Prostatitis is a male disease that too often goes unnoticed. Many patients do not pay attention to disturbing symptoms, or try to get rid of them with folk remedies. Due to the indifference of loved ones or his own shyness, a man can bring even a slight inflammation provoked by hypothermia to a chronic state.
Prostatitis is the most insidious male disease with indistinct, extensive symptoms. It is almost impossible to recognize it in the early stages without additional diagnostics, so the tests are very important. They are carried out in order to accurately diagnose the disease, determine its stage and the severity of the symptoms of inflammation.
On the basis of clinical examinations, the most appropriate and effective method of treating the patient is also selected.
So, what tests are taken for suspected prostatitis? What role do they play in the diagnosis and treatment of pathology?
It is known that the more accurately the diagnosis is established, the easier it is for the doctor to choose the necessary treatment for the patient. Examinations of the prostate and directly analyzes largely determine the drugs that will bring the effect in each case.
They also allow you to accurately determine the culprit contributing to the development of inflammation of the prostate gland, and choose the right treatment tactics.
The study of the prostate implies a complex of clinical procedures carried out in order to determine the general condition of the organ, the presence of inflammation in it, the main microorganism that caused its stage of tissue damage.
Clinical examinations also provide the attending physician with additional information about the general health of the patient, the absence or presence of a tumor, viruses in the body, and the response of the immune system to them.
All patients presenting with complaints of unbearable pain in the groin area and difficulty in urination should immediately be tested for inflammation of the prostate. In most cases, men come with the acute phase of the disease.
Chronic prostatitis is less bright, and therefore often goes unnoticed.
See if you can answer yes to the following questions:
Even one affirmative answer is enough to start worrying about your health. It is necessary to undergo a study if prostatitis is suspected as soon as possible. Some forms of this disease are almost asymptomatic, manifesting themselves only in the most advanced stages. Early detection of the threat will protect you from unpleasant consequences, and also reduce the risk of prostate adenoma.
You should contact a specialist as soon as possible. Then you can go through all the stages of the examination and get the most accurate diagnosis.
Knowing what tests are taken if inflammation of the prostate is suspected, you can plan the time in advance and carry out all the necessary procedures faster.
To establish the cause of damage to the tissues of the prostate gland, a comprehensive examination is carried out. The obtained indicators are compared, and on their basis the final diagnosis is made.
A blood test for prostatitis in men is of paramount importance, as is a urine test. These tests are performed in almost all infection checks. In case of detection of prostatitis in men, they help to establish the following factors:
These data are important for the rapid determination of the extent of the disease. They can indicate the presence of an inflammatory process, help characterize the intensity of inflammation and determine the extent of the lesion.
This procedure must be completed as quickly as possible. It will take a little longer to get the results, but at the end you will know with almost one hundred percent probability whether you suffer from prostatitis or not.
Only patients who do not suffer from the acute phase of the disease will be able to pass the secret for verification. The material for the study is released from the urethra by stimulating the prostate gland, which is strictly prohibited in the advanced stages of inflammation.
Some forms of chronic prostatitis can prevent secretions from leaving the body naturally. In this case, a portion of the material is excreted from the urine.
A deep examination of the secretion provides accurate information about the status of inflammation and the condition of the prostate tissues. Combining the results with data from general methods allows you to establish an unmistakable diagnosis.
The indicators obtained in the study of seminal fluid provide information similar to studies of prostate secretion. This is a mandatory examination for patients who are not able to isolate the secret for diagnosis.
Prostatitis is diagnosed by comparing the total number of leukocytes and suspicious neoplasms from single erythrocytes.
The general condition of the seminal fluid can also tell a lot about the course of prostatitis.
Particularly important features include:
These high-tech procedures can be performed by a patient at any stage of prostatitis. Research helps to study in detail the course of the disease and analyze the development of inflammation.
Magnetic resonance imaging is not used as an independent method, but it is extremely useful in clarifying the diagnosis and forming a complete picture of the disease. Knowing how the lesion developed, the doctor will be able to choose the most effective drugs.
Computed tomography practically does not differ in the spectrum of data obtained from MRI. Some patients cannot undergo magnetic resonance imaging for individual reasons. Computer screening is for everyone. In addition, it gives almost instant results, which you can immediately work on.
Sometimes the doctor is not able to conduct classical studies to accurately determine the specifics of the disease. In such extreme conditions, the patient has to rely on the experience of a specialist.
The type and stage of prostatitis are determined in this case by a traditional manual examination. Massage of the prostate gland, despite the "backwardness", allows you to set many important signs of the disease (for example, an increase in the size of the prostate, pain when pressed, etc.).
If the patient has signs of acute prostatitis, such an examination is not performed. However, in most cases, men suffering from prostatitis are faced with an abundance of available analytical procedures. If infections are suspected, appropriate studies are necessarily carried out: if the infectious agent is ignored, then the disease cannot be cured.
Many procedures facilitate the work of the urologist, allowing the diagnosis to be made with maximum confidence.
Additional urine sampling studies can provide valuable information about a patient with an acute course of the disease who is not able to pass the "standard" tests.
Blood culture allows you to completely eliminate the possibility of bacterial infection - or, conversely, isolate harmful bacteria.
Urine test results. Leukocytes in urine in men should normally be no more than 3. If ketone bodies are present, diabetes mellitus may develop. Blood is also not allowed.
In PCR diagnostics, erythrocytes should not be in the field of view. If there is even a small amount, then there was a prostate injury. Also, the presence of red blood cells indicates oncopathology of the prostate gland.
The results of the study of prostate juice. The number of leukocytes does not exceed 12. Erythrocytes and epithelium should be single. The rest of the indicators should be missing.
When examining the ejaculate, leukocytes should be in large numbers, there is no mucus. Normally, the volume can be 2 ml. Normal spermatozoa in the amount of 50% of the total.
Ultrasound and TRUS look at the volume of the prostate gland. Assess its density. Seminal vesicles are normal up to 5 cm.
In the early stages, inflammation of the prostate gland develops in a way that is imperceptible to the patient. A general blood test for prostatitis will help to suspect the disease. Changes in the leukocyte composition, anemia and other indicators indicate the presence of an inflammatory process, and structural tissue disorders.
A general study is assigned to all patients without exception. The main task of the tests is to determine the predisposition to prostatitis and to identify the already existing inflammation. The results of clinical studies will indicate the presence of a congestive chronic or acute form of the disease.
Diagnosis of prostatitis solely by a general blood test is not carried out. Changes in the chemical composition occur with any inflammatory process in the body.
Prostatitis is an inflammation of the prostate gland in acute or. The results of the analysis will help diagnose the type of disease. Indicators of a general blood test for prostatitis in men have changes characteristic of the inflammatory process.
Features of the general analysis: the sampling of material for research is taken from the finger. The results are ready within a day.
Changes in the blood with prostatitis:
Prostatitis is not only a common disease of men, regardless of their age, but also an insidious disease, which is characterized by an indistinct and extensive clinical picture.
It is almost impossible to recognize the disease at an early stage without additional diagnostic measures, so prostatitis tests play an important role in determining the pathology of the prostate gland.
A diagnostic study has a specific goal - it is to accurately diagnose pathologies, determine the stage of development and intensity of inflammatory processes. Based on clinical studies, the most optimal and effective treatment regimen for men is selected.
It is necessary to consider what tests are given for prostatitis, when is it necessary to undergo a study for this ailment, and what do the test indicators mean?
When a patient contacts a doctor with complaints characteristic of prostatitis, the doctor initially interviews the patient, conducts a detailed examination regarding the course of the pathology and the presence of a similar clinical picture.
When acute prostatitis is excluded, a rectal examination of the prostate by means of palpation is mandatory, which allows assessing the internal organ, its size and possible pathological changes.
Then the man receives a referral for tests, which, if the prostate gland is inflamed, should be given first. It should be noted that in each individual case, the list of analyzes may vary slightly.
For example, with one clinical picture, it is enough to pass several single tests, but in another case, complex examinations can be carried out. However, speaking in general, only a complete list of analyzes will help to get a complete information picture about the degree of intensity of inflammatory processes, pathogenic microorganisms.
Many patients are interested in when it is necessary to take tests? It is necessary to recommend a full clinical examination of the glandular organ in such cases:
A doctor may prescribe a complete examination if a man's potency has decreased, he complains of chronic unreasonable fatigue, anxiety and increased irritability.
Only a general study helps to establish the correct diagnosis, and through adequate drug therapy, get rid of not only negative symptoms, but also eliminate them.
In a number of situations, analyzes cannot provide a complete clinical picture, or the prescribed conservative treatment does not give the desired effect, and therefore additional studies are required.
As a rule, additional diagnostic measures are prescribed in cases where there are suspicions of other pathologies of the bladder and prostate gland, or when the pathogen in the glandular organ cannot be destroyed, or has given serious complications.
In such a case, in addition to the standard study in medical practice, the doctor prescribes additional measures to help complete the clinical picture and make it more complete.
At the request of a man, the doctor can prescribe a spermogram. It is not a mandatory analysis, but it is carried out so that the man is convinced that he can fertilize the woman.
To get the correct indicators of the spermogram, it is necessary to give up sexual life for seven days. It is also necessary to exclude the use of antibiotics, to refuse trips to the bath and steam room. A week before the tests, you can not drink alcoholic and carbonated drinks.
To pass a urine test for prostatitis, you first need to wash the penis, the urine is collected in a clean container. The study of seminal vesicles is carried out exclusively with a full bladder, and before the examination, sex is excluded for three days. It is necessary to follow these rules so that later you do not have to re-test.
Undoubtedly, the task of the doctor is to decipher the indicators and establish the correct diagnosis of the patient. However, men, taking care of their health, want to know what indicators are the norm, and what this or that figure means.
The breakdown of the analyzes is as follows:
According to the results of the study of seminal fluid, leukocytes should be in high concentration, there is no mucus. Normal spermatozoa 50 percent or more of the total.
Ultrasound examination allows you to determine the size of the glandular organ, its density, as well as the parameters of the seminal vesicles - their norm is up to 5 centimeters.
The doctor writes the conclusion only after deciphering the results of the tests, and a complete study of the urinary canal. Before prescribing funds, the doctor is interested in the predisposition and the presence of allergic reactions.
Expert opinion
Makarchuk Vyacheslav Vasilievich
Dermato-venereologist
Adequate treatment by a highly qualified specialist helps to overcome the disease as soon as possible.
Before you start treating such a dangerous disease in men as prostatitis, you need to undergo a comprehensive diagnosis, including laboratory tests (i.e., take tests for prostatitis).
The manual technique includes a functional test. It is used if men have no symptoms of an exacerbation of the disease, but there are prerequisites for a chronic form.
One study is prostate massage. It allows you to determine the degree of increase, structure and other indicators. Massage for men can only be performed if there is no acute inflammation (i.e., with a chronic disease), since there is an increased risk of blood poisoning.
Blood with urine is mandatory when examining a patient for an illness. Tests for prostatitis should be comprehensive for an accurate diagnosis. When a man is sick with prostatitis, the blood test shows an increased content of white blood cells, and there is also a rapid sedimentation of red blood cells. These indicators indicate the presence of an inflammatory process. The degree of inflammation of the organ and the course of the disease directly affect the values of blood parameters.
With the catarrhal form of prostatitis, a general urinalysis may not reflect pronounced violations. At an advanced stage after a manual test, a urinalysis for prostatitis can reveal purulent streaks.
Analyzes in men include the study of prostate secretion. This is a microscopic examination that allows you to identify the nature of the secret, the presence of pathological inclusions in it and, thus, draw conclusions about the state of the gland and the degree of the disease. The study is carried out only in the absence of exacerbation.
The study of the material occurs in a certain sequence:
Like a fern will be the secret of the prostate, when in twenty minutes it will be normal. When inflammation is present, small fragments of the overall picture can be seen by examining it under a microscope. After stimulation, the patient must pass the first portion of urine, if the secret of the prostate was not released during the massage.
The greatest attention is paid to the following indicators: the number of amyloid bodies, the concentration of leukocytes and lecithin grains. If there is a suspicion of an exacerbation, this method of research in men is not carried out.
What actions are being taken:
With this analysis of prostatitis, the most attention is paid to indicators of pathogenic flora and the concentration of leukocytes.
The study of seminal fluid is one of the most informative methods, since the ejaculate passes through the prostate and contains a lot of secrets.
The examination of the ejaculate provides information on the level of leukocytes, as well as the presence of individual red blood cells. There may be clots of dead or weak sperm, which are called agglutinins. They are formed due to failures in the immune system.
In some cases, seeding of the ejaculate is performed. This is an alternative method of seeding prostate secretions. Such an analysis must be passed if the sowing of the secret did not provide sufficient information for making a diagnosis, or if it is problematic to obtain it.
Sometimes doctors fail to detect the presence of acute prostatitis even after a complete examination. What are the tests for this? Patients undergo a test that is performed before and after a manual examination.
Massage of the infected prostate gland increases the risk of infection entering the bloodstream, so the patient is prescribed additional examinations in the following cases:
As an additional study, a blood culture may be performed, which shows the presence of bacteria in the blood in the acute form of the disease.
In some cases, an MRI of the pelvis and pelvic echography are performed. It is possible to confirm or exclude the presence of a malignant formation with the help of a prostate-specific antigen.
What tests in patients with prostatitis are the most informative? Transrectal ultrasound examination is recognized as the most effective technique. The procedure is carried out by inserting a reading sensor into the rectum. The technique allows to identify calcifications and stones in the prostate, as well as to assess its condition (shape and structure).
oprostate.com
If a disease is suspected, the patient is prescribed tests for prostatitis, the purpose of which is to identify the presence of the disease, establish its stage and determine if there are complications. Without a thorough examination, it is difficult to know if the prostate gland is inflamed. For this reason, prostatitis is not always diagnosed in the initial stages, although it is one of the most common urological diseases.
A general blood and urine test, as well as clinical examinations of the body, can determine the current state of the prostate and identify the presence of pathogenic microorganisms.
Diagnostics also gives an idea of the severity of inflammation and the degree of tissue damage. When a man passes all the necessary tests for prostatitis, the doctor gets a complete picture of his condition, the presence of viruses and the degree of resistance of the body to viral infections.
If you suspect inflammation of the penis, a man passes a number of basic and additional tests. The doctor first examines the patient and asks him about the symptoms. Complaints of sharp pain may indicate an acute form. If its probability is excluded, the doctor performs rectal palpation. This procedure allows the doctor to assess the general condition of the man and understand what tests he needs to take, in addition to blood and urine.
After rectal palpation, the doctor writes out a referral for all types of examinations. The number of tests required may vary from patient to patient. In some cases, it is enough to examine the blood and urine for diagnosis, while in others a thorough examination is required.
But most often the list of procedures for diagnostics looks like this:
General tests for prostatitis can give a lot of information, but do not always allow you to get a complete picture. So, with inflammation, the ESR increases and the content of leukocytes in the blood increases. At the advanced stages, the indicators deviate from the norm more than at the initial ones. But with the catarrhal form of prostatitis, the composition of the blood may be normal. This circumstance often leads to delayed diagnosis. The fact that a man is sick becomes known only after a urine test: particles of pus appear in it.
Biological material for study is collected in the laboratory. The doctor stimulates the prostate gland and collects the released secret on the glass, after which it examines it under a microscope. Normally, the secretory fluid should take the form of a fern leaf. Abnormalities or the presence of blood particles indicate an inflammatory process.
Additional tests for prostatitis are prescribed only if the results of the main tests give reason to suspect that the man has other diseases, such as inflammation of the bladder. They are also prescribed if the treatment has not brought the expected improvement or the patient has complications.
If the disease has passed into an advanced stage, urine acquires characteristic changes that are detected by laboratory testing. Collection in order to analyze for prostatitis is carried out in various ways, while it is important that foreign microorganisms do not get into the liquid. To diagnose inflammation of the prostate, urine is collected as follows: after the act of urination, a clean cotton pad is pressed against the urethra, into which a sufficient amount of liquid is absorbed.
Important: before the procedure, the area around the urethra must be disinfected. This is necessary so that foreign particles and bacteria do not get into the liquid, otherwise you will have to re-examine.
Patients also give urine using a sterile catheter in an equipped laboratory. First, the liquid is collected in a sterile container, then bacteria are inoculated there, after which a culture is grown, and only then is diagnostics performed. The patient needs to apply for the results after some time, at what time - the doctor will say.
This is the most accurate and informative test. In seminal fluid, doctors can detect non-viable and dead spermatozoa, erythrocytes, leukocytes. The presence of agglutinins (sedentary spermatozoa) indicates disorders in the immune system. It is also possible to determine the presence of inflammation by the type of reaction: normally it is acidic, and with prostatitis it is alkaline, and because of this, the spermatozoa become lethargic and die.
When diagnosing, it is often found that most of the spermatozoa (up to 75-80%) are inactive. Such a pathology indicates genetic disorders or hormonal failures, as well as impaired testicular function.
The study of seminal fluid is not assigned to all men. Sometimes it is replaced by an analysis of the secretion of the prostate gland. If it does not give results, or for some reason the collection of biological material is difficult, a semen test is performed. These are just the main types of examinations shown for prostatitis. When there is a suspicion of concomitant diseases, complications or secondary disorders, the patient is instructed to take additional tests, which ones are determined on an individual basis.
KakLechitProstatit.ru
Inflammation of the prostate gland (prostatitis) is a complex disease. It is considered a male pathology in old age, although the symptoms of inflammation are also observed in young people.
The presence of an inflammatory process in the prostate is the main symptom of prostatitis
It is important to diagnose prostatitis in time. The sooner this diagnosis is made, the more successful the results of treatment will be. Drugs are prescribed after additional studies. Also, with the help of certain tests, the factor that provoked the inflammatory process is determined.
Required tests
Every man who is faced with inflammation of the prostate should know what tests for prostatitis will have to be taken in the clinic. Consider the main studies needed to determine the inflammatory process.
One of the studies for prostatitis is CT
Additional tests for inflammation of the prostate
Ultrasound is necessary to detect infection
Chronic prostatitis
The neglected form of prostatitis is quite difficult to identify, more serious examinations are required here.
You need to pass a test for uroflowmetry, it will show how impaired the function of urination is. You will also need a general urine test and its own study of the middle portion (according to Nechiporenko). Ultrasound of the prostate is an obligatory moment, since with its help the doctor determines the damage to the soft tissues of the prostate gland. The specialist may ask you to give a triple portion of urine to do an additional and informative study.
When should you get tested
Contacting a doctor should be immediate if signs of prostatitis appear.
How to take tests correctly
Before the spermogram, you should not have sex for a week. Also exclude antibiotics, temporarily do not go to the steam room. 7 days before the analysis, do not drink alcohol and other, any harmful drinks (soda).
When passing urine, you should follow some rules
For a general urine test, you should first wash the genitals. The liquid is collected in a clean dish after waking up. It is desirable that the urine remains warm. When analyzing according to Nechiporenko, the first drops of urine (morning) should be flushed into the toilet. And the average dose in a sterile container. The rest of the urine is not needed.
The study of seminal vesicles is carried out with a filled bladder. Prior to the study, it is undesirable to have sex for 3 days.
Brief transcript of analyzes for prostatitis
Conducting studies of the taken samples allows you to establish an accurate diagnosis
Choosing a urologist
The main point when choosing a urologist is his experience. For example, only a qualified specialist will prescribe a man tests for prostatitis to pass at least 4 types. He begins to treat the infection, and only then the inflammation itself. If the doctor does the opposite, a man should think about changing a doctor, because with inflammation of the prostate, many procedures are taken.
A good doctor can be seen in his work. An experienced urologist studies the problems of a man in depth, not superficially. Gathers as much information as possible. Also, the urologist must understand sexopathology, since inflammation of the prostate is directly related to these functions.
No qualified doctor will make a diagnosis based only on the words of the patient.
The conclusion is written only after passing the necessary tests and a complete examination of the urinary canal. In addition, the specialist should ask the man about any allergic reactions to drugs. When observed by a good doctor, treatment will quickly bring positive results.
Below you can find out about prostatitis provoking factors:
UroGenital.ru
Who said that curing prostatitis is difficult?
Any doctor will offer you a number of ways to treat prostatitis, from trivial and ineffective to radical
Before you start treating such a dangerous disease in men as prostatitis, you need to undergo a comprehensive diagnosis, including laboratory tests (i.e., take tests for prostatitis).
At the doctor's appointment, you need to describe the disturbing symptoms, the nature of pain sensations and their duration, provide other information that could relate to the disease. You should also talk about the presence of various factors that could provoke the development of pathology.
The manual technique includes a functional test. It is used if men do not have symptoms of an exacerbation of the disease, but there are prerequisites for a chronic form. One of the studies is prostate massage. It allows you to determine the degree of increase, structure and other indicators. Massage for men can only be performed if there is no acute inflammation (i.e., with a chronic disease), since there is an increased risk of blood poisoning. 
Blood with urine is mandatory when examining a patient for an illness. Tests for prostatitis should be comprehensive for an accurate diagnosis. When a man is sick with prostatitis, the blood test shows an increased content of white blood cells, and there is also a rapid sedimentation of red blood cells. These indicators indicate the presence of an inflammatory process. The degree of inflammation of the organ and the course of the disease directly affect the values of blood parameters. With the catarrhal form of prostatitis, a general urinalysis may not reflect pronounced violations. At an advanced stage after a manual test, a urinalysis for prostatitis can reveal purulent streaks.
Analyzes in men include the study of prostate secretion. This is a microscopic examination that allows you to identify the nature of the secret, the presence of pathological inclusions in it and, thus, draw conclusions about the state of the gland and the degree of the disease. The study is carried out only in the absence of exacerbation. The study of the material occurs in a certain sequence:The greatest attention is paid to the following indicators: the number of amyloid bodies, the concentration of leukocytes and lecithin grains. If there is a suspicion of an exacerbation, this method of research in men is not carried out.
What actions are being taken:
The study of seminal fluid is one of the most informative methods, since the ejaculate passes through the prostate and contains a lot of secretion. Examination of the ejaculate provides information about the level of leukocytes, as well as the presence of individual red blood cells. There may be clots of dead or weak sperm, which are called agglutinins. They are formed due to failures in the immune system. In some cases, seeding of the ejaculate is performed. This is an alternative method of seeding prostate secretions. Such an analysis must be passed if the sowing of the secret did not provide sufficient information for making a diagnosis, or if it is problematic to obtain it.
Sometimes doctors fail to detect the presence of acute prostatitis even after a complete examination. What are the tests for this? Patients undergo a test that is performed before and after a manual examination. Massage of the infected prostate gland increases the risk of infection entering the bloodstream, so the patient is prescribed additional examinations in the following cases:In some cases, an MRI of the pelvis and pelvic echography are performed. It is possible to confirm or exclude the presence of a malignant formation with the help of a prostate-specific antigen.
