15 per high power field; prostatic fluid cultivate the growth of pathogenic bacteria; can be diagnosed as chronic prostatitis. Meet the above criteria of various conditions, just as there is no hidden prostatitis symptoms.