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Date: 2011.03.22 | Category: Male Diseases | Tags: Acute bacterial prostatitis
acute bacterial prostatitis is a rare type of prostatitis. Acute onset, fever, frequent urination, urgency, dysuria. Anal means the examination of prostate enlargement, softening, was tenderness . At this point the prostate massage is strictly prohibited. to take the terminal urine, to find pathogenic bacteria culture; do sensitivity test, develop the best antibiotic treatment.
general, acute bacterial prostatitis in patients with prostate capsule can by treatment with antibiotics, most can achieve an effective therapeutic concentration, so much of acute bacterial prostatitis can be cured, do not change for the chronic prostatitis; not treated or not treated properly, the development of acute bacterial prostatitis prostate abscess.
chronic bacterial prostatitis due to their symptoms varied, with the following diseases should be differentiated from:
1. prostate disease prostate pain, no substantive lesions, expressed as the perineum and shame. District pain and tenderness, to stimulate urination disorders, urinary tract symptoms. in the past this disease; the levator ani muscle piriformis syndrome, but normal prostate palpation, often found in microscopic examination of prostatic fluid, prostatic fluid and urine culture without bacteria.
2. chronic cystitis, urethritis, or clinical manifestations of both disease and chronic forefront: irritation of the urinary tract is very similar, urine routine examination, urine can be found in the white;, but for prostate examination can be no abnormality was found, that is not in prostate lesions.
3. granulomatous prostatitis Although the disease symptoms, digital rectal examination, easy to be confused with chronic prostatitis, granulomatous prostatitis, but with rapid urinary retention can be quickly short-term rapid growth sclerosis. identification is required for prostate biopsy can only difference is in the histological examination showed granulomatous reaction, and general chronic prostatitis does not have this reaction.
4. catarrhal prostatitis or prostate disease (also known as non-bacterial prostatitis) clinical symptoms of the disease difficult to distinguish between patients with chronic prostatitis. perineal pain and discomfort, urination and sexual dysfunction and other symptoms. Check how the amount of prostatic fluid lecithin, WBC slightly increased, but many times there was no smear and bacterial culture of bacterial growth.
5. aseptic prostatitis (prostate, also known as discharge, leakage of prostate congestive or chronic prostate) disease is large, although the milky secretions from the terminal urine from the urethra, and is often associated with psychiatric symptoms. But the digital rectal examination, prostatic fluid examination were normal, bacteriology negative, indicating that non-pathogenic microorganisms.
6. prostatic tuberculosis prostatitis symptoms of this disease is similar, but patients have a history of tuberculosis. digital rectal examination prostate was irregular nodular enlargement of hardened epididymis, vas deferens with beaded sclerosis. direct smear or prostate Mycobacterium tuberculosis Mycobacterium tuberculosis Mycobacterium tuberculosis culture can be found in the prostate biopsy shows tuberculous nodules or caseous necrosis.
7. prostatic stones that occur in the prostate gland and the gland tube stones. and chronic inflammation of prostate, prostatic fluid retention, duct stenosis, metabolic disorders and other factors are: inorganic salts such as calcium oxalate, calcium phosphate, magnesium phosphate deposits in the prostate gland of the lake-like body, epithelial cells and inflammatory exudation on the formation of stones, the patient may show various types of chronic pancreatitis symptoms before, if there lumbosacral, perineal pain and sexual dysfunction, Yang, premature ejaculation and other symptoms. but palpable rectal examination and prostate examination friction and a sense of the stones, bone X line in the positive side of the pubic symphysis area shadow stones, ultrasound examination can appear in the light parts of the prostate with a stone. and a sound shadow. to identify funding.
8. Prostatic Abscess most of the complications of acute bacterial prostatitis, increased in the 50 to 60, half of the patients with acute urinary retention, urinary frequency, dysuria, rectal fitness, urethral pus, some associated with epididymitis. digital rectal examination prostate disease side increases, the soft touch, a sense of volatility. prostatic abscess may occasionally rupture naturally to the urethra, the rectum can collapse, be mistaken for rectal abscess.
9. osteitis pubis often clinically showed symptoms of chronic prostatitis, but the anus and prostate fluid examination was normal. main feature is significant tenderness at the pubic symphysis, X ray film taken basin gap widened pubic symphysis> 10 mm, the level of the upper branch of bilateral pubic> 2 mm, irregular edge of the pubic symphysis, there bone erosion and reactive sclerosis.
10. Prostate cancer can occur late in this disease urinary tract symptoms, such as urinary frequency, dysuria, dysuria and other symptoms, and chronic prostate Yan similar, but patients often have weight loss, fatigue, anemia, loss of appetite and other obvious symptoms, digital rectal examination prostate hard as rock mass, surface uneven, serum prostate specific antigen and prostatic acid phosphatase increased. prostate biopsy can be found in cancer cells, ultrasound examination showed glands increased or irregular boundary echo defect, the internal light spot uneven, tumor site have a more light points, or light group. CT examination revealed asymmetry of the prostate shape, if the tumor to the capsule foreign invasion, seminal vesicle and bladder wall shows the organization of space disappears, and to determine the extent of prostate cancer invasion. these methods can check the earlier prostate cancer and chronic prostatitis to distinguish.
above is “Acute bacterial prostatitis” disease identification, if you are in acute bacterial prostatitis, if any specific questions you can contact line in Jinan Kowloon urology hospital doctor, you will be satisfied with the treatment guide, online booking clinic also offers complimentary.