What to check for prostatitis

Prostatitis usually requires routine examination of prostate fluid, routine urine, urinary system ultrasound, urinary flow rate examination and digital rectal examination. Prostatitis may be related to bacterial infection, urinary reflux, immune abnormalities and other factors. It is recommended that patients seek medical treatment in time and follow the doctor's instructions for treatment after the cause is determined.

1. Prostatic fluid routine

Prostatic fluid routine is an important examination item for diagnosing prostatitis. Prostatic fluid is obtained by massaging the prostate, and changes in white blood cells, lecithin bodies and other indicators are observed. Routine examination of prostatic fluid can help determine whether there is an inflammatory reaction. The number of white blood cells in the prostatic fluid of patients with bacterial prostatitis usually increases significantly and lecithin bodies decrease. Abstinence is required for 3-5 days before the examination to avoid affecting the accuracy of the examination results.

2. Urine routine

Routine urine examination can initially determine whether there is an infection in the urinary system. White blood cells, red blood cells or bacteria may appear in the urine of patients with prostatitis. Urine routine is simple to perform and is one of the routine examinations for screening prostatitis. Abnormal urine routine may indicate the presence of urinary tract infection or prostatitis, but a comprehensive judgment needs to be combined with other examination results. The perineum should be cleaned before the examination, and urine should be collected from the midsection to improve accuracy.

3. Urinary system ultrasound

Urinary system ultrasound can observe the size, shape and internal structure of the prostate and determine whether there are pathological changes such as prostatic hyperplasia, calcification or abscess. Transrectal ultrasound examination of the prostate can obtain clearer images and help detect structural changes related to prostatitis. Ultrasound is non-invasive and uses no radiation, and is a common imaging method for evaluating prostate disease. You need to hold your urine appropriately before the examination, and the rectum needs to be emptied before the transrectal ultrasound examination.

4. Urinary flow rate examination

Uroflowmetry assesses the functional status of the lower urinary tract by measuring the flow rate and volume of urine during urination. Patients with prostatitis may experience decreased urinary flow rate and prolonged urination time due to inflammation. Uroflow rate examination is simple and non-invasive, and can help determine the degree of impact of prostatitis on urinary function. Sufficient urine output is required in the bladder during the examination, and it is recommended to drink appropriate amounts of water before the examination.

5. Digital rectal examination

Digital rectal examination is a routine examination method for prostatitis. It uses finger palpation to determine the size, texture, tenderness, etc. of the prostate. Patients with acute bacterial prostatitis have obvious prostate tenderness, while patients with chronic prostatitis may have uneven texture of the prostate. Digital rectal examination is simple to perform and can directly assess the status of the prostate. The bladder and rectum need to be emptied before the examination, and there may be slight discomfort during the examination.

Patients with prostatitis should pay attention to keeping the perineum clean and dry on a daily basis, avoid sitting for long periods of time and overexertion, and taking appropriate warm water sitz baths can help relieve symptoms. In the diet, you should avoid spicy and irritating foods, limit the intake of alcohol and caffeine, and drink more water to promote urination. Regular work and rest and moderate exercise can help enhance immunity and prevent prostatitis. If you experience abnormal urination or perineal discomfort, you should seek medical treatment promptly to avoid delaying treatment.