Clinical misdiagnosis is very common. After misdiagnosis, all treatments are wrong, and even threaten our lives. Prostatitis is a good example. Prostate fluid examination is abnormal, can it be diagnosed as chronic prostatitis? This should be considered from several aspects.
Because prostatitis is confined to some glands, or the underlying inflammation is deep, and it is difficult to discharge after prostate massage, the results of only one or two prostate massage fluid examinations do not necessarily reflect the true condition of the prostate, and should be examined after a period of time to confirm the diagnosis.
1. If you are an unmarried young person, you can consider hyperemia of the prostate. This is because the secretion of prostate and seminal vesicle of these patients is not coordinated with the function of ejaculation, resulting in the obstruction of prostate and seminal vesicle and the above symptoms, which was also known as congestive prostatitis in the past.
2. There are also a small number of people. Because prostatitis is confined to some glands, or the underlying inflammation is deep, it is difficult to discharge after prostate massage, so the results of only one or two prostate massage fluid tests do not necessarily reflect the true condition of the prostate, and should be checked after a period of time to make a clear diagnosis.
3. There are also some patients who have no white blood cells in the prostate fluid and no obvious pathological changes of infection after many times of examination. Bacteria can not be found in the culture, but have different degrees of frequency of urination, pain in urination and difficulty in urination. There are often persistent changes in urodynamics, the maximum urinary flow rate is reduced, and the pressure of the urinary bladder is unstable and spasmodic. These patients are often not real prostatitis, but the true and spastic pain of the urethral muscle and prostate muscle, When the anus is examined, the levator ani muscle on both sides and the external rotator brevis of the hip are pressed for tenderness, while the prostate is usually normal without tenderness. In the past, this disease was often referred to as piriformis levator ani syndrome.
The premise of disease treatment is to make a correct diagnosis. As the saying goes, sharpening the knife will not delay the woodcutter, and only a clear diagnosis can be made. Only in favor of the treatment of diseases can it be possible to cure their own diseases.