Frequency of urination, urgency of urination, and dysuria: Is it non-bacterial or bacterial prostatitis?

Patient's question:

I see the following introduction:
In 2000, prostatitis was classified based on semen, prostatic fluid, or the initial 10 ml of urine after prostatic massage as:
I. Acute Bacterial Prostatitis
Clinical manifestations:
(1) Systemic symptoms: Most patients may present with systemic infection and toxicity symptoms, including sudden fever, chills, muscle and joint pain, and general malaise. Nausea, vomiting, and anorexia may also occur.
(2) Local symptoms: Pain in the lumbosacral region and perineum is the primary manifestation, accompanied by frequent urination, urinary urgency, urinary pain, and urinary

Doctor's answer:

The differentiation between bacterial and aseptic prostatitis is primarily determined by examining prostatic fluid. In bacterial prostatitis, the number of white blood cells is greater than or equal to 10/HPF, and the percentage of lecithin bodies is less than or equal to 50%. In contrast, these indicators are normal in aseptic prostatitis. You can have your prostatic fluid tested at the hospital. If there are more than 10 white blood cells observed in a high-power field under a microscope in the prostatic fluid, and the lecithin bodies are reduced, prostatitis can be diagnosed. If bacterial culture is performed simultaneously, a definitive diagnosis and classification of prostatitis can be made.

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