Diagnostic criteria for acute prostatitis

　　acute prostatitis The diagnosis is generally not difficult and is mainly based on medical history, symptoms, digital rectal examination and routine hematuria examination. The diagnostic points are:

　　(1) Medical history: Have you suffered from infections elsewhere in the body before the onset of the disease? If so, skin Suppurative infection, upper respiratory tract infection, etc., or history of acute urethritis, and whether there is a history of urethral instrument operation.

　　(2) Symptoms: The onset is sudden. Systemic symptoms include high fever, chills, anorexia, fatigue, etc. Local symptoms include frequent urination, urgency, painful urination and rectal irritation.

　　(3) Laboratory examination: White blood cells are generally between 15,000 and 20,000/cubic millimeter, and the nucleus is obviously shifted to the left. Urine microscopy showed a large number of white blood cells and pus cells, and the urine pH was >7. The first cup of urine three-cup test showed debris and pyuria ； The second cup is often clearer ； The third cup was turbid with debris and epithelial cells. Examination of urethral secretions and bacterial culture can detect pathogenic bacteria, and staining of prostatic fluid examination smears can often find a large number of white blood cells and bacteria.

　　(4) Digital rectal examination: ①Catarrhal inflammation: The prostate can be normal or slightly larger, with tension, and one or two lobes are locally irregular.； ② Follicular inflammation: The prostate has small induration, or the entire gland is swollen, soft and elastic, and tender. ③Substantial inflammation: The prostate is significantly enlarged, hard, tense, and tender. You can also feel the soft area locally, and pus will be discharged when pressed lightly.