Chronic prostatitis diagnosis and treatment of reference

Chronic prostatitis diagnosis and treatment of reference


The differential diagnosis of chronic prostatitis

1, urethritis or chronic cystitis: clinical manifestations and chronic prostatitis similar, but can not check for prostate abnormalities found.

2, prostate pain: no substantive lesions, and performance for the perineum suprapubic pain and tenderness, voiding dysfunction, such as urinary tract performance. Prostate palpation normal, normal examination of the prostate, prostatic fluid and urine culture without bacteria.

3, granulomatous prostatitis, although symptoms, rectal examination easily confused with chronic prostatitis, but the former fast progress can be rapidly urine retention, short-term rapid growth sclerosis. The need for prostate Huotizuzhi check identification, histological examination showed granulomatous response.

4, prostatitis card he or prostate disease (also known as non-bacterial prostatitis) and clinical symptoms of chronic prostatitis difficult to distinguish. Perineal pain does not apply, urination and sexual dysfunction, such as performance. Prostate examination of how bodies of lecithin, WBC increased, but no smear and culture bacterial growth.

5, prostate discharge (also known as aseptic prostatitis, prostate leakage or chronic prostate congestive): Large, a milky white discharge urine end outflow from the urethra, usually combined with psychiatric symptoms. However, rectal examination, examination of the prostate are normal, bacteriological examination negative.

6, prostate cancer: a urinary tract symptoms can be advanced. Rectal examination found that prostate tumors are hard, rugged surface. Prostatic fluid smears, biopsies can be found that cancer cells.

7, prostate stones: a lumbosacral, perineal pain and sexual dysfunction such as impotence and premature ejaculation, and other symptoms. Rectal examination and prostate can be palpable sense of friction with stones, pelvic X-ray shadow of a positive stone, we can identify.

8, prostate tuberculosis. Prostatitis with similar symptoms, but the history of tuberculosis. Prostate rectal examination showed irregular nodules, swelling hardens epididymis, the vas deferens with a beaded sclerosis. Prostate of Mycobacterium tuberculosis or Mycobacterium tuberculosis direct smear culture can find l to Mycobacterium tuberculosis, prostate Huotizuzhi examination showed tuberculosis nodules or stem-like necrosis.