Prostatitis should be differentiated from those diseases?

  Prostatitis is a common disease among young and middle-aged men that seriously affects the lives of patients. As the symptoms of prostatitis are diverse but non-specific, it makes it more difficult for doctors to make an accurate diagnosis. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.  The actual fact is that you will be able to get a lot more than just a few of these.  (2) Non-specific urethritis: Patients can also have symptoms of urinary frequency and urgency. The main symptom of patients with non-specific urethritis is burning pain in the urethra, which is aggravated during urination. The urethral discharge contains a large number of pus cells. The test is positive for Mycoplasma or Chlamydia.  (3) Prostatic hyperplasia: Unlike prostatitis where the population is mainly young and middle-aged, the majority of patients with prostatic hyperplasia are over 50 years old. The clinical manifestations are mostly focused on abnormal symptoms of urination, such as frequent urination, urgent urination, increased nocturia, difficulty in urination, thinning of the urine line, waiting for urination, dripping urination, without obvious symptoms of pain and discomfort in the pelvis and perineum. The enlarged prostate can be palpated by anal finger examination and the size of the prostate can be shown by ultrasound.  (4) Prostate tumor: Urinary tract symptoms may appear in the late stage. Rectal finger examination reveals a hard mass in the prostate with an uneven surface. Prostate fluid smear and puncture biopsy can reveal cancer cells, and serum prostate-specific antigen (PSA) is significantly elevated.  (5) Interstitial cystitis: Patients also experience pain and discomfort in the lower abdomen and perineum and a feeling of holding, but patients with interstitial cystitis have a tendency to worsen the painful symptoms in the lower abdomen as they hold urine for longer periods of time, and the symptoms are relieved after urination. Prostate fluid examination once again no abnormal findings.  (6) Bladder tumor: Patients often have symptoms of hematuria, and the diagnosis can be confirmed by cytological examination or cystoscopy.  (7) Lower ureteral stones: typical patients will have clinical manifestations of renal colic and hematuria. In acute attacks, it is accompanied by severe and unbearable pain. There is pressure pain and percussion pain in the lumbar region. The vast majority of stones can be visualized on X-rays, and intravenous urography can also be used to understand the location of the stone and the presence of hydronephrosis in the kidney. For a small percentage of stones that cannot be visualized on x-ray, CT and ultrasound can help in the diagnosis.  (8) Chronic epididymitis: Patients often have a slight pain, downward and swelling sensation, and hard nodules with mild enlargement and pressure in the epididymis can be palpated.  (9) Urethral calculus: Like prostatitis, patients may have painful urination and difficulty in urination, but some patients may have a stone mass palpable in the penis and a feeling of obstruction in urination.  (10) Urethral stricture: Patients mostly come to the hospital because of difficulty in urination. The symptoms are similar to prostate enlargement, but the prostate examination is normal. The patient has a history of trauma or infection. Urethral stricture can be seen on urethroscopy, and urethrography can be performed to clarify the diagnosis.  (11) Neurosis: The onset of the patient is usually associated with adverse psychosocial factors. The clinical manifestations are varied, some patients may have symptoms of urinary frequency and urgency, and also non-specific symptoms such as dizziness, chest tightness and insomnia. Anal finger examination and prostate-related laboratory tests and examinations do not show any abnormalities. Treatment is usually based on psychosomatic therapy.