4.21.2009

Chronic prostatitis symptoms easily confused

1, chronic urethritis or cystitis: clinical manifestations of chronic prostatitis with similar, but check for prostate abnormalities may be found.

2, prostate pain: no substantive changes, manifested as perineal and suprapubic pain and tenderness, and the performance of voiding dysfunction such as urinary tract. Palpation of normal prostate, normal prostatic fluid examination, prostatic fluid and urine culture without bacteria.

3, granulomatous prostatitis, although the symptoms, digital rectal examination and chronic prostatitis easy to confuse, but the former faster progress can be rapidly retention, short-term rapid growth induration. The need for identification of prostate biopsy, histological examination showed granulomatous reaction.

4, catarrhal prostatitis or prostate disease (also known as non-bacterial prostatitis) and chronic prostatitis symptoms It is difficult to distinguish. Perineal pain, and urinary and sexual dysfunction, such as performance. How to check the volume of prostatic fluid lecithin body, leukocytosis, but there was no smear and bacterial culture bacterial growth.

5, prostate discharge (also known as aseptic prostatitis, prostate prostate leakage or chronic congestive): large, there is milky white urine terminal outflow of secretions from the urethra, often combined psychiatric symptoms. However, digital rectal examination, prostatic fluid examination were normal, negative bacteriology.

6, prostate cancer: urinary tract symptoms may appear late. Prostate digital rectal examination found that there are hard lumps, uneven surface. Prostatic fluid smears, biopsy of cancer cells can be found.

7, prostate stones: there lumbosacral, perineal pain and sexual dysfunction such as impotence, premature ejaculation and other symptoms. Digital rectal examination and prostate have a palpable sense of friction stones, pelvic X-ray shadow of positive calculus, we can identify.

8, prostate tuberculosis. Symptoms similar to prostatitis, but the history of tuberculosis. Digital rectal examination showed irregular nodular prostate, epididymis swelling hardened, there vas deferens scleroma beaded. Prostatic fluid direct smear or Mycobacterium tuberculosis Mycobacterium tuberculosis can be cultured to find l to Mycobacterium tuberculosis, prostate biopsy can be seen tuberculosis-like nodules or dry necrosis.

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