Prostate pain
Introduction
Introduction Prostate pain is a urinary tract muscle, prostate muscle, or discomfort similar to chronic prostatitis caused by muscle spasm of the perineum and pelvic floor. When doing anal finger examination for such patients, the prostate palpation is normal and there is no tenderness, but the levator ani muscles on both sides of the anus have obvious tenderness. Therefore, clinicians named this disease prostate pain.
Cause
Cause
1. Biological factors:
(1) It is an infection of various pathogenic microorganisms. Virus, mycoplasma, chlamydia, bacteria, spirochetes, fungi, trichomoniasis, etc. can cause disease. The main route is urinary tract infection, and the ascending infection of urine is retrograde from the urethra. Into the prostate gland, causing bacterial inflammation.
(2) Biological factors also include the body's immune capacity. When the body's immunity is normal, even if there are pathogens in the urinary tract, it will not cause disease; on the contrary, if the body's immunity declines, it does not normally exist in the urinary system. Pathogenic bacteria can also cause illness and make waves.
2. Psychological factors:
People's psychological activities are very complicated. Now people's psychology is generally more floating. Due to various factors, anxiety, impatience, depression and other unhealthy psychological activities increase. These psychological activities can make the body's immune level decline, such as Experiments have shown that a person with long-term depression has lower levels of immune eggs in his blood than normal people. He is more likely to have a cold, stomach ulcer, prostatitis, and even cancer than normal people.
3. Social factors:
Mainly bad habits.
Examine
an examination
Related inspection
Prostate B-ultrasound male examination urine pathogen examination
Laboratory inspection
(1) Prostate massage fluid (EPS) routine examination: white cells <10/HP in normal EPS, lecithin bodies are evenly distributed throughout the field of view. At pH 6.3 to 6.5, red blood cells and epithelial cells do not exist or are occasionally seen. When leukocytes are >10/HP, the number of lecithin bodies is reduced, which is diagnostic.
(2) Urine routine analysis and urine sediment examination: urine routine analysis and urine sediment examination are auxiliary methods for eliminating urinary tract infection and diagnosing prostatitis.
(3) Bacteriological examination: The "two cups" or "four cups" pathogen localization test is recommended.
(4) Examination of other pathogens: including Chlamydia trachomatis and Mycoplasma.
(5) Other laboratory tests: Patients with prostatic pain may have abnormal semen quality, and urine cytology has certain value in the identification of bladder cancer in situ.
Device inspection
(1) B-ultrasound: Although B-ultrasound examination of prostatitis patients can detect uneven echo of the prostate, prostatic calculi or calcification, and venous plexus expansion around the prostate, but still lack the specific performance of B-ultrasound prostatitis, and can not be used B-ultrasound is used to classify prostatitis.
(2) Urodynamics:
1 urine flow rate, urine flow rate examination can generally understand the patient's urination status, and help to identify prostatitis and dysuria related diseases.
2 urodynamic examination, bladder urethral dysfunction can be found.
(3) CT and MRI have potential application value in the identification of pelvic organ lesions such as seminal vesicles and ejaculatory ducts, but the diagnostic value of prostatitis itself is still unclear.
Diagnosis
Differential diagnosis
Differential diagnosis
There is no objective and specific diagnostic basis for prostate pain. Clinical diagnosis should be differentiated from diseases that may lead to pain in the pelvic region and abnormal urination. Patients with abnormal urination should have clear bladder outlet obstruction and bladder dysfunction. Diseases to be identified include: benign prostatic hyperplasia, testicular epididymis and spermatic cord disease, overactive bladder, neurogenic bladder, interstitial cystitis, cystitis glandularis, sexually transmitted diseases, bladder tumors, prostate cancer, anorectal Disease, lumbar disease, central and peripheral neuropathy.
If the symptoms are not relieved after treatment, further examination should be selected according to the specific circumstances, except for the above diseases.
