MEarEs positioning of the diagnosis of chronic prostatitis
Meares targeted approach is what we usually urine Sub-positioning methods, from 1968 began to be used in the diagnosis of chronic prostatitis, has been in use for the majority of clinicians, this method can be prostatitis, cystitis, urethritis distinction To open. Method: check first before Zhu Huanzhe certain amount of drinking water, the foreskin is too long, should first wash the glans and foreskin and over. To 10 ml of urine collection early, VB1; continue to urinate in 200 ml immediately after collecting 10 milliliters of urine that is the middle VB2; urinating and then stop for prostate massage, the collection of prostate drops to 3 to 5 drops, or EPS ; Voiding testator to collect 10 milliliters, or VB3; collected less than if the prostatic fluid, Massage from the urine such as turbidity, also shows that contain elements of the prostate. These samples were collected for counting bacterial culture and sensitivity test. Clinical significance: ① VB2 colony more and more than 1,000 / ml, for the bladder inflammation. Take medication three to five days later, re-do this test. ② VB1 and VB2 negative, or less than 3,000 bacteria / ml, EPS or VB3 colony more than 5,000 / ml, can be diagnosed as chronic bacterial prostatitis, one week after repeated 1, 2, the same results, Diagnosis can be identified. ③ EPS not, can be used instead of VB3. After the massage because about 0.1 milliliters of prostate stay in the urethra, it diluted in 10 ml of urine, about 100-fold diluted, VB3 the colonies of more than two times would be meaningful. VB1 and VB2 less colony, and EPS colony obvious for a long time, the possibility of prostatitis
Wednesday, April 30, 2008
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