Chronic Prostatitis Diagnosis | Diagnosing Acute Prostatitis

Diagnosis of Prostatitis:

Acute prostatitis diagnosis:

• On examination, no abnormality can be detected except tenderness of prostate on rectal examination.
• Initial specimen of urine which contains threads should be sent for culture and sensitivity.

Chronic prostatitis diagnosis:

A three glass urine test is valuable. If the first glass shows urine containing prostatic threads, prostatitis is present.

• Diagnosis is based on rectal examination which may reveal a tender prostate relatively firmer and irregular and softer than normal.
• Examination of prostatic fluid obtained by prostatic massage (which will contain pus and bacteria).
• Microscopic examination, culture and sensitivity of the initial specimen of urine which contains the gleet is helpful in diagnosing prostatitis.
• Urethroscopy reveals inflammation of the prostatic urethra and pus may be seen exuding from the prostatic ducts.
• Ultrasonography- useful in confirmation of diagnosis.

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