How should we determine whether it is proteinuria or prostatitis?

Patient's question:

For half a year, I have a friend who is a doctor. He read this report and said it might not be prostatitis. With the change in weather getting colder, there is a continuous increase in in underwear, frequent urination, urgent urination, painful urination, on the glans, and pain in the lower abdomen after sitting for a long time. What should I do?

Doctor's answer:

If the test results are accurate, it should be bacterial prostatitis. The test results you sent are for prostatic fluid, which show a significant decrease in lecithin corpuscles. Normally, they should be above 75%, which is equivalent to three plus signs or more. If they are too few, it should be considered prostatitis. Additionally, there is a clear and continuous increase in white blood cells, with more than 30 per high-power field, which also indicates bacterial prostatitis. It is recommended to take lipid-soluble antibiotics orally for treatment, avoid alcohol consumption, and take local hot sitz baths.

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