When a patient has prostatitis, the doctor must first check whether the leukocytes in the prostatic fluid are normal. The leukocytes in the prostatic fluid can distinguish inflammatory and non-inflammatory prostatitis. But urologists are more based on the patient's specific symptoms to diagnose whether the patient has prostatitis. Because the number of leukocytes in the prostatic fluid test of patients with non-inflammatory prostatitis is normal, these patients cannot be diagnosed by prostatic fluid examination.
Therefore, the current international standard for diagnosing prostatitis is whether there are symptoms of prostatitis. In other words, the diagnosis of prostatitis mainly depends on whether the symptoms described by the patient are consistent with the symptoms of prostatitis.
It is worth noting that the leukocytes in the prostatic fluid are sometimes "unpredictable." A patient may have normal leukocyte test results in prostatic fluid, but this does not mean that the patient does not have "inflammation." Instead, he may even have severe inflammation. Some patients have severe prostatitis, which blocks the catheter and prevents the leukocytes from being discharged, so the test results show that it is normal. So, you can't judge whether you have prostatitis just from leukocytes. After treatment with herbal medicine to remove stasis, the duct is unclogged, and more leukocytes are detected, but this was a sign of improvement. After the patient is treated for some time, the number of natural leukocytes will slowly decrease.
The herbal medicine Diuretic and Anti-inflammatory Pill has a noticeable effect on treating chronic prostatitis. It is made of herbs to promote blood circulation and remove blood stasis, which can effectively dissipate abnormal tissue and open up blocked ducts so that they function well. It not only cures the symptoms of prostatitis but also solves the root causes.
Some people are worried when they see leukocytes in the prostatic fluid on their test sheets. They try every means to reduce the number of leukocytes, and they are troubled by this problem every day. They see a lot of doctors and tack a lot of medicine, but the leukocytes do not drop.
Suppose these men do not have particularly uncomfortable symptoms. In that case, they can take no medicine and rest for a while, and the leukocytes will decrease because if men are in a state of stress for a long time, the leukocytes will increase. Treatment is not recommended if you have leukocytes in your prostatic fluid but no symptoms.
In addition to testing prostatic fluid, prostatitis patients are sometimes required to undergo B-ultrasound, MRI, CT, etc. Therefore, some patients mistakenly believe that these tests can also directly determine whether they have prostatitis. But in fact, prostatitis has no particularly characteristic changes in imaging. The tests mentioned above exclude some urinary tract tumors, stones, renal cystitis, interstitial cystitis, and other diseases.
All in all, the diagnosis and treatment of prostatitis must be based on clinical symptoms, not just laboratory results. You can tell whether you have prostatitis from the following signs to get a preliminary understanding.
1. Uncomfortable urination, such as frequent and urgent urination, pain, difficulty urinating, etc. You may also find some secretions from the urethral opening in the morning.
2. Local Symptoms. The anus, perineum, and posterior urethra feel bulging and bloating, and the discomfort will increase when defecating, squatting, and sitting.
3. Radiating Pain. The pain caused by prostatitis will radiate to the parts near the perineum, such as the waist, penis, scrotum, testicles, belly, thighs, etc.
4. Sexual Dysfunction. Prostatitis can cause painful ejaculation, premature ejaculation, decreased libido, and sometimes affect semen quality.
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