Clinical diagnosis of chronic prostatitis mainly based on history, symptoms and physical examination, supplemented by laboratory tests. The author repeatedly on the need for bladder and urethra contrast, intravenous pyelography, endoscopic examination, bladder pressure, in order to further understanding of other parts of the lesion.
(1) past history: urethritis, urethral obstruction, urinary tract infections and prostatitis history.
(2) symptoms: Where stimulate urinary tract symptoms, testis and groin, lumbosacral, perineal pain Suanchan discomfort, and no other discoverer of the investigation should be taken into account in the diagnosis of chronic prostatitis.
(3) DRE: prostate patients with chronic prostatitis more mild increase, the uneven surface soft and hard, light tenderness. Some patients with prostate surface-convex section hit hard, but not hard, this is a manifestation of fibrosis, the central sulcus exist.
(4) laboratory tests include: prostatic fluid routine examination, urine and prostatic fluid positioning of the sub-culture, prostatic fluid pH and concentration of zinc, prostate biopsy and cultured in serum antibody titers, after three clinical seldom use, but there are scientific significance.
(5) if necessary, feasible urethral examination: urethral a chronic inflammatory changes, refined Fu uplift, discharging of the prostate. Determination of urinary flow rate is feasible and bladder and urethra contrast, a certain degree of screening significance.
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