Which diseases will be misdiagnosed as prostatitis?
Chronic prostatitis according to medical history, symptoms, digital rectal examination, prostate fluid examination the general diagnosis is not difficult, but the complex symptoms and signs are not typical of those who should be differentiated from the following diseases.
1, prostate pain: These patients showed sustained frequent micturition, urine, difficulty urinating, perineum, lower abdomen, waist and other parts of sacral pain discomfort, sedentary, post-cycling increased. Digital rectal examination checks both sides of the levator ani muscle tenderness apparent normal prostate palpation without tenderness. The past, this disease is known as piriformis syndrome, levator ani muscle, prostate fluid microscopy normal, no growth of bacterial culture.
2, prostate abscess: most of the complications of acute bacterial prostatitis, mostly occurs in 50 to 60 years of age, half of the patients with acute urinary retention, urinary frequency, dysuria, rectal discomfort, urethral pus, and some accompanied by epididymis Yan. Side of digital rectal examination of prostate disease increases, the soft-touch, there is a sense of volatility. Occasionally, the urethra prostatic abscess may be natural to ulceration, may also be rectal ulceration, was mistaken for a rectal abscess.
3, prostate stones: that occurred in the prostate within the intra-acinar and duct stones. Chronic inflammation and prostate, prostatic fluid retention, duct stenosis, metabolic disorders and other factors. Inorganic salts such as calcium oxalate, calcium phosphate, magnesium phosphate deposits in the prostate gland acinar amyloid within the body, epithelial cells and inflammatory exudate to form stones, the patient may be the performance of various types of chronic prostatitis symptoms, However, digital rectal examination and prostate examination can be palpable sense of friction stones, pelvic X ray in the pubic symphysis area at the side of a positive shadow stones, ultrasound examination can appear bright area in the prostate gland stone belt, and a sound shadow.
4, prostate TB: Chronic prostatitis symptoms similar, but often other parts of urinary tuberculosis or a history of tuberculosis lesions, digital rectal examination examination showed irregular nodular prostate, epididymis swelling hardens, vas deferens with beaded induration, prostatic fluid direct smear or PCR detection of Mycobacterium tuberculosis with tuberculosis.
5, prostate cancer: advanced, there may be frequent urination, urine, difficulty urinating, and other symptoms, but patients are often weight loss, fatigue, anemia, loss of appetite and other significant systemic symptoms, digital rectal examination prostate as hard as stone mass, surface level uneven, serum prostate-specific antigen and prostatic acid phosphatase increased. Biopsy of the Prostate cancer cells can be found, ultrasound examination showed glands increased, irregular or defects in the boundary echo, internal light spots uneven cancer sites have a more bright spot of light or light group. CT examination showed asymmetric patterns of prostate, if the tumor outside the capsule invasion, seminal vesicles and bladder can be seen posterior wall of the tissue space disappears. CT can determine the extent of prostate cancer invasion.
6, osteitis pubis: usually manifested clinical symptoms of chronic prostatitis, but the DRE and prostate fluid examination was normal. Main features of pubic symphysis Department has significant tenderness, pelvic X-ray photo showing pubic symphysis gap widened “10 mm, bilateral superior ramus of pubis level difference” 2 mm, the edge of an irregular pubic symphysis, there response to bone erosion and sclerosis.