What to check for prostatitis
Prostatitis is a common urinary system disease in men, which mainly manifests symptoms such as frequent urination, urgency, and painful urination. For patients with suspected prostatitis, doctors usually conduct a series of tests to confirm the diagnosis. This article will introduce in detail the items that need to be checked for prostatitis to help everyone better understand the diagnostic process of this disease.
1. Common examination items for prostatitis
The examination of prostatitis mainly includes physical examination, laboratory examination and imaging examination. The following are the specific inspection items and their functions:
| Check type | Specific projects | Inspection purpose |
|---|---|---|
| Physical examination | Digital rectal examination | Determine the size, texture, and tenderness of the prostate through palpation |
| laboratory tests | Routine urine examination | Detect white blood cells, red blood cells and other indicators in urine to determine whether there is infection |
| laboratory tests | Prostatic fluid examination | Obtain secretions by massaging the prostate and analyze the number of white blood cells and lecithin bodies |
| laboratory tests | blood test | Detect C-reactive protein (CRP) and blood routine to assess the degree of inflammation |
| Imaging examination | Ultrasound (transrectal or abdominal) | Observe the size, shape, and presence of abscesses and other abnormalities of the prostate |
| Imaging examination | CT or MRI | Further clarify the lesions of the prostate and surrounding tissues |
2. Precautions for prostatitis examination
1.Preparation before inspection:Before performing a prostatic fluid examination, the patient needs to empty his or her bladder to avoid urine contamination of the sample. The intestines need to be cleaned before digital rectal examination to reduce interference.
2.Coordination under inspection:Digital rectal examination and prostate massage may cause discomfort. Patients should try to relax and cooperate with the doctor's operations.
3.Post-examination care:Temporary hematuria or urethral discomfort may occur after the examination, which usually does not require special treatment. However, if symptoms persist or worsen, you should seek medical treatment in time.
3. Diagnostic criteria for prostatitis
The diagnosis of prostatitis requires a combination of symptoms, physical examination, and laboratory test results. The following are common diagnostic criteria:
| Diagnosis basis | Specific performance |
|---|---|
| clinical symptoms | Frequent urination, urgency, dysuria, perineal pain, etc. |
| Physical examination | Prostate tenderness, enlargement, or abnormal texture |
| laboratory tests | Prostatic fluid white blood cells>10/HP, lecithin bodies decreased |
| Imaging examination | Ultrasound or CT showing prostate inflammation or abscess |
4. Treatment and prevention of prostatitis
1.treat:The treatment of prostatitis is mainly antibiotics, supplemented by analgesics and physical therapy. Chronic prostatitis may require long-term treatment.
2.prevention:Maintain a regular living habit, avoid sitting for long periods of time, holding in urine, drink plenty of water, pay attention to personal hygiene, and have regular physical examinations.
5. Summary
The examination items for prostatitis include physical examination, laboratory examination and imaging examination, through which the diagnosis can be confirmed and appropriate treatment plan can be formulated. Patients should actively cooperate with the doctor and provide preparation and care before and after the examination to promote recovery.
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