Popular Posts

Editor'S Choice - 2020

Methods for the diagnosis of prostatitis in men

Prostatitis does not have characteristic symptoms, so it is impossible to make an accurate diagnosis based on only the complaints of a man. A comprehensive diagnosis is needed, in which various laboratory studies of bacteriological material play a special role. Consider what tests for prostatitis will have to be passed to a man, we will give brief information on them. We also tell you which values ​​are normal, and when you can talk about inflammation in the prostate gland.

What happens in the doctor’s office

No one will take blood or other material for examination unless there is a doctor’s referral. It is for this reason, in case of pain in the perineum, difficulty urinating and poor potency, a man should visit a urologist.

At the appointment, the doctor will first collect an anamnesis - information about existing diseases, complaints, lifestyle, previous operations, etc. These data help to obtain assumptions about what disease the patient has and will be taken into account when making a diagnosis.

If you suspect acute or chronic prostatitis, you can not do without palpation of the prostate. This diagnostic measure can cause pain when the inflammatory process is started, but, most often, it causes only a feeling of slight discomfort. Palpation is carried out with a finger through the rectum, as a result, the doctor will be able to get some information about the state of the prostate gland:

  • its consistency,
  • sizes
  • the presence of soreness.

In acute inflammatory processes, as well as in the case of calculous prostatitis, rectal examination is not carried out. The risk of complications in this case is high and not comparable with the diagnostic value of the method.

After receiving the necessary information, the doctor will prescribe a referral for a series of tests. Their list may be adjusted, depending on the situation.

STI analysis

Chlamydial prostatitis and some other forms are caused by sexually transmitted infections. Most often, infection occurs imperceptibly for a man - microorganisms may not manifest themselves for a long time. However, it is necessary to establish the fact of their presence or absence, the success of therapy depends on this.

The following tests are used to diagnose STDs in men:

  • PCR diagnosis - examines scraping from the mucous membrane of the urethra,
  • polymerase chain reaction of secretion of the prostate and sperm,
  • ELISA blood test.

Three days before taking the material, it is forbidden to have sex or drink antibacterial drugs. Three hours before taking tests, you can not urinate and wash with soap or other disinfectants. Violation of these rules will lead to a false result, treatment of prostatitis will not be effective

Blood tests for prostatitis

In addition to checking for sexually transmitted diseases, a man will have to donate blood for a biochemical and general blood test. This is a mandatory analysis, with which you can set the following indicators:

  • erythrocyte sedimentation rate (hereinafter ESR),
  • the content of red blood cells and white blood cells,
  • red blood cell volume,
  • platelet count,
  • hemoglobin concentration and other parameters.

By biochemical analysis, it is possible to establish the content of glucose, cholesterol, urea, residual nitrogen and other substances.

The following blood tests are characteristic of the inflammatory process in the body: white blood cells> 9x10 ^ 9, ESR> 5 mm / h, hemoglobin 5 mm / h.

The final diagnosis is made on the basis of abdominal and transrectal ultrasound, MRI, CT and other types of instrumental examination.

Conclusion

Now you know what tests are done if you suspect prostatitis and how to decipher them. Diagnostic methods may vary depending on the clinic and the specific situation. So, a biochemical analysis of sperm is almost never prescribed.

A spermogram is also not needed in the diagnosis of prostatitis, but in it you can see its signs. Most often, this study is done due to infertility, and inflammation in the prostate is detected by chance. If the doctor does not direct for some analysis - this does not mean his incompetence.

Diagnostic Principles

Already during the patient’s first visit, the doctor can diagnose the presence of an inflammatory process in the prostate. However, to determine the complexity, stage and etiology of the disease is possible only through laboratory and instrumental studies.

Since 1995, world urologists have decided to differentiate prostatitis according to several studies. These include:

  • microscopic analysis of prostate juice,
  • differential diagnosis of prostatitis with other inflammatory processes in the lower urinary tract.

An obligatory moment is the collection of an anamnesis, rectal examination, as well as tests to detect infection of the body. Additionally, other diagnostic methods may be prescribed.

Medical history

The first and one of the most important diagnostic methods doctors call a medical history. By this concept in medicine is meant a questioning of a patient and analysis of external symptoms according to the patient. During such an informative conversation, the doctor not only fixes the clinical signs of the disease, but also pre-determines the causes of the pathological process.

A history of prostatitis is a crucial step. All treatment will depend on its effectiveness and accuracy.

Typically, the specialist asks the following questions:

  1. How long does the disease last?
  2. After what the disease arose, and how did the symptoms develop? It is advisable to remember exactly the sequence and all the little things.
  3. Does the patient have sexually transmitted diseases, have they ever been?
  4. What influencing factors does the patient undergo in life and at work? Lifestyle, sports.
  5. Was the patient sick with prostatitis before? Clarify the presence and regularity of sexual activity.
  6. If there is a regular sexual partner, then was he sick with something? Was it treated?
  7. What serious diseases did the patient suffer? Are there any chronic diseases of the pelvic organs?

In modern urological clinics, special questionnaires with a point system are used to collect an anamnesis. This is very convenient and allows you to objectively make a preliminary diagnosis.

Rectal examination

Diagnosis of prostatitis is based on rectal examination. During palpation, the doctor determines:

  • prostate size
  • the presence of pain
  • swelling of the tissues
  • the presence of seals.

The disease can be determined by the presence of sensitivity, swelling, pain when pressed, radiating to the inguinal region, coccyx, penis.

Normally, palpation of the prostate is painless, during the procedure it is necessary to relax, and before it - make a cleansing microclyster.

Key analyzes

After the doctor examines the patient, he prescribes tests to check for prostatitis. The most important of these is a smear of prostate secretion.

You need to take a secret during rectal stimulation. In men with acute prostatitis, severe pain is noted during the taking.

Before the procedure, a man should cleanse his rectum. This must be done in a natural way or with the help of an enema. In this case, the capture procedure will be less painful and pass without difficulty.

If during the massage of the gland there is a desire to urinate or defecate, you must endure. It is important to be as relaxed as possible. In each patient, the release of juice occurs in different ways.Therefore, it is necessary to carry out the procedure to the end.

After the first portion of the secret is released, the doctor substitutes a glass slide. When the juice falls on it, we can talk about the end of the taking procedure.

The study of the secret is performed under a microscope. The analysis determines:

  • the presence of white blood cells in an increased amount,
  • the number of lecithin grains,
  • the nature of microflora.

If more than 3 white blood cells are detected, the inflammatory process in the prostate is confirmed. If bacteria are noted, then the doctor confirms the infection of the gland.

In addition to the smear, the urologist prescribes other studies:

  1. General blood analysis gives a complete picture of the state of the body of a man. It is expressed as the presence or absence of inflammation, the number of red blood cells and white blood cells, hemoglobin level. Blood is donated to an empty stomach in the morning from a finger.
  2. Blood chemistry allows you to assess the condition of organs that can provoke prostatitis. Blood is taken from a vein.
  3. Analysis of urine for the presence of mucous, bloody discharge, pathogenic microflora, white blood cells and ESR.
  4. Bacterial urinalysis determines the type of bacteria that led to the onset of the inflammatory process.
  5. Urethral swab allows you to find out about the presence of sexually transmitted diseases.

All these studies are necessary in order to identify the initial disorders in the prostate gland. Final confirmation of the disease is possible only with the appointment of additional examinations. This is required for proper therapy.

Analysis of urine

For prostatitis, the following changes are characteristic:

  • reduced transparency
  • density increase - more than 1030,
  • pH increase - more than 7,
  • the appearance of protein
  • leukocytosis - from 4,
  • erythrocytosis - from 4.
Deciphering the analysis of urine with prostatitis is carried out by a therapist, family doctor, nephrologist or other narrow specialist.

Additional research

With the help of basic tests, it is usually possible to confirm or deny the diagnosis with confidence. But in some cases, additional diagnostics are required. It is prescribed for:

  • chronic disease
  • lack of treatment results,
  • the requirement to clarify the diagnosis,
  • suspected presence of concomitant prostatitis pathologies.

Here are the standard additional methods that are needed to diagnose prostate damage:

  1. PSA analysis. Prostatitis often gives complications in the form of prostate adenoma and malignant neoplasms. To exclude the presence of cancer cells, it is necessary to take a blood test to detect a prostate-specific antigen.
  2. CT scan. The study determines the internal contents of the prostate. The prostate can be filled with pus. Then the doctor must urgently prescribe treatment. Otherwise, surgical intervention cannot be avoided.
  3. Polymer chain reaction (PCR) smear. The analysis allows you to calculate the pathogenic microorganisms that provoked the appearance of prostatitis. This is especially important, since infectious inflammation of the prostate gland cannot be eliminated without eliminating the harmful microflora.
  4. Spermogram. Often, prostatitis manifests itself in the form of a decrease in potency and sexual activity. To determine violations, a spermogram is performed. The seminal fluid is examined for changes in a laboratory.
  5. Transrectal ultrasound. The procedure allows you to study the structure of the prostate gland. The seminal vesicles and the prostate are examined. This allows you to determine the presence or absence of a tumor, the state of veins and the vascular system, the presence of an inflammatory focus, stones. For research, the apparatus is inserted into the anus.

General and biochemical blood test

Tests for prostatitis in men include a peripheral blood test. It provides information on the intensity of inflammation. Prostatitis is indicated by such data:

  • increase in white blood cells more than 9 × 10⁹ l,
  • the number of stab cells - from 5 in p / s,
  • ESR level - from 6.
To ensure that the data are reliable, blood sampling is carried out after a 12-hour fast (in the morning).

Examination of a smear from the urethra

What caused the inflammation, tells the study of discharge from the urethra. Such changes are shown in the analysis of prostatitis:

  • leukocytosis - from 15 units,
  • increase in the number of squamous epithelium,
  • the presence of trichomonads, fungi.
The fence is carried out directly in the doctor’s office. Next, the sample is dried and studied on special equipment.

How to diagnose an ailment at home

Not everyone knows how to determine the presence of inflammation of the prostate. It will not be possible to make a diagnosis on their own with absolute certainty, since this requires the above research procedures. But there are some signs that may indicate the development of the disease. These include:

  • decreased erection
  • premature ejaculation
  • pain in the perineum, inner thigh, penis, scrotum, abdominal region of an acute and aching nature,
  • discharge of the mucous type from the penis,
  • fever, fever,
  • frequent urination, accompanied by difficulty in urine output,
  • a feeling of fullness of the bladder,
  • weakening and interruption of the urine stream,
  • soreness of bowel movements.

If a man has at least a few signs, he needs to immediately contact a urologist. The doctor will prescribe the necessary diagnostic measures to help determine the exact presence of violations.

There is another, more objective way to diagnose prostatitis at home, described in the medical literature.

You need to prepare 3 cans and take turns urinating (non-stop) in each of them. Then visually pay attention to color and turbidity. Turbid urine in the first and third vessels indicates that you have prostatitis. If turbid urine is only in the first bank - infectious inflammation of the urethra.

Remember, the diagnosis at home should speed up your trip to the doctor, but not help in the choice of self-medication!

STI tests

Pathogenic flora is detected by ELISA or PCR. ELISA is performed on venous blood, and PCR - on scraping material from the urethra, prostate juice or seed.

Before passing smears for STIs, you can not use soap, hygiene products with antiseptics, take antibacterial drugs.

The study of prostate secretion

To obtain juice, the doctor massages the prostate gland. Manipulation is performed in a comfortable position for a man, often lying down. The material is collected in a sterile tube.

CriterionMagnitude
Fluid amount0.4 and less or 3 or more ml
ColorMuddy, with inclusions
Lecithin grainsFrom 11 million per 1 ml
AcidityDecrease or increase over 7
White blood cellsFrom 11 to the salary
MacrophagesAre detected
Red blood cellsAre detected
Fungi, bacteriaAre detected

Before the procedure, an acute form of prostatitis is excluded. In this case, it is impossible to carry out a secret fence.

Features of the diagnosis of chronic disease

If acute prostatitis has not been cured in a timely manner or to the end, then the likelihood of a chronic disease increases. Its danger consists in various complications that may occur after its appearance. Also, this type of disease is not easy to diagnose on time.

In chronic prostatitis, it is impossible to find out about the presence of violations on your own. The doctor will also need more time to detect changes.

Symptoms of chronic inflammation are blurred. You can feel the characteristic signs only in the stage of exacerbation. A man conduct various studies, in contrast to the acute stage.

Diagnosis can be carried out both with exacerbation and remission. However, in the latter case, it will be more difficult to do this because of the dullness of the signs.

An important point is the timely visit to a doctor. When the first signs of violations appear, the urologist will be able to quickly detect prostatitis. And timely diagnosis is the key to successful treatment.

Baksev ejaculate and urine

These materials must be passed with prostatitis to identify pathogenic microbes. The method is based on the cultivation of microbiota in a nutrient medium.

Before taking material, you can not have sex, use antiseptics, drink antibiotics.

A morning dose of urine or semen is collected for sowing. Sperm is handed directly to the clinic. The patient is invited to a separate office and a sterile container is issued. The study identifies pathogenic microflora that cause the bacterial form of the disease.

Tests for prostatitis in men

Analyzes when establishing inflammation of the prostate gland - a complex of clinical studies that allows you to find out the following points:

  • general condition of the penis
  • the presence of inflammation,
  • stages of tissue damage.

Additionally may be recommended clinical examinations. It is a set of analytical data that enables the doctor to compile a complete picture of the patient’s health status.

General urine analysis

If prostatitis is suspected Analysis of urine - The first analysis to be passed.

Examination of the patient's urine allows the doctor to identify inflammationaffecting the prostate gland.

If urinalysis shows an increased content white blood cells, then this confirms the presence of inflammation.

Urine analysis for prostatitis - indicators:

  1. White blood cells. Normally, this indicator should not rise above 7 units. If the number is increased, then the inflammatory process takes place in the human body.
  2. Protein. It should not be contained in urine. His presence may indicate a chronic course of prostatitis.
  3. Red blood cells. In tests for prostatitis, the norm is 5 units. An increased content of red blood cells can be a sign of an abscess of the prostate or a calculous form of the disease.
  4. Sediment. The appearance of sediment indicates an increased salt content, which can cause the formation of stones in the ducts of the prostate gland.


Less effective in diagnosing prostatitis is urine density and COE indicator. Exceeding permissible norms may indicate pathology of the genitourinary system as a whole.

General blood test for prostatitis

What other tests are given for prostatitis in men? One of them - blood prostatitis test. Blood sampling for research is carried out from a finger strictly on an empty stomach. Below you can see the indicators of a general blood test for prostatitis.

A blood test for prostatitis is the norm:

  • increased white blood cell counts (more than 9 × 10 ^ 9),
  • increased ESR (over 5 mm / h),
  • fixation of stab leukocytes (more than 4),
  • low hemoglobin (less than 110 g / l).

If such abnormalities are found in a blood test for prostatitis, then they indicate a prolonged inflammation.

Urethral Scraping

Very often, an inflammation of the urethra becomes a concomitant prostatitis - urethritis. To diagnose the disease, scraping is performed using a sterile probe inserted into the lumen of the urethra to a depth of three to four centimeters.

With urethritis, the analysis shows the presence of bacteria in the test material, as well as an increase in the number white blood cells (more than three in sight). In addition, an increased content of mucus and epithelial cells is recorded.

Additional laboratory tests

What tests for prostatitis? Quite often, to obtain a clearer picture of the disease, the urologist prescribes additional studies.

A similar measure is practiced if previously assigned drug therapy did not bring the expected result.

Also, the symptoms of prostatitis complications may appear.

Here can be assigned: a blood test for PSA, bacteriological culture of prostate secretion, PCR, spermogram.

PSA blood test

PSA protein (prostatic specific antigen) is produced by the tissues of the gland. Its main function is sperm liquefaction. Excess PSA permissible norm may indicate the presence of malignant cells, as well as other pathological changes in the tissues of the prostate gland.

Three types of PSA are of diagnostic interest:

  • free (makes up 20% of the total amount of protein circulating in the blood),
  • connected,
  • common.

During normal operation, the secretory epithelium of the prostate PSA in the blood of a man is determined no more than 4 ng / ml.

For more accurate interpretations of analysis the content of specific protein fractions is considered:

  • decrease in free PSA becomes one of the signs of prostate cancer
  • increase in the allowable free rate PSA indicates a chronic form of prostatitis.

PCR (polymerase chain reaction)

PCR diagnostics - one of the most effective methods widely used in urological practice.

Analysis performed in a short time and shows high accuracy of the result (up to 99.9%).

Exactly PCR is the most informative method for diagnosing inflammation of the prostate gland.

Methodology PCR reveals DNA all pathogens present in the taken biological material.

This makes it possible to select an adequate drug therapy. In addition, the study reveals even single viruses and bacteria, which is completely impossible with other methods.

The effect of the prostate on the life of a man

The prostate enters the male reproductive system, playing an important role. It produces a specific secret that provides nutrition and protects sperm. Semen is ejected by contracting smooth muscle fibers of the prostate capsule and seminal vesicles. This phenomenon is called ejaculation.

Anatomically, the gland is located below the bladder. Urination disorders are often associated with its increase.

Note! The prostate is a very sensitive organ. Any changes in it that are pathological in nature can cause serious health problems.

Performing a secretory function is the main purpose of the prostate. The secret made by her consists of a dozen different trace elements and minerals. Iron is directly involved in the transport of sperm, ensures their viability and activity. In addition, it liquefies sperm, regulates the production of testosterone and contributes to the normal functioning of the erection mechanism.

Symptoms

Signs of an onset of the disease:

  • intermittent stream
  • problems starting urination
  • urinary incontinence, leakage,
  • frequent urination,
  • the feeling that the bladder is not completely empty
  • soreness in the lower abdomen,
  • sexual disorders.

Basic and additional tests for the diagnosis of prostatitis in men

Prostatitis It does not have a pronounced symptomatology, which greatly complicates the diagnosis of pathology in the early stages.

No extra analyzes this is impossible to do. But what analyzes on prostatitis need to pass?

After all, only laboratory studies allow us to establish the current stage of inflammation glands and severity pathological process.

In the article we will talk about diagnostics prostatitis, analyzes how to identify an insidious disease.

Why does pathology develop?

The causes of the disease:

  • infections transmitted through sexual contact,
  • malfunction of blood circulation in the pelvic organs,
  • sedentary work,
  • prolonged lack of sex,
  • interrupted sexual intercourse,
  • frequent hypothermia of the body,
  • regular stress
  • excessive physical activity.

The effect of prostatitis on potency

Men should not immediately panic when making such a diagnosis. Impotence does not threaten them, but problems in sex are provided. For men who have a chronic form of the disease, sex will no longer be able to bring full satisfaction. Also, in such patients, there is a decrease in sexual desire, premature ejaculation, pain during ejaculation.

Important! Problems with the prostate can lead to infertility. Iron has a direct effect on the viability of sperm, and inflammation in it inhibits their activity.

Men must be examined by a urologist. This must be done at least once a year. It is better to play it safe again than to spend valuable time and considerable money on treatment and restoration of the body after surgery.

In developed countries, going to the urologist is a common occurrence. Our men go to the doctor most often when the disease has managed to acquire a neglected character. Therefore, the frequency of prostate diseases in men who have exceeded 45 in our country reaches 60%. Statistics, unfortunately, are not comforting.

How to take tests for prostatitis

To make an accurate diagnosis, you will need to pass a number of tests. There are some rules, compliance with which is mandatory before conducting such an examination in a hospital. It is necessary:

  • completely exclude the use of any medications a week before the expected date of delivery,
  • give up sexual intercourse in a few days,
  • avoid any physical activity in about a day,
  • do not drink alcohol 2-3 days before the analysis,
  • Before examining a urologist, it is necessary to cleanse the intestines with an enema. It is also recommended to refrain from eating food 10 hours before a visit to the clinic.

Without fail, fasting blood will be required. In addition, it is necessary to collect a morning dose of urine.

When is a doctor needed?

You should not postpone a visit to the urologist, having noticed at least two or three of the following symptoms:

  • soreness, discomfort in the anus,
  • urine with a splash of blood in it,
  • pain covering the lower abdomen
  • burning sensation after going to the toilet,
  • pain after intercourse,
  • problems with erection
  • unusual character of urination,
  • frequent toilet calls in a small way,
  • false urge to urinate.

Important! Men who are already over 40 should make it a rule to visit a urologist at least once a year, take the necessary tests and do an ultrasound scan.

A digital examination of the prostate gland will help to detect the development of prostatitis in the first stage. Men do not really like this procedure, and they have to be dragged to the doctor by force. In fact, no pain during massage does not occur. It also takes a little time.

If the diagnosis is confirmed, then the man from this moment will have to regularly take an analysis of the secretion of the prostate in order to evaluate the effectiveness of the chosen treatment tactics and adjust the scheme in time if necessary.

Diagnostics

Chronic prostatitis is a cunning and treacherous enemy. The disease likes to disguise itself, for a long time without pretending to be anything. Time is often lost. The patient seeks help when he is already "pressed" and there is simply no strength left to endure. A small problem that could be easily solved at the beginning of the disease becomes a real nightmare in a man’s life, poisoning his existence and making it impossible to lead a full life. It is also possible the formation of an abscess, leading to the most sad consequences.

During an exacerbation, a man is tormented by high fever. He is in a fever, sweat is pouring from his face in hail.Pain in the perineum interferes with normal bowel movement. Going to the toilet becomes a real nightmare.

By the way. The neglected form of prostatitis poisons the life of not only the man himself - his woman suffers no less. You have to forget about high-quality sex, because a man is no longer up to long preludes. He, under any pretext, tries to evade the performance of marital duties. Sex becomes quick and painful for a man instead of the usual pleasure.

Due to insufficient production of a high-quality secret, spermatozoa become less active and tenacious. This situation can lead to infertility. In this regard, early diagnosis is simply necessary. At the very beginning of the development of the disease, it is much easier to treat than in a neglected form.

Types of Research

The main task of diagnosing prostatitis is to identify the cause of the development of the disease, which type of pathogen could provoke the disease. In addition, structural changes in the tissues of the prostate gland, the degree of their severity should be identified. Any malfunction in her work is noted.

Diagnosis of prostatitis is a series of comprehensive studies, including:

  • blood sampling
  • urine delivery
  • analysis of prostate secretion,
  • Ultrasound, MRI, allowing you to see any structural changes in the tissues of the prostate gland.

You can not do without spermogram and other laboratory tests.

Note! Based on the data obtained, the results of the analyzes will be assigned a more complete diagnosis, which has a detailed character. She will either upset the patient by confirming the presumptive diagnosis, or she will be glad that there is nothing to worry about.

What do doctors most focus on in test results?

Most of all doctors are interested in urine and blood tests. According to their data, you can get more detailed information about the course of the disease.

It is a urinalysis that gives information more than other sources, which allows you to accurately diagnose "prostatitis" and determine the nature and form of the disease. If the diagnosis is in doubt, you will have to take the urine three times: for a general analysis, bacteriological and cytological.

Type of analysisDescription
General analysisThanks to a general analysis, you can notice the disease in the very early stages of development. In the laboratory, its smell, color, acidity, whether turbidity is noted, will be evaluated. This analysis will help to see the general picture of the state of the body and the genitourinary system. The analysis is given in the morning. They collect the average portion of urine, passing the first part into the toilet bowl, and the middle - into the prepared jar.
BacteriologicalIt is used as an additional method for diagnosing the disease. Using this analysis, you can detect the presence of infection, find out the type of pathogen, how it will respond to medications. You will have to collect urine three times, in different containers. For each portion of urine should be its own container. The results of the study cannot be obtained right away - it usually takes up to several days to determine them. By sowing, you will see the number of bacteria, fungi and parasites, indicating an inflammatory process.
CytologicalThis type of analysis is not suitable for everyone - only for those patients whose doctor suspected the presence of a tumor process in the genitourinary system. The analysis will help identify cancerous and atypical cells. The preparation for collecting the analysis is similar to the preparation for passing on a general urine test.

Blood donation is also mandatory for all patients. It is needed for general and biochemical analyzes. According to their data, you can make a picture of the course of the disease, confirm or refute the alleged diagnosis. First of all, doctors must focus on the number of leukocytes in the blood and the level of ESR. If their data are too high, the man’s body is likely to suffer from an inflammatory process.Hemoglobin level is equally important. If it is low, then you should be wary. This level may indicate the presence of neoplasms in the prostate gland.

Blood for general analysis is taken from the finger, on an empty stomach. In order not to spoil the test results, on the eve of blood sampling, alcohol and any medications must be excluded. Eight hours before this will have to starve.

Blood for biochemical analysis is taken from a vein. Preparation for it is no different; it is similar to the general analysis. According to the results of the data, you can find out about the state of the liver, determine the risk of renal failure, and determine how well the kidneys work.

Examination of the secretion of the urethra

This analysis, called "uroflowmetry" is able to determine any changes in the patency of the urethra. It records the flow rate of urine, evaluates the completeness of the opening of the neck of the urinary canal. Pathology will be considered a decrease in urinary flow rate.

This analysis is prescribed if there is a suspicion of the onset of the development of the inflammatory process in the genitourinary system. Biological material is taken from well-washed genitals. The purpose of the analysis is to detect infections transmitted through sexual contact. A deviation from permissible norms will be considered to be the detection in the analysis of various fungal microorganisms, trichomonads, chlamydia.

This examination is not prescribed to every patient. The doctor sends for magnetic resonance therapy if a tumor is suspected. MRI allows you to accurately see serious pathologies in the structure of the pelvic organs, if any, to detect prostate cancer.

Computed tomography is prescribed when laboratory tests have not given a reliable answer to confirm the diagnosis. With the help of CT it is possible to determine where the tumor is localized, what size it is, and also to draw up a further treatment plan using radiation therapy.

Biopsy

The procedure is performed by puncture. With its help, you can determine the cause of inflammation in the prostate gland, confirm or exclude oncological processes in it.

With prostatitis, a transrectal ultrasound is prescribed, as well as an ultrasound of the bladder. Preparation for the procedure should be carefully organized. In the first case, the intestines should be completely empty. In the second case, the bladder should be completely full. With the transrectal method, a miniature camera is inserted directly into the rectum. With the abdominal method, deep penetration is not necessary - ultrasound is performed through the wall of the peritoneum. By the results, one can judge the presence of stones in the gland. The diagnosis will be confirmed if on the monitor screen the prostate gland will be with a changed pattern and a fuzzy density.

Acute

Most often, acute prostatitis manifests itself in the form of the following symptoms:

  • Elevated body temperature.
  • General weakness.
  • Nausea.
  • Malaise.
  • Tachycardia.
  • Change in urine stream.
  • Rapid and painful urination.
  • Pain in the lower back.
  • Chills.
  • Pain in the perineum.

Spermogram

What spermogram with prostatitis? What is it made for? The study reveals inflammatory process. Most often, sperm analysis is prescribed in tandem with the bacteriosis of prostate secretion.

Evaluation of the material is carried out on the following indicators:

  1. Ejaculate volume. The average rate is 3 ... 5 ml. Receiving less sperm indicates prostate failure. Excess - current inflammation.
  2. Color. Norma is white, slightly yellowish or grayish. Darkening of the ejaculate (sometimes the blood content) indicates injury to the gland, and may also indicate calculous prostatitis.
  3. Acidity. Normal indicator pH fits into the range 7,2-7,8. Deviations may indicate the presence of prostatitis.
  4. Liquefaction period. Normally, this figure should not exceed one hour. In chronic inflammation of the gland, an increase in the parameter is recorded.
  5. Ejaculate viscosity. In a healthy man, the length of the thread does not exceed 0.5 cm. Exceeding the permissible value may also be due to prostatitis.


Preparation for delivery requires sexual abstinence for at least two days. During this period, you must refuse to take coffee, alcohol, any medications and visit saunas, baths, tanning salons. For analysis all sperm obtained is used.

Chronic

  1. Most often, one of the first signs of chronic prostatitis is the occurrence of discomfort, as well as various pain in the lower abdomen.
  2. In some cases, severe pain radiates to the thigh or lower back, and sometimes exacerbation of symptoms appears after ejaculation.
  3. The main manifestations that characterize the presence of chronic prostatitis:

Any form of prostatitis can provoke the development of neoplasms, benign or malignant etiology.

Symptoms of prostatitis

With pathology, frequent urge to the toilet for a little need

Inflammation of the prostate gland is accompanied by a whole group of symptoms that a man does not always manage to ignore. They must be consulted by a specialist.

It is necessary to begin to sound the alarm if a man shows the following signs of malaise:

  • Intermittent stream of urine
  • Soreness during ejaculation and urination,
  • Discomfort in the lower abdomen,
  • Pain in the anus, perineum and genital area,
  • Rapid urination
  • Difficult defecation, which is accompanied by pain,
  • Erectile dysfunction.

Such symptoms cannot be ignored. They indicate the active development of the disease, which requires immediate treatment.

Palpation of the prostate

To check the prostate, you need to go through its palpation. The patient takes the same position as with massage. Inspection is performed with the index finger, which is inserted into the anus.

Normally, the organ is located 3 cm above the sphincter of the anus. It is rounded and has a furrow in the middle, which makes it look like a chestnut. By consistency, the body is tightly elastic throughout, with clear boundaries.

The mucous membrane of the rectum over the prostate should be easily displaced during the study.

Ultrasound and TRUS

The procedure provides reliable information about the size, shape, contours, blood flow of the organ. More data on possible prostatitis is obtained with TRUS - transrectal ultrasound. A rectal sensor is used, which is inserted into the anus. The transabdominal method is also used - through the front wall of the abdomen. The study is carried out in the supine position with a full bladder.

Examination of the prostate through the urethra is less common, since the introduction of a special sensor is required.

One of the important indicators is blood flow velocity, which is better determined from transrectal access. The method also detects the state of fiber surrounding the gland and venous plexuses.

MRI - obtaining layered images of an organ using a magnetic resonance imager. The method reveals tumors up to 1 cm in size, determines the state of the lymph nodes. It is indispensable before surgery, endoscopic treatment.

Using MRI, the structure of the organ is determined, which should be uniform. In the presence of adenoma, the examination determines the nature of its growth, the state of the urethra in the thickness of the prostate.

MRI earlier than TRUSI reveals the germination of the capsule of the prostate.

The examination is prescribed when it is necessary to clarify the diagnosis or other methods are not informative.

What are the signs of a diagnosis?

One of the initial symptoms is pulling pain or discomfort over the pubis, scrotum and groin.The pain intensifies after ejaculation. A comprehensive examination is also prescribed if:

  • dysuric disorders - frequent urination, incomplete emptying, pain during urination,
  • sexual dysfunction - a decrease in libido, a change in coitus duration, rapid ejaculation, retrograde ejaculation (throwing semen into the bladder, and not into the urethra),
  • general complaints - weakness, sleep disturbance.

Analyzes should be passed even in the absence of complaints, if the PSA does not correspond to the age norm.

How much will diagnostics cost in clinics in Moscow

To quickly pass tests for prostatitis, you can contact the specialized clinic. During the first visit, a urologist is examined, and blood, urine and other material are taken.

AnalysisPrice in rubles
Urine350
Prostate Juice450
Urethral swab440
Blood biochemistry300–1100
TRUS2100
PSA600

The decoding of the results is carried out by a urologist, who gives an opinion on the basis of complaints, examination and research data.

To summarize

There are many different tests that are needed to confirm the diagnosis of prostatitis. It is important to remember that you need to take them not only if you suspect the development of such a disease, but regularly - at least once a year. This is necessary so that the pathology can be "caught" at an early stage and immediately proceed to treatment, which in this case will be much faster and easier.

Bacteriological culture of prostate secretion

Bacteriological culture is done by collecting the secret that the prostate gland produces. The extracted sample is sent for analysis. To get it, a patient needs to massage the glandular organ. The procedure must be carried out in accordance with the rules, otherwise, excess components will be present in the liquid that adversely affect the quality of the laboratory analysis.

Using bacteriological culture, the causes of the development of tumor formations and the presence of pathogenic pathogens in the genitourinary system are determined. As part of the normal indicators, there should be a minimum number of malicious agents. Ideally, they are absent.

Secretion is also needed to find the right antibacterial agent. Due to this, the effectiveness of the drug course is significantly increased.

Tests for prostatitis: types of studies and interpretation of the results

No doctor will be able to diagnose a patient with symptoms of inflammation in the prostate gland until he passes the tests. Without fail, a man is prescribed a direction for laboratory and instrumental diagnostics. After its results are decoded by a specialist. Tests for prostatitis help the urologist correctly diagnose the patient and choose the best treatment for him.

Sexually transmitted infection tests

To exclude other diseases, PCR analysis is done.

Prostatitis can be caused by pathogens of sexually transmitted diseases. If the cause of the inflammatory process is this, then the patient will need special treatment aimed at suppressing the infectious pathogen.

To determine the presence of a sexually transmitted pathogen in the genitourinary system allows PCR diagnostics. During the procedure, a man takes a scraping from the mucous membrane of the urethra.

The doctor must explain to the patient how important the preparation for this test is. The accuracy of its implementation depends on the reliability of the results obtained during the study.

Deciphering the results

The question of what tests are performed for prostatitis is closed. Patients may also be interested in decoding the obtained diagnostic results.

A man can independently decipher his analyzes. But for this, he needs to pass the norm according to one or another indicator, and then compare it with the values ​​in his results.

The following indicators indicate inflammation in the prostate:

  • The number of leukocytes exceeds a value of 3 units,
  • PCR diagnostics revealed the presence of a sexually transmitted infection pathogen in the genitourinary system,
  • White blood cells in glandular secretion exceed 12 units,
  • The number of red blood cells goes beyond 1-2 units,
  • Aggregation and agglutination were detected in semen.

In addition to laboratory tests, the patient requires instrumental diagnostics. Confirm the diagnosis by ultrasound, CT and MRI. With their help, the current state of the prostate and its size are evaluated.

Laboratory tests to assess functional status and identify prostate diseases

The prostate gland, or prostate, is a specific male organ that has three important functions. The first and foremost is the secretory: the prostate is responsible for the production of a special secret, which is part of the sperm and promotes the movement of sperm. The second is motor: with the help of smooth muscle tissue, the prostate holds urine in the bladder. The third is the barrier: the prostatic secretion prevents the spread of infections from the urethra to other organs. In the review, we will tell you what laboratory tests you need to go through to assess the functional state of the prostate and diagnose its disease.

Prostate tests are a guarantee of male health

Violations of the prostate can lead to the most sad consequences. Contrary to the widespread belief that diseases of this kind mainly affect the elderly, today it is young men who suffer from various ailments in this area. Any disease of the prostate gland significantly worsens the general well-being of the patient, adversely affects the quality of intimate life, and sometimes - the ability to conceive.

Medicine distinguishes several major diseases of the prostate:

  • prostatitis - an infectious inflammatory process in the gland, characterized by an increase in the size and swelling of the organ,
  • vesiculitis - a complication of prostatitis, accompanied by inflammation of the seminal vesicles,
  • fibrosis - violation of the urethra,
  • stones in the prostate resulting from kidney pathology,
  • prostate tuberculosis ,
  • adenoma - benign neoplasm in the prostate,
  • sarcoma (prostate cancer) - A type of malignant tumor that can occur in men at a young age.

It is almost impossible to diagnose a specific disease only by external symptoms, since most prostate diseases cause difficulty urinating, incontinence, pain in the lower abdomen and groin, the appearance of blood impurities in semen - that is, symptoms common to all pathologies. For an accurate diagnosis, a complete set of tests is required.

For preventive purposes, prostate examinations are considered mandatory for all men older than 40 years, since the so-called male menopause begins from this age. The hormonal balance in the body is disturbed, which can cause diseases. In addition, a preventive examination of the prostate is shown to future fathers, athletes, especially cyclists and wrestlers, office workers whose sedentary lifestyle leads to stagnation of blood in the prostate gland.

Where can I submit material for research?

If alarming symptoms occur, you should consult a urologist. It is this doctor who specializes in the treatment of prostate diseases and prescribes the necessary complex of tests. You can take biomaterial for analysis in a public, private clinic or in a specialized laboratory. If everything is clear with the first two types of institutions, the latter appeared not so long ago. Today in Russia there are several large laboratories with branches in different cities.The main advantage of an independent laboratory is the availability of its own equipment and qualified personnel. This ensures high accuracy, minimum price and speed of analysis: on average - one day, and urgent analyzes can be ready within one to two hours. Payment is made only for necessary research. Some laboratories do not even need to come for results - they can be delivered by courier or sent by e-mail.

But in any case, wherever the patient decides to take tests, only the doctor should interpret their results and make appointments.

Prostate Secret Analysis

Analysis of the secret (juice) is the main study, which the urologist prescribes in case of suspected prostate disease. This is a simple, but very informative way. By changing the characteristics of the secret, the doctor can judge the presence of an organ pathology and the degree of its development.

Indications for the study are pain in the groin and perineum, pain during urination, frequent urination, especially at night, discharge of bright yellow color from the urethra. An analysis of prostate juice is also carried out in the diagnosis of male infertility. But the analysis for prostate tuberculosis, the presence of rectal fissures, hemorrhoids in the acute stage and acute inflammatory diseases accompanied by high temperature is contraindicated.

The following indicators are the norm for analyzing prostate secretion:

  • the volume of the secret is 0.5–2 ml, a decrease or increase in the amount is a sign of an inflammatory process,
  • color - white transparent or yellowish,
  • lecithin grains - 10 million per 1 ml of secretion, a decrease indicates the presence of a disease,
  • density - 1,022,
  • acidity (pH) - neutral, equal to 7.0, with deviations in both directions of no more than 0.3,
  • white blood cells - no more than 10 in the field of view, a larger number indicates inflammation,
  • macrophages are not detected, the presence indicates inflammation,
  • erythrocytes are absent or single occur, the presence indicates a disease,
  • bacteria and fungi are absent, the presence indicates prostatitis,
  • E. coli, gonococcus, Trichomonas are absent.

To prepare for the analysis, the patient is recommended to reduce physical activity, refrain from sexual intercourse, drink alcohol, visit a bath or sauna 5-7 days before the study. Immediately on the day of the analysis, an enema is necessary to cleanse the intestines.

How is prostate juice analysis taken? The manipulation itself is as follows: a man lies on his side or assumes a knee-elbow pose. The doctor conducts prostate massage according to a special technique and collects the liquid released as a result in a special container. If the manipulation is ineffective, then the first portion of urine is collected, which contains a small amount of secretion. The collected secret is sent to the laboratory for research.

The results of the analysis of prostate juice are usually ready two days after the procedure, the average price is 450 rubles.

Urethral swab analysis

A smear on the flora from the urethra in men can reveal several indicators at once that indicate the presence of diseases in the body:

  • prostatitis
  • urethritis and ureaplasmosis,
  • chlamydia and gonorrhea.

Signs of the presence of the disease and the need for analysis are severe itching and burning in the urethra, pain and discomfort during intercourse or urination, the appearance of uncharacteristic discharge. A smear can be taken by a urologist or in a special laboratory. The dried material is examined under a microscope.

Normal smear analysis is as follows:

  • the presence of squamous cells, their absence indicates atrophy of epithelial cells,
  • leukocytes - up to 15 units, in the inflammatory process, their number increases sharply,
  • sticks in a smear - normal microflora, the presence of other microorganisms is not the norm,
  • yeast fungi, trichomonads, gonococci in a smear should not be determined.

Before taking a smear from the urethra, it is recommended:

  • 7-10 days before the procedure, cancel all medications,
  • 2 days before the analysis to refrain from sexual intercourse,
  • carry out hygiene procedures the day before bedtime, but not before a visit to the doctor,
  • Do not urinate 2 hours before analysis.

The smear procedure itself can be a little painful for the patient, since it is carried out by introducing a special sterile brush into the sensitive urethra. In some men, pain persists for several hours after completion of the procedure. Manipulation takes less than 5 minutes, and the results are given to the patient after 2 days. The cost of analysis is an average of 440 rubles.

Semen analysis

Spermogram is also an informative study, which allows to identify the inflammatory process of the prostate gland. Normal sperm should maintain a high viscosity for several hours after ejaculation. The volume of ejaculate should be at least 1.5 ml, with chronic prostatitis it decreases to 1 ml, and with bacterial or stagnant it becomes even less. The sperm pH of a healthy man is 7.2-7.8. Changes in the indicator in any direction also indicate the presence of the disease.

Inflammation of the prostate also affects the change in sperm color from white or yellow to brown or even red. In addition, the ejaculate is changing liquefaction indicators. With prostatitis, the dilution time exceeds 1 hour. The presence of pathogenic microflora, epithelial cells and mucus in semen is unacceptable.

Obtaining biomaterial is usually carried out in the laboratory by masturbation. In some clinics, an option is provided when the patient collects sperm at home and brings it for analysis. But in this case, it is necessary to deliver the biomaterial to the laboratory within an hour after its receipt, so as not to reduce the reliability of the results.

The deadline is 1 business day, the average cost of analysis is 1,500 rubles.

The obvious symptoms of prostate diseases can not manifest themselves for a long time, so patients often go to the doctor only when time is already lost. When the first, most insignificant signs of a malfunction of the prostate appear, it is necessary to contact a specialist and pass all the necessary tests for an accurate diagnosis and receive timely and effective medical care.

When you need to be tested for suspected prostatitis

If you find yourself with the following symptoms, then you need to conduct tests to refute or confirm the diagnosis of prostatitis:

• problems with urination (frequent urges, pain, urinary retention),

• burning in the perineum,

• pain during bowel movements,

• long night erections,

• high fatigue and psychological problems.

Prostatitis Examination Plan

1. General analysis of urine and blood.

2. Scraping from the urethra, analysis of the secretion of the prostate gland, sperm and blood by PCR for all sexually transmitted infections (the essence of the method is to obtain the pathogen DNA and comparison with a database of all STIs, including HIV, syphilis, hepatitis B and C .).

3. Prostate secretion and determination of antibiotic susceptibility.

4. Microscopic examination of the secretion of the prostate.

5. Urine analysis for bacteriological culture.

6. Bacteriological examination of the ejaculate.

8. Plus additional research.

But not in all cases it is possible to find the pathogen, that is, to diagnose bacterial chronic prostatitis, most often the pathogen cannot be found.But, if the patient has symptoms, then we are talking about abacterial prostatitis, the treatment of which is mainly based on the suppression of chronic pelvic pain syndrome.

Let's take a closer look at what tests should be done with prostatitis.

Palpation and massage of the prostate

There are cases when there are no symptoms of acute inflammatory process, but there are prerequisites for the onset of chronic prostatitis. In such situations, functional tests and palpation of the prostate are indicated.

The main test of a manual examination is considered prostate massage. The condition of the gland is judged on the basis of the sensations that massage causes. The consistency of the organ and its possible increase in size are also taken into account.

In acute inflammation, prostate massage cannot be performed! In this case, it can cause severe pain. In addition, massage in acute inflammation can cause pathogens to enter the bloodstream. And this is very dangerous, because it can lead to such a formidable complication as sepsis.

Sexually transmitted infection tests

Before passing smears, scrapings or crops for infections, sexually transmitted infections cannot be:

• urinate 3 hours before taking the material,

• use disinfectants,

• the last sexual contact should be at least 36 hours before taking the material,

• use antibiotics or uroseptics inside.

General study of blood and urine

Thus, a negative process can be detected even in the initial stage, when the patient does not experience special problems with urination, which is quite important, since timely treatment will help reduce the risk of any complications.

When collecting a portion of urine, which will later be sent for analysis, it is necessary to adhere to certain rules so that the results are as reliable as possible:

  • It is worth deciding on the capacity for storing urine. A special sterile container purchased at a pharmacy is best suited.
  • It is recommended to collect only the first morning urine.
  • Eating must be stopped 8 hours before collection.
  • Before collection, it is recommended to conduct hygiene of the penis.
  • For the accuracy of the analyzes, it is necessary to exclude the intake of medications and alcoholic beverages for a day.

To determine the presence of inflammatory processes in the prostate, it is equally important to pass a general blood test. The main indicators of the examination are the levels of leukocytes and ESR. Their high values ​​indicate an inflammatory process in the body. Hemoglobin is an equally important indicator; it helps to determine the presence of neoplasms in the prostate gland.

Rules that must be observed before passing a general blood test:

  1. You should refuse to eat 8 hours before collecting blood.
  2. Exclude the use of drugs and alcohol for 24 hours.

Prostate secretion test

  • The acute phase is a direct contraindication to its conduct.
  • Material for analysis is taken during rectal palpation of the prostate.
  • His study allows us to determine the intensity and presence of inflammation in the organ.

Urogenital infection can be detected by analysis of the ejaculate and the secretion of the urethra.

PSA blood test

The higher the PSA level, the higher the likelihood that there are problems with the prostate gland.

It is also necessary to take into account the fact that the indicator can be increased after the inflammatory diseases of the genitourinary system and a number of other factors.

Bacteriological culture of prostatic secretion

The required consistency is developed during an erection and strong excitement, affecting the functioning of sperm. To obtain such a fluid, a special prostate massage is performed.

At the same time, it is important that it was performed correctly, otherwise there will be no substances in the juice that are responsible for the normal state of the prostate.

Bacteriological culture is also necessary to determine the causes of tumor development and identify harmful bacteria. Within the norm - the minimum presence of pathogens that do not pose a threat to men's health is considered.

Juice collection is necessary for specialist tests to determine the sensitivity of bacteria in the microflora to antibiotics.

Bacteriological culture is quite important, since with it the doctor will be able to prescribe the most effective treatment for diseases.

Polymerase chain reaction

Its use makes it possible to identify the cause of the pathology even when the entire pair of its molecules is in the sample.

In urological practice, the method has received great recognition due to the fact that it makes it possible to study long-growing pathogens.

This technique allows you to determine the disease at the beginning of its formation and development, therefore, it is considered effective for identifying the source of the inflammatory process. Thus, the polymerase chain reaction helps confirm or exclude the bacterial cause, which is necessary for the most effective treatment.

Examination Plan for Prostate Adenoma

It must be understood that a detailed diagnosis of the prostate gland should be carried out according to a plan that will include a fairly extensive list of various methods that help determine the stage of the disease and eliminate the presence of a pathological process.

First of all the specialist collects information about the disease, for this he asks about complaints and signs that may indicate the development of prostate adenoma. Usually these symptoms speak of him:

  • Impaired urination.
  • Interruption of a stream of urine.
  • Increased nocturnal urine output.
  • Violations of sexual function.
  • Tension in the abdomen.

Second stage conduct a transrectal examination to determine the parameters of the prostate gland, and finding abnormalities that may be caused by a malignant neoplasm.

After carrying out manual diagnostics, a specialist will be able to assess the size and texture of the prostate gland. Thanks to a rectal examination, the doctor will get a picture of the pathological process, which makes it possible to determine the further diagnosis.

All necessary data will be entered in the medical record, and will help in further studying the patient's condition.

To establish a more accurate diagnosis, highly accurate diagnostic measures are carried out:

To determine the presence of inflammation of the prostate, a man will need to pass a lot of tests.

Each of them is responsible for his research, which will help the doctor not only get a complete picture of the disease, but also determine the further treatment measures most accurately.

What tests are given for prostatitis in men

So that the doctor can see the full picture of the disease, the reason for its development and prescribe the most effective treatment, the patient will need to pass several tests.

General study of blood and urine

Thus, a negative process can be detected even in the initial stage, when the patient does not experience special problems with urination, which is quite important, since timely treatment will help reduce the risk of any complications.

When collecting a portion of urine, which will later be sent for analysis, it is necessary to adhere to certain rules so that the results are as reliable as possible:

  • It is worth deciding on the capacity for storing urine. A special sterile container purchased at a pharmacy is best suited.
  • It is recommended to collect only the first morning urine.
  • Eating must be stopped 8 hours before collection.
  • Before collection, it is recommended to conduct hygiene of the penis.
  • For the accuracy of the analyzes, it is necessary to exclude the intake of medications and alcoholic beverages for a day.

To determine the presence of inflammatory processes in the prostate, it is equally important to pass a general blood test. The main indicators of the examination are the levels of leukocytes and ESR. Their high values ​​indicate an inflammatory process in the body. Hemoglobin is an equally important indicator; it helps to determine the presence of neoplasms in the prostate gland.

Rules that must be observed before passing a general blood test:

  1. You should refuse to eat 8 hours before collecting blood.
  2. Exclude the use of drugs and alcohol for 24 hours.

Prostate secretion test

  • The acute phase is a direct contraindication to its conduct.
  • Material for analysis is taken during rectal palpation of the prostate.
  • His study allows us to determine the intensity and presence of inflammation in the organ.

Urogenital infection can be detected by analysis of the ejaculate and the secretion of the urethra.

Urethral scraping

This analysis determines the presence and abundance of bacteria producing in the genitourinary system. For this, the urologist needs to take a smear, the result of the study of which will determine which microorganisms have caused inflammatory processes in the body.

Additional examination methods

In addition to the above, if necessary, the doctor may prescribe additional studies and tests.

PSA blood test

The higher the PSA level, the higher the likelihood that there are problems with the prostate gland.

It is also necessary to take into account the fact that the indicator can be increased after the inflammatory diseases of the genitourinary system and a number of other factors.

Bacteriological culture of prostatic secretion

The required consistency is developed during an erection and strong excitement, affecting the functioning of sperm. To obtain such a fluid, a special prostate massage is performed.

At the same time, it is important that it was performed correctly, otherwise there will be no substances in the juice that are responsible for the normal state of the prostate.

Bacteriological culture is also necessary to determine the causes of tumor development and identify harmful bacteria. Within the norm - the minimum presence of pathogens that do not pose a threat to men's health is considered.

Juice collection is necessary for specialist tests to determine the sensitivity of bacteria in the microflora to antibiotics.

Bacteriological culture is quite important, since with it the doctor will be able to prescribe the most effective treatment for diseases.

Polymerase chain reaction

Its use makes it possible to identify the cause of the pathology even when the entire pair of its molecules is in the sample.

In urological practice, the method has received great recognition due to the fact that it makes it possible to study long-growing pathogens.

This technique allows you to determine the disease at the beginning of its formation and development, therefore, it is considered effective for identifying the source of the inflammatory process. Thus, the polymerase chain reaction helps confirm or exclude the bacterial cause, which is necessary for the most effective treatment.

Spermogram

The collection of material for spermogram can be carried out both at home and in clinical. A man must adhere to some important rules before passing such an analysis:

  • Abstinence from sex for at least 48 hours before collection (3-4 days recommended).
  • At the same time, it is worth giving up alcohol, medicines, visits to the sauna or bath.
  • Immediately prior to collection, do not supercool or overheat.
  • Preliminary, thorough genital hygiene should be carried out, in particular, attention should be paid to the external opening of the urethra.
  • Collect material, preferably in a container purchased in advance at the pharmacy.
  • It is important to collect all the sperm, as the analysis includes an estimate of its volume.

After conducting a spermogram, a specialist will be able to confirm or deny the presence of inflammation of the prostate gland. However, to clarify the diagnosis, additional analyzes and an instrumental examination are required.

First of all, sperm sampling for spermogram is carried out to determine the reasons
link_webnavoz infertility / link_webnavoz
.

Examination Plan for Prostate Adenoma

It must be understood that a detailed diagnosis of the prostate gland should be carried out according to a plan that will include a fairly extensive list of various methods that help determine the stage of the disease and eliminate the presence of a pathological process.

First of all the specialist collects information about the disease, for this he asks about complaints and signs that may indicate the development of prostate adenoma. Usually these symptoms speak of him:

  • Impaired urination.
  • Interruption of a stream of urine.
  • Increased nocturnal urine output.
  • Violations of sexual function.
  • Tension in the abdomen.

Second stage conduct a transrectal examination to determine the parameters of the prostate gland, and finding abnormalities that may be caused by a malignant neoplasm.

After carrying out manual diagnostics, a specialist will be able to assess the size and texture of the prostate gland. Thanks to a rectal examination, the doctor will get a picture of the pathological process, which makes it possible to determine the further diagnosis.

All necessary data will be entered in the medical record, and will help in further studying the patient's condition.

To establish a more accurate diagnosis, highly accurate diagnostic measures are carried out:

To determine the presence of inflammation of the prostate, a man will need to pass a lot of tests.

Each of them is responsible for his research, which will help the doctor not only get a complete picture of the disease, but also determine the further treatment measures most accurately.

Basic and additional tests for the diagnosis of prostatitis in men

Prostatitis It does not have a pronounced symptomatology, which greatly complicates the diagnosis of pathology in the early stages.

No extra analyzes this is impossible to do. But what analyzes on prostatitis need to pass?

After all, only laboratory studies allow us to establish the current stage of inflammation glands and severity pathological process.

In the article we will talk about diagnostics prostatitis, analyzes how to identify an insidious disease.

Tests for prostatitis in men

Analyzes when establishing inflammation of the prostate gland - a complex of clinical studies that allows you to find out the following points:

  • general condition of the penis
  • the presence of inflammation,
  • stages of tissue damage.

Additionally may be recommended clinical examinations. It is a set of analytical data that enables the doctor to compile a complete picture of the patient’s health status.

The main

What kind analyzes pass with prostatitis? In order to obtain a complete picture of the disease, the urologist prescribes the following laboratory research:

  • general urine analysis,
  • general blood analysis,
  • analysis of prostate secretion,
  • analysis of the secretion of the urethra.

Let's consider what tests for prostatitis you need to pass - survey plan:

General urine analysis

  • If prostatitis is suspected Analysis of urine - The first analysis to be passed.
  • Examination of the patient's urine allows the doctor to identify inflammationaffecting the prostate gland.
  • If urinalysis shows an increased content white blood cells, then this confirms the presence of inflammation.
  • Urine analysis for prostatitis - indicators:
  1. White blood cells. Normally, this indicator should not rise above 7 units. If the number is increased, then the inflammatory process takes place in the human body.
  2. Protein. It should not be contained in urine. His presence may indicate a chronic course of prostatitis.
  3. Red blood cells. In tests for prostatitis, the norm is 5 units. An increased content of red blood cells can be a sign of an abscess of the prostate or a calculous form of the disease.
  4. Sediment. The appearance of sediment indicates an increased salt content, which can cause the formation of stones in the ducts of the prostate gland.


Less effective in diagnosing prostatitis is urine density and COE indicator. Exceeding permissible norms may indicate pathology of the genitourinary system as a whole.

What other tests are given for prostatitis in men? One of them - blood prostatitis test. Blood sampling for research is carried out from a finger strictly on an empty stomach. Below you can see the indicators of a general blood test for prostatitis.

A blood test for prostatitis is the norm:

  • increased white blood cell counts (more than 9 × 10 ^ 9),
  • increased ESR (over 5 mm / h),
  • fixation of stab leukocytes (more than 4),
  • low hemoglobin (less than 110 g / l).

If such abnormalities are found in a blood test for prostatitis, then they indicate a prolonged inflammation.

The study of prostate secretion

Significant research indicators are:

    1. White blood cells. Normally, the indicator should not rise above 10. In the presence of an inflammatory process, the number of leukocytes is increased.

  1. They must be present in the composition of the secret in a significant amount.
  2. With existing chronic inflammation of the prostate lecithin grains may either be absent completely or be determined by a small number.
  3. Should not be fixed.
  4. If pathogenic microorganisms are detected, it is recommended that bacterial inoculation prostate secretion with the determination of the sensitivity of the pathogen to antibiotics.

Sometimes, against the background of a good analysis, a person is fixed symptoms of prostatitis. In this case, a provocative test may be prescribed. The patient is injected intravenously with prednisone or pyrogenal. Then, repeated secretion of the prostate and urine collection are performed.

The drug administered activates the elimination white blood cells (in the presence of latent prostatitis). The increased content of leukocytes in biological fluids of a man confirms the pathology.

Gives good results fluorescence microscopy. The method allows to identify even single cells of the cylindrical epithelium, which becomes confirmation of chronic prostatitis.

Urethral Scraping

Very often, an inflammation of the urethra becomes a concomitant prostatitis - urethritis. To diagnose the disease, scraping is performed using a sterile probe inserted into the lumen of the urethra to a depth of three to four centimeters.

With urethritis, the analysis shows the presence of bacteria in the test material, as well as an increase in the number white blood cells (more than three in sight). In addition, an increased content of mucus and epithelial cells is recorded.

REFERENCE: List of required tests for prostatitis in each case may vary.

What tests for prostatitis? Quite often, to obtain a clearer picture of the disease, the urologist prescribes additional studies.

  • A similar measure is practiced if previously assigned drug therapy did not bring the expected result.
  • Also, the symptoms of prostatitis complications may appear.
  • Here can be assigned: a blood test for PSA, bacteriological culture of prostate secretion, PCR, spermogram.

PSA protein (prostatic specific antigen) is produced by the tissues of the gland. Its main function is sperm liquefaction. Excess PSA permissible norm may indicate the presence of malignant cells, as well as other pathological changes in the tissues of the prostate gland.

Three types of PSA are of diagnostic interest:

  • free (makes up 20% of the total amount of protein circulating in the blood),
  • connected,
  • common.

During normal operation, the secretory epithelium of the prostate PSA in the blood of a man is determined no more than 4 ng / ml.

  • prostate cancer
  • prostate hyperplasia,
  • prostatitis.

For more accurate interpretations of analysis the content of specific protein fractions is considered:

  • decrease in free PSA becomes one of the signs of prostate cancer
  • increase in the allowable free rate PSA indicates a chronic form of prostatitis.

Bacteriological culture of prostate secretion

Analysis refers to bacteriological research. The analysis allows you to identify the pathogen and establish its sensitivity to various types of antibiotics.

PCR (polymerase chain reaction)

  1. PCR diagnostics - one of the most effective methods widely used in urological practice.
  2. Analysis performed in a short time and shows high accuracy of the result (up to 99.9%).
  3. Exactly PCR is the most informative method for diagnosing inflammation of the prostate gland.
  4. Methodology PCR reveals DNA all pathogens present in the taken biological material.

This makes it possible to select an adequate drug therapy. In addition, the study reveals even single viruses and bacteria, which is completely impossible with other methods.

Spermogram

What spermogram with prostatitis? What is it made for? The study reveals inflammatory process. Most often, sperm analysis is prescribed in tandem with the bacteriosis of prostate secretion.

Evaluation of the material is carried out on the following indicators:

  1. Ejaculate volume. The average rate is 3 ... 5 ml. Receiving less sperm indicates prostate failure. Excess - current inflammation.
  2. Color. Norma is white, slightly yellowish or grayish. Darkening of the ejaculate (sometimes the blood content) indicates injury to the gland, and may also indicate calculous prostatitis.
  3. Acidity. Normal indicator pH fits into the range 7,2-7,8. Deviations may indicate the presence of prostatitis.
  4. Liquefaction period. Normally, this figure should not exceed one hour. In chronic inflammation of the gland, an increase in the parameter is recorded.
  5. Ejaculate viscosity. In a healthy man, the length of the thread does not exceed 0.5 cm. Exceeding the permissible value may also be due to prostatitis.


Preparation for delivery requires sexual abstinence for at least two days. During this period, you must refuse to take coffee, alcohol, any medications and visit saunas, baths, tanning salons. For analysis all sperm obtained is used.

Conclusion

Prostatitis - one of the most serious diseases of the male reproductive system, significantly worsening the quality of life of the patient. You need to pass tests for prostatitis necessarily! After all, conducting a comprehensive analysis allows you to not only identify pathology at the beginning of its development, but also draw up the optimal treatment regimen.

Prostatitis tests

What tests for prostatitis need to be taken in a clinic, a detailed plan for examining the prostate gland and deciphering the results are discussed in this article.

Prostatitis is a disease that requires timely diagnosis.The sooner an accurate diagnosis is made, the more effective the treatment will be. The scheme of drug therapy is determined after additional examinations. In addition, they perform special analyzes that help to find out which factor provoked the development of the process.

Diagnosis of prostatitis begins with a consultation and examination of a specialist. The doctor listens to the patient’s complaints, studies the anamnesis, and, if necessary, sends them to instrumental and laboratory studies. If there is a suspicion of acute or chronic prostatitis, the patient must undergo a series of specific tests that will help to make a final diagnosis.

When you need to be tested for suspected prostatitis

If you find yourself having the following symptoms, then you need to conduct tests to refute or confirm the diagnosis of prostatitis: • problems with urination (frequent urination, pain, urinary retention),

• burning in the perineum, • pain during bowel movements, • accelerated ejaculation, • long night erections, • high fatigue and psychological problems.

What tests are given for prostatitis in men

Prostatitis is a common problem that every man can face after 30-40 years. Therefore, it is advisable for all men to know what examinations are performed if there is a suspicion of inflammation of the prostate.

Bacteriological analysis of seminal fluid

An alternative to sowing prostate secretion is sowing seminal fluid. This study is resorted to if the seeding of the secret did not yield accurate results, or when the secret in its pure form could not be obtained. Laboratory testing of ejaculate is also an accurate diagnostic method for inflammation of the prostate gland.

The information content of the study is explained by the fact that the seminal fluid passes through the prostate and contains its secret. In men suffering from prostatitis, a large number of white blood cells are detected in the seminal fluid. In addition, there are single red blood cells.

Clots of weak or dead spermatozoa called agglutinins are found. Their formation is associated with impaired functioning of the immune system and the sensitization process that triggers the pathogen. In healthy men, the reaction of seminal fluid should be acidic.

But under the influence of the inflammatory process, it becomes alkaline, which adversely affects the viability of germ cells. With prostatitis, up to 80% of sedentary or dead sperm can be detected in semen.

In some cases, analysis of seminal fluid reveals quantitative changes, i.e. the total sperm count is getting smaller. This indicates the spread of inflammation to the testicular region. If altered germ cells appear, hormonal problems or genetic abnormalities can be suspected. With this picture, a malignant process is not excluded. But with absolute certainty, it is impossible to say that this is precisely some stage of prostate cancer.

Urethral Juice Analysis

Another type of diagnosis is the analysis of urethral juice. The procedure is carried out using a probe with a swab. The resulting material is subjected to laboratory research.

The analysis makes it possible to identify whether inflammation has passed to the urethra. The studies listed above are included in the list of basic analyzes.

With the combination of prostatitis with other diseases, a number of additional studies will be required that are aimed at identifying secondary pathology.

Methods for additional diagnosis of prostatitis

Additional examination methods include:

- Ultrasound of the bladder. The fact is that infections in the urinary canal can lead to congestive prostatitis.

- CT scan. This method makes it possible to obtain a detailed picture of the pelvic organs.

- Transrectal sonography and transrectal ultrasound examination of the prostate (TRUS).

This ultrasound method helps the doctor to see changes in the prostate gland with the help of a rectal probe, and allows you to assess the condition of the prostate and seminal vesicles.

In this case, the volume of formations is precisely determined. With prostate adenoma and malignant processes, this study is mandatory.

- Extended spermogram with MAR test and Kruger test. It is shown to men who can not conceive a child. This study makes it possible to find out whether prostatitis affected the ability to fertilize, that is, how the qualitative and quantitative composition of spermatozoa has changed.

- Research on PSA. It is performed with suspected malignant tumor after the age of 45 years.

How to prepare for prostatitis tests

The procedure for testing for prostatitis requires careful preparation. Otherwise, the results of the study may be unreliable. It is not necessary to limit the amount of fluid received. However, 8 hours before the procedure, it is advisable to refuse juices, coffee and alcohol. Urine should be collected in a clean container.

Before collecting it, a hygienic procedure is necessary without the use of detergents. You should not eat food with natural dyes (beets, blueberries, carrots, herbs) and take preparations with dyes (for example, dragees of ascorbic acid). Do not take diuretics, antibiotics, or other drugs that affect the results.

Before collecting the secret of the prostate gland, it will be necessary to massage it. This procedure is performed by a doctor. Three-day abstinence is also necessary, but no more than 5 days. To prepare for the spermogram, sexual rest will have to be observed from 5 to 7 days. You can not steam in the bath and take antibiotics. In addition, you need to abandon carbonated drinks and alcohol.

Proper preparation for analysis will make it possible to accurately determine the diagnosis and select the appropriate treatment.

Suppositories for prostate adenoma

In the treatment of benign prostatic hyperplasia, first-line drugs are alpha-blockers and 5-alpha-reductase inhibitors. Suppositories for prostate adenoma are used

Detail Treatment of prostate fibrosis

Prostate fibrosis is a consequence of long-existing inflammation, changes in the structure of tissues against a background of scarring can lead to irreversible consequences. Pathologies are susceptible

Detail What does NOT help with prostatitis

Prostatitis - an inflammatory process in the prostate gland, depending on the form, can occur latently, give weak clinical manifestations, or, conversely, severe symptoms

Detail List of drugs for prostate cancer

Preparations for the treatment of prostate cancer are no less important than surgical treatment, chemotherapy and radiotherapy. Before choosing a management tactic, the doctor considers many factors to ensure effectiveness

Clinics and doctors

  • Clinics in your city
  • Doctors of your city

Tests for prostatitis: which tests, indicators and examination plan, blood and urine tests, sperm for diagnosis

Diagnosis of prostatitis includes the delivery of a number of tests that allow you to establish the presence of a disease, determine its stage and type, and also distinguish prostatitis from other pathologies.

About what tests you need to pass with prostatitis in terms of examination, we will talk in this article.

Why take tests for prostatitis in men?

  • Symptoms of prostatitis are similar to manifestations of other diseases and disorders of the prostate gland: adenoma, the presence of stones, early stages of cancer.
  • External diagnostic methods (palpation) do not always make it possible to distinguish these ailments from each other, a detailed examination of the composition of blood, urine and prostate secretion is necessary.
  • Also, tests for prostatitis in men can distinguish infectious forms of prostatitis from non-infectious and determine the stage of the disease.
  • If prostatitis has an infectious nature, an analysis of prostatitis will establish the presence of microorganisms that are its causative agents.
  • To diagnose prostatitis, tests are needed.
  • How to determine what tests you need to pass with prostatitis, we will talk further.

Prostate Cancer Tests! What tests determine prostate cancer?

Blood, urine and tissue tests of the affected prostate are paramount in the diagnosis of malignant neoplasms. However, in some cases, additional examination is required.

Complicates the course of diseases in the genitourinary system infection of the male body. Therefore, the doctor must check for the detection of harmful microorganisms that are sexually transmitted. These include:

  • chlamydia
  • human papillomavirus
  • genital herpes,
  • ureaplasma
  • cytomegalovirus,
  • mycoplasma
  • Candida

Bacterial analysis of prostate secretion

Identification of bacteria is done by taking an analysis of a smear from the urethra. The doctor can take a prostatic secret for a study, during which not only the presence, but also the number of harmful microorganisms in the organs of the genitourinary system is determined.

Prostate cancer is often associated with hormonal changes in the male body. Such surges and drops are affected by older patients. Therefore, not only benign, but also malignant neoplasms are revealed in them.

Hormonal changes can be detected during a blood test. He surrenders from a vein on an empty stomach in the morning. The doctor estimates the level:

  • testosterone
  • dihydrotestosterone,
  • follicle-stimulating hormone.

Testosterone is especially important. Under the influence of 5-a-reductose, it turns into dihydrotestosterone. The latter provokes the formation and multiplication of cancer cells. Therefore, analysis for hormones is also included in the list of required studies.

Timely delivery of tests will help to speed up the diagnosis of the patient. In addition, the first and second stages of cancer are successfully treated with early diagnosis. Therefore, men at risk should periodically take urine and blood tests and visit a urologist.

Originally posted 2017-01-10 11:48:28.

Malignant tumors of the prostate gland are a fairly common urological problem in older men.

In isolated cases, this disease is diagnosed in young representatives of the stronger sex, but more often it is determined in patients after 55 years of age.

Unfortunately, prostate cancer is one of the ailments that manifest themselves clinically already at the advanced stages of the development of the pathological process, when the tumor metastasized, and the chances of saving the patient's life decreased to almost zero.

Therefore, it is very important to determine the malignant degeneration of the tissue of the prostate gland in time in order to be able to conduct an effective treatment of the disease and completely rid the man of the threat hanging over his life.

Watch the video: Mayo Clinic Minute: Steam treatment for enlarged prostate (February 2020).

Leave Your Comment