Patient's question:
Recently, I've been feeling that my prostate isn't doing well, so I've been very concerned about my health condition. I want to get a definitive diagnosis. How should I go about getting it confirmed?Doctor's answer:
The patient needs further careful examination to diagnose prostatitis. A definitive diagnosis should be made based on clinical manifestations and additional careful examinations. The clinical manifestations include changes in urination, urethral discharge, aching and discomfort in the lower abdomen, perineum, and lumbosacral region, as well as reduced sexual function and neurological symptoms.1. Digital rectal examination reveals a rounded, reduced prostate with soft texture and mild tenderness. In cases of longer duration, the prostate may become smaller, harder, and uneven in texture, with small nodules.
2. Prostatic fluid examination shows fewer than 10 white blood cells per high-power field under the microscope, along with an increase in lecithin bodies, confirming the diagnosis of prostatitis. If bacterial culture is performed simultaneously, it can provide a definitive diagnosis and classification of chronic prostatitis.