The Diagnosis of the Bacterial Prostatitis

Acute bacterial prostatitis is induced by the congestion of prostate caused by bacteria themselves or bacterial toxins. The outbreak of the acute bacterial prostatitisusually appears after the prostate having been infected by bacteria for one to five weeks. Patients will have symptoms like urethral urtication, odynuria and a little secretion of attenuate white fluid. Sometimes patients just have incrustation on the glans or feculence on the seat of trousers, which often happens in the morning. For the prostate, spermatophore, parorchis and testicle are near each other and their glandular ducts have connection with each other, bacteria of acute bacterial prostatitis can intrude into parorchis and spermatophore. So acute bacterial prostatitis will appears accompanied by acute epididymitis, vesiculitis and hemospermia, leading to male infertility.

Among the bacteria of acute bacterial prostatitis, 80% bacteria are bacillus coli; 20% bacteria are gas bacillus, Proteus and other bacteria. These pathogenic strains of the acute bacterial prostatitis are similar to the common bacterial strains that cause the infection in the urinary system. These pathogenic strains include pseudomonas aeruginosas, staphylococci, streptococci, staphylococcus aureuses, anaerobic bacteroid fragilises and so on. The acute inflammation of tissues of prostate gland caused by bacteria is called acute bacterial prostatitis. If acute bacterial prostatitis is not cured radically, it can convert to chronic bacterial prostatitis. The outbreak of this disease is always rapid. Patients usually have high fever, frequent urination, urgency of micturition and pain of urination. The inspection of rectal touch shows tumescence, softening and tenderness of prostate. And there are bacteria growing in the test of germiculture. Acute bacterial prostatitisoften attack people quickly with severe symptoms.

1. Causes of acute bacterial prostatitis
1) The extended infection directly from the urethra. For an example, the infectious urine from the urinary system retrogrades into prostate gland, which will cause acute bacterial prostatitis.

2) Hematogenous infection and acute infection of skin, tonsil, tooth, intestinal canal or respiratory tract. They induce prostatitis by causing acute infectious bacteremia.

3) The infection of lymph. Inflammation of adjacent organs like lesions of the rectocolonic lower urinary tract can cause prostatitis through lymphatic ducts.

2. Symptoms of bacterial prostatitis
Symptoms of acute and chronic bacterial prostatitis are complicated. Patients have irritative symptoms of bladder such as frequent urination, urgent need to urinate, and excessive urination at night or have symptoms like terminal hematuria or purulent secretion, hematospermia or urethral secretions in the urinary tract. And sometimes patients have these symptoms accompanied by epididymitis and vesiculitis. Or patients have odynuria or have discomfort or pain in the lumbosacral portion or perineum. Few patients will feel chilly or have fever. Patients sometimes will suffer from myalgia and arthralgia. And some patients will have no symptoms.

3. The diagnosis of bacterial prostatitis

1) Physical signs of bacterial prostatitis

(1) The inspection of lower abdominal tenderness turn outs positive.

(2) Digital rectal examination shows prostate are obviously swollen with its sleek and inerratic surface and distinct tenderness. If there is fluctuation, an abscess certainly has formed in the prostate gland. Digital rectal examination also shows there are inflammation and tenderness in the perineum.

2) laboratory examination

(1) Routine blood test: Counts of white blood cells and neutrophilic granulocyte rise.

(2) Routine urine test: the result turns out normal when the prostatitis caused by the hematogenous infection; the result is that there are inflammatory changes as the prostatitis is induced by urinary tract infection.

(3) Routine prostatic examination: lecithins decrease or die out. The amount of the pyocyte is more than ten, that is, WBC/hpf is more than ten.

3) If patients' symptoms have lasted for over a week, white blood cells will increase and patients will feel the severe swelling pain in the perineum and anus. And the symptoms of lower urinary tract will be worse. Patients will have burning pain during their urination and have frequent urination, urgent need of urination, terminal dribbling and purulent urethral secretion. Vesical neck edema will lead to obstructed urination, attenuate or discontinued of the urine flowing, even urinary retention. As the patient has urinary retention, an abscess probably has come into being.