Patient's question:
Got prostatitis, the glans is slightly swollen and a bit burning, and urination is a bit slow at the end. After taking medicine and intravenous fluids, I had a three-time thorough examination of the prostatic fluid routine. The first time, there were moderate amounts of lecithin corpuscles, 0-2 red blood cells, and 3-6 white blood cells (I received medicine and intravenous fluids at home for half a month, levofloxacin). The second time, there were extremely small amounts of lecithin corpuscles, 0 red blood cells, and 0-3 white blood cells. Today, the lecithin corpuscles were extremely small, and there were 3-5 white blood cells. How should it be treated?Doctor's answer:
Prostatic fluid examination is performed, including white blood cells and red blood cells. Under normal circumstances, red blood cells are occasionally observed, and they reappear only during inflammation. Excessive massage can lead to an increase in the number of red blood cells, and even visible bleeding may occur. In normal prostatic fluid, white blood cells are scattered and do not exceed more than 10 per high-power field, and they are concentrated, not forming clusters or chains. During inflammation, due to abnormal pressure in the metabolic ducts, there are visible clusters of pus cells or white blood cells. If, under microscopic observation, fewer than 10–15 white blood cells are observed per high-power field, bacterial prostatitis can be diagnosed.