Prostatitis: Diagnosis Methods

Written by Wang Shuai
Urology
Updated on August 31, 2024
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For the diagnosis of prostatitis, it is necessary to diagnose through the patient's medical history, clinical manifestations, and related examinations. People with prostatitis often have obvious symptoms such as frequent urination, urgency, incomplete urination, pain and heaviness in the perineum and lower abdomen. A routine prostate fluid examination will reveal a decrease in lecithin bodies and possibly an increase in white blood cells. If there is an increase in white blood cells, bacterial prostatitis should be considered. Further prostate fluid culture and drug sensitivity testing are needed to identify the pathogen causing prostatitis and the drugs it is sensitive to. Then, based on the test results, sensitive antibiotics are used for treatment for about 4 weeks. (Please use medication under the guidance of a doctor.)

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Written by Wang Shuai
Urology
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Prostatic calcification refers to the presence of calcium deposits in the prostate gland.

Prostatic calcification caused by prostatitis primarily refers to the fibrous calcification deposits that occur in the local tissue of the prostate after the prostatitis has healed. Simply put, it refers to the scar tissue left after a prostate infection. Under color ultrasound examination, it appears as a strong echo cluster, and under CT examination, it appears as a high-density shadow. The presence of prostatic calcification lesions usually does not cause discomfort for most patients and is often discovered during routine ultrasound examinations during physical check-ups. For those cases where there are no discomfort symptoms associated with prostatic calcification lesions or spots, no special treatment is needed, as they do not pose a significant risk to health.

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Written by Wang Shuai
Urology
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Prostatitis is caused by what?

The occurrence of prostatitis is mainly due to infections of the prostate or some non-infectious factors. Infectious factors are primarily due to previously untreated conditions such as urethritis or seminal vesiculitis. Bacteria spread along the urinary and reproductive tracts to the prostate, causing infection. Non-infectious factors mainly include poor lifestyle habits, such as prolonged sitting, holding urine, long-distance driving, long periods of cycling, frequent sexual activity, and long-term alcohol consumption. Prostatitis is also related to some endocrine diseases or psychological factors. After developing prostatitis, patients may experience symptoms such as frequent urination, urgent urination, incomplete urination, and a sense of weighty pain in the perineum, anal region, and lower abdomen. It is important to visit a hospital's urology department for a detailed examination and targeted treatment.

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Written by Wang Shuai
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How to treat prostatitis with frequent urination

Patients with prostatitis often experience symptoms such as frequent urination and incomplete bladder emptying. For these symptoms, it's important to visit a urology department at a hospital promptly. Through routine prostate fluid analysis, culture of prostate fluid, and susceptibility testing, the specific cause of prostatitis can be determined, allowing for targeted treatment. If the prostatitis is bacterial, antibiotic treatment is necessary. Commonly used antibiotics include quinolones and cephalosporins. At the same time, medications that improve urinary discomfort such as alpha-blockers or phytotherapeutic drugs can be used to alleviate symptoms like frequent urination by relaxing the urethral smooth muscle, improving symptoms of frequency and incomplete emptying. Physical treatments like warm sitz baths, microwave therapy, and shortwave therapy can also be employed. During treatment, it's crucial to eat a light diet, avoid spicy and irritating foods, avoid sitting for long periods, and avoid holding in urine. (Please use medications under the guidance of a doctor.)

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Written by Wang Shuai
Urology
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Is frequent urination alone prostatitis?

Frequent urination is just a symptom of urinary irritation, and there are many causes of frequent urination. Prostatitis is just one of the causes. Additionally, infections in the urinary system, such as urethritis, or the presence of stones or tumors in the bladder, can also lead to symptoms of frequent urination. Therefore, after experiencing frequent urination, it is essential to first visit the urology department at a hospital for routine urine tests and an ultrasonic scan of the urinary system. If necessary, conduct routine examinations of prostate fluid to identify the specific cause of the frequent urination. If it is due to a urinary tract infection, it is crucial to use antibiotics promptly. If it is caused by stones or tumors in the urethra, surgical treatment may be required in a timely manner.

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Urology
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What department should I go to for prostatitis?

Prostatitis commonly occurs in young males. After the onset of prostatitis, patients generally exhibit symptoms such as frequent urination, urgent urination, and painful urination. Some patients may also experience heaviness and pain in the perineal and anal region. It is important to timely visit the urology department of a hospital, where diagnosis can be confirmed through routine examination of prostate fluid, culture and antibiogram of prostate fluid, prostate ultrasonography, and even digital rectal examination of the prostate. Treatment should be based on the results of these examinations. If the prostatitis is bacterial, sensitive antibiotics should be used for regular treatment. If the patient has significant urinary discomfort, medications that improve urinary symptoms can be added to the treatment. If the patient also experiences significant pelvic pain, the use of non-steroidal anti-inflammatory pain medications can be considered. (Please take medications under the guidance of a doctor.)