How to check for prostatitis?

Written by Wang Shuai
Urology
Updated on September 26, 2024
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For the examination of prostatitis, the main methods currently used are color ultrasound, routine prostate fluid analysis, culture of prostate fluid, and susceptibility testing. After contracting prostatitis, a color ultrasound examination often reveals varying degrees of prostate swelling, routine prostate fluid analysis will indicate a decrease in lecithin bodies, accompanied by either an increase in white blood cells or normal white blood cell levels. If the lecithin bodies are decreased and there is an increase in white blood cells, bacterial prostatitis is a likely consideration. If the white blood cell count is normal, nonbacterial prostatitis may be considered. Regardless of the type of prostatitis, timely examination and treatment are necessary. If it is bacterial prostatitis, further culture and susceptibility testing of the prostate fluid should be performed, and treatment should be conducted using antibiotics that are sensitive to the results of the susceptibility test.

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Written by Wang Shuai
Urology
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What are the symptoms of prostatitis?

Prostatitis is commonly found in young males, with main clinical symptoms including frequent urination, urgent urination, and a feeling of incomplete bladder emptying. Some patients may also experience discomfort and pain in the perineal, anal, and lower abdominal areas. If it is chronic prostatitis which has not healed for a long time, some patients may also experience irritability, depression, insomnia, and other negative emotions. After being diagnosed with prostatitis, it is necessary to go to the hospital's urology department for a thorough examination to identify the specific causes and pathogenic bacteria of prostatitis. Treatment should be conducted with appropriate antibiotics based on the sensitivity test results, generally for a duration of 3 to 4 weeks. Additionally, it is important to maintain a light diet, avoid spicy and irritating foods, and abstain from smoking and drinking. (Please use medication under the guidance of a doctor.)

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Written by Zhang Da Wei
General Surgery
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Can prostatitis heal itself?

Prostatitis can have a certain degree of self-healing capability. Generally, mild prostatitis can be managed by improving lifestyle habits, such as by increasing water intake, enhancing overall lifestyle habits, engaging in regular exercise, and maintaining controlled sexual activity, among others, which can all benefit the self-healing of the prostate. Additionally, when prostatitis occurs, it may be observed initially before considering medication. In cases of nonbacterial prostatitis, oral medication is generally not necessary; rather, treatments such as sitz baths can be used to achieve therapeutic goals. For bacterial prostatitis, it can generally be treated with anti-inflammatory medications to achieve some improvement. Of course, the best way to facilitate self-healing of prostatitis is by improving daily lifestyle habits. (Specific medications should be taken under the guidance of a physician.)

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Written by Zhou Zi Hua
Oncology
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The difference between prostate cancer and prostatitis

Prostatitis and prostate cancer have different causes. Prostatitis is caused by the invasion of pathogens into the prostate, whereas prostate cancer is mostly related to genetics, lifestyle and dietary habits, and genetic mutations. Their clinical manifestations are inconsistent; prostatitis mainly presents as pain or abnormal urination, while prostate cancer primarily shows symptoms of compression and metastasis. Of course, their treatment methods are also different.

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Written by Wang Shuai
Urology
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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.