If a man is going to make an important step - to see a doctor for help, it is always interested in how to pass diagnosis of prostatitis. It includes several stages. First, the doctor examines the patient, and then determines what tests you need to pass and what research is required to pass.
How to identify prostatitis: survey
Before the start of the examination the doctor to find out what was bothering the man. Also, the doctor needs to know how long symptoms have appeared and how they changed over time.
Inspection involves examination of the abdomen, pelvis, and digital rectal examination. The latter method is very simple but reliable.
To conduct this study, a man lies on its side (usually on the right) and pulls his legs to his chest or take Bozeman's position. The doctor puts on a glove on a hand, using any medicine as a lubricant and slowly introduces the index finger into the rectum of the patient. Then, experts estimated the shape, size, texture and tenderness.
In acute prostatitis
Acute prostatitis - the culprit bacteria
the prostate gland is enlarged, swollen and painful on palpation, so its investigation should be carried out very carefully. In the chronic form of the disease prostate flabby and it has a non-uniform consistency.
What are the tests for prostate rent
A blood test for prostate at an acute course of the disease reveals the increase in the number of white blood cells and increased ESR. These figures indicate the presence of an active inflammatory process in the body. Urine tests for prostate, which is held only once, can not reveal any changes. But repeated studies often can not detect an increased content of white blood cells and bacteria. It carries out studies of prostate secretion.
In order to find out exactly how to antibiotic-sensitive bacteria caused prostatitis, perform urine cultures and prostatic secretions in the culture media. Then determine the sensitivity of cultures of these microorganisms to various drugs.
Analyses of the prostate that occurs in the chronic form, have their own characteristics. Methods of laboratory diagnostics allow to find out whether or abacterial prostatitis infectious.
Chetyrehstakannaya urine sample - is a fairly accurate test for prostate cancer. A study to determine the localization of the source of infection in the urogenital tract. The patient produces a sterile tube first urine (first test), and then continues to urinate in a separate container and then fills the second tube. The doctor performs a prostate massage
Prostate massage - a shameful procedure?
And the resulting secret is the third portion. The fourth portion - the remnants of urine released after the massage. The diagnosis of bacterial prostatitis
Bacterial prostatitis - can be acute or chronic
confirm that if under a microscope prostate secretion and urine show the last portion of the bacteria.
If the microscopic examination of these same materials exhibit more than ten leucocytes in sight, this is evidence of inflammatory disease. In those cases where in prostatic secretions increased leukocyte count, but there is no growth of bacteria, conducting research and other Chlamydia infections for which the main transmission path - sex.
In the study of discharge from the urethra determine the amount of the epithelium, mucus, white blood cells, as well as trichomonas, gonococci and nonspecific microorganisms. Polymerase chain reaction in the study of mucosal scrapings from the urethra can not identify microorganisms that are sexually transmitted.
Prostatitis can cause a rise in the level of prostate specific antigen (PSA) - a special marker, to determine the level of which is carried out for the diagnosis of cancer and BPH. With a significant increase in the concentration of PSA in the blood serum is used a number of additional diagnostic tests to rule out cancer. It is important to know that the blood samples to determine the PSA should be performed at least ten days after a digital rectal examination.
Instrumental methods of diagnosis
Diagnosis of prostatitis also includes the use of instrumental methods. Ultrasound of the prostate - the most accessible and the most common ones in the diagnosis of acute prostatitis. It can help you determine the amount of prostate and its density. Also, the method allows to find out whether an extension of the venous plexus of the body, and detect signs of an emerging body of an abscess. Endouretralnye endoscopic methods of investigation, such as cystoscopy and ureteroscopy, with acute prostatitis are contraindicated.
Ultrasound in chronic prostatitis
Chronic prostatitis - every man should know his signs
It allows to determine the size and volume of the prostate, the presence of cysts and abscesses stones. With this method also can determine the expansion ratio, the density and homogeneity of the seminal vesicles.
Definition of urethral pressure profile and myography (registration of contractile activity) pelvic floor provides additional information in the presence of neurogenic bladder disorders. CT and MRI performed for suspected prostate cancer or non-inflammatory form of abacterial prostatitis (to avoid diseases of the spine and pelvic organs).
Diagnosis and treatment of prostatitis - two interconnected and mandatory stages. Diagnosis of prostatitis is aimed at identifying forms of the disease and clarify the reasons that could contribute to its development. After this treatment the doctor chooses. It typically involves the use of antibiotics in bacterial forms of the disease, nonsteroidal anti-inflammatory drugs, drugs which improves blood flow and improve immunity. The doctor also may prescribe magnetic therapy, laser therapy, electrophoresis, phonophoresis, mud and herbal medicine. If conservative treatment fails, you will need surgery.