How does a urine test determine prostatitis?

Written by Wang Shuai
Urology
Updated on September 18, 2024
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A routine urinalysis cannot determine prostatitis. It can, however, rule out other urinary system infections such as urethritis or cystitis through routine urinalysis. If the urinalysis is normal but the patient still exhibits symptoms like frequent urination, urgency, and incomplete emptying of the bladder, this may indirectly suggest the possibility of prostatitis. In cases of acute bacterial prostatitis, the urinalysis may show varying degrees of increased white blood cells. To confirm prostatitis, it is best to examine the prostate fluid for lecithin corpuscles and white blood cells.

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Written by Wang Shuai
Urology
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Is frequent and urgent urination a symptom of prostatitis?

Frequent urination and urinary urgency are both symptoms of urinary irritation. There are many reasons that can cause frequent urination and urgency, and these symptoms alone cannot diagnose prostatitis. Initially, it is crucial to conduct routine urine tests and ultrasounds to preliminarily determine the specific causes of frequent urination and urgency. Besides prostate diseases, common causes include urethritis, urethral stones, urethral tumors, urethral stricture, bladder stones, or even stones in the ureter, all of which can lead to frequent urination and urgency. Therefore, if symptoms of frequent urination and urgency occur, it is necessary to visit the hospital's urology department promptly for relevant examinations to determine the specific causes.

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Written by Chen Feng
Urology
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How is prostatitis caused?

Prostatitis is generally caused by the retrograde infection of bacteria in the urethra through the prostatic ducts, and it is often seen in patients with urethritis or cystitis. This is because such patients have a large number of bacteria in the urethra, and these bacteria or pathogenic microorganisms can easily cause prostatitis through retrograde infection. Especially in cases of urethral stones or instrumented operations, such as cystoscopy or ureteroscopic lithotripsy, these conditions are more likely to lead to prostatitis. When prostatitis occurs, symptoms such as frequent urination, urgent urination, and painful urination may be present. The patient may also experience difficulty in urination, a thinner urine stream, interrupted urine flow, and pain or discomfort in the suprapubic area and perineum.

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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 Wang Shuai
Urology
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What causes prostatitis?

Prostatitis is commonly found in young males, with the main clinical symptoms being frequent urination, urgent urination, and a sensation of incomplete bladder emptying. Prostatitis is primarily divided into bacterial prostatitis and non-bacterial prostatitis. Bacterial prostatitis is mainly caused by local infections, such as in patients with urethritis or epididymitis who have not received timely treatment, leading to the development of bacterial prostatitis. Some cases are due to prostate biopsies or the use of liquid catheters. Non-bacterial prostatitis, on the other hand, is largely associated with poor lifestyle habits, such as prolonged sitting, withholding urine, long-term alcohol consumption, frequent sexual activity, and extended periods of cycling or driving, which can lead to the onset of non-bacterial prostatitis.

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Written by Wang Shuai
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.)