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Misunderstandings in the Diagnosis of Chronic Prostatitis

There are many diseases in men. Chronic prostatitis(CP) in men often occurs. Many people are easily confused with other conditions, leading to misunderstandings in treating chronic prostatitis. Patients must pay particular notice to the misconceptions in the treatment of chronic prostatitis. 
 

What are the misunderstandings in the diagnosis of chronic prostatitis?
 
1. The concept of chronic prostatitis and benign prostatic hyperplasia is easy to confuse
 
Clinically, patients and even doctors often confuse the two. Chronic prostatitis and benign prostatic hyperplasia are common diseases in men. The diseased organs are all in the prostate. The clinical manifestations may have frequent urination and urgency, but they are two diseases with different etiologies, different pathologies, and completely different natures.
 
Prostatitis mainly manifests as frequent urination, urgency, painful urination, and soreness and pain in the lower abdomen or perineum. The cause is primarily caused by inflammation of the prostate. It occurs at all ages, and it often recurs and is difficult to heal. 
 
Prostatic hyperplasia tends to occur in middle-aged and older people. The cause of prostate hyperplasia is mainly due to a series of urination symptoms caused by the enlargement of the prostate volume and compression of the urethra. The main clinical manifestations are frequent nocturia, usually more than two nocturia, and waiting for urine, incomplete urination, or poor urination. Therefore, to carry out different treatments, the diagnosis is made according to the patient's age and clinical symptoms, whether prostatitis or benign prostatic hyperplasia.
 

2. Misunderstandings and countermeasures in the diagnosis of chronic prostatitis
 
(1) Asking the medical history is too simple
 
A medical history may become an essential clue for the diagnosis of CP. Non-specialist doctors often collect an unclear medical history of symptomatic patients and even diagnose CP based on a few symptoms such as frequent urination, white urine, and perineal pain. They ignore NIH-CPSI symptom scores. Many medical histories may become essential clues to CP. Uncomplicated urethritis is rare in men. A history of recurrent urinary tract infection may be chronic bacterial prostatitis (CBP).
 
Those with a history of unclean sexual intercourse should attach great importance to the possibility of prostatitis after sexually transmitted diseases. It should also be noted that the spouse's medical history, such as fungal vaginitis, trichomoniasis, etc., should be further checked by the man. Occupational history is also critical. Drivers who drive for a long time may indicate chronic pelvic pain syndrome(CPPS) caused by prostate congestion. If there is a history of taking medication, if long-term antibiotics are not effective, it may be CPPS. Long-term drinking and serving spicy food are the incentives for aggravation of prostatitis.
 
(2) Ignore physical examination
 
Many doctors diagnose CP based on leukocytosis in prostatic fluid alone but lack a comprehensive physical examination. The lower finger experience during the digital prostate examination is beneficial in the diagnosis of CP. For example, in patients with chronic bacterial prostatitis (CBP), the prostate gland has increased hardness, uneven surface, induration, and evident tenderness. In chronic pelvic pain syndrome (CPPS), the glands are full, slightly larger, softer, and less tender.
 
Of course, when considering acute prostatitis (fever, dysuria, increased blood picture, etc.), anal diagnosis is contraindicated. The physical examination should also notice whether there are swelling and painful nodules in the epididymis, whether the vas deferens are missing and bead-like changes, whether there are varicoceles, and whether there are infections in other parts of the mouth and skin. These can provide clues for the diagnosis and identification of CP.
 
It is the end of the explanation of the misunderstanding of the diagnosis of chronic prostatitis. Patients with chronic prostatitis must make a diagnosis of chronic prostatitis. Don't cause wrong regular prostatitis treatment because of some wrong diagnosis of chronic prostatitis. In treating chronic prostatitis, herbal medicines are mostly chosen, such as Diuretic and Anti-inflammatory Pill, because herbal medicines will not have side effects and drug resistance. And it can reach the lesion directly and treat urinary system diseases. And the recurrence rate after recovery is shallow. Finally, the majority of chronic prostatitis patients should resolve their disorders as soon as possible.
 
Recommended Readings:

Chronic Prostatitis May be Easily Confused with These 7 Diseases
Will Chronic Prostatitis Induce Premature Ejaculation?
How is Chronic Prostatitis Infected?





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