Chronic prostatitis and the need to identify the types of diagnosis

Chronic prostatitis history, symptoms, digital rectal examination and prostate checks on the general diagnosis is not difficult. But the complexity of the symptoms, signs should not typical with the following diseases as well. 1, prostate pain : these patients showed sustained frequency of micturition, irritation, difficulty urinating, perineum, lower abdomen, , and other parts of lumbosacral pain, sedentary, Cycling after aggravating. Digital rectal examination bilateral consultations levator ani muscle tenderness Obviously, the normal prostate palpation without tenderness. The disease was previously known as the levator ani muscle piriformis syndrome, prostate examination was normal, bacterial culture without growth. 2, prostatic abscess : Most of the acute bacterial prostatitis complications occurred in 50 ~ 60 years old, half of patients with acute urinary retention, urinary frequency, dysuria, rectal discomfort, urethra discharging, some accompanied by epididymitis. Digital rectal examination on the side of the prostate increases, soft touch, a sense of volatility. Occasionally prostatic abscess naturally to the urethral rupture, but also to the rupture of the rectum, was that around rectal abscess. 3, prostate stones : refers to what happens in the prostate gland acinar and within the stone. Chronic inflammation and prostate, prostate fluid retention, the risk of restenosis, metabolic disorders, and other factors. Inorganic salts such as calcium oxalate and calcium phosphate, magnesium phosphate deposits in the acinar prostate amyloid body epithelial cells and inflammatory exudation formed stones, patients will have chronic prostatitis performance of the various symptoms, However, rectal palpation can check prostate palpable sense of friction with stones, pelvic X-ray in the pubic area with positive side of Stone films, Ultrasonic examination of the prostate may stones were there with a bright light and sound impact. 4, prostate tuberculosis : symptoms similar to chronic prostatitis, But frequent urinary tuberculosis, or TB lesions in other parts of the history, digital rectal examination screening prostate irregular nodular, stiffen enlarged epididymis, vas deferens with beads sclerosis, prostate fluid smears or Mycobacterium tuberculosis direct PCR with tuberculosis. 5, prostate cancer : advanced, there will be the frequency of micturition, irritation, difficulty urinating, and other symptoms, but patients often emaciated, weak, anemia, loss of appetite and other significant systemic symptoms, digital rectal examination prostate hard as a rock mass, surface uneven, Serum prostate-specific antigen and prostatic acid phosphatase increased. Biopsy of prostate cancer cells can be found, the ultrasonic examination showed glandular increased border Echo irregularly or defect, Internal-point uneven cancer were more light-points or corporation. CT examination showed prostate shape asymmetry, if the capsule to tumor invasion, Visibility seminal vesicle and bladder wall of the tissue away. CT can identify prostate cancer invasion. 6, Osteitis Pubis : Clinically speaking chronic prostatitis symptoms, but the DRE and the prostate was normal. The main characteristics are pubic Department obvious tenderness and exciting pelvic X-ray showed the gap widened pubic symphysis "10 mm, Bilateral just on the level difference between "two millimeters, pubic irregular margin, eroded bone sclerosis and response.