The diagnosis of acute prostatitis is mainly based on history, symptoms, rectal examination and routine blood and urine examination. The first thing you need to do is to take a look at the history of the patient and see if he or she has had any infections elsewhere in the body, such as purulent skin infections, upper respiratory infections, or a history of acute urethritis, as well as a history of urethral instrumentation. (B) Symptoms: the onset of the disease is rapid, with systemic symptoms such as high fever, chills, anorexia and fatigue, and local symptoms such as urinary frequency, urinary urgency, painful urination and rectal irritation. (C) Laboratory tests: blood leukocytes are increased and the nucleus is obviously left shifted. The urine routine examination shows a large number of leukocytes and pus cells, and the urine PH value is greater than 7. The first cup of the three-cup test has pus urine; the second cup is often clearer;
The third cup is cloudy and has epithelial cells. The urethral secretion examination and bacterial culture can find pathogenic bacteria, prostate fluid smear staining can often find a large number of leukocytes and bacteria. (iv) Rectal examination: (1) Catarrhal inflammation: the prostate may be normal or slightly large, tense, with local irregularities in one or both lobes. (2) Follicular inflammation: the prostate has small hard nodules, or the entire gland is enlarged, soft and elastic, with positive pressure pain. (3) Substantial inflammation: the prostate is significantly enlarged, hard, tense and painful. Local soft areas can also be felt, light pressure pain with pus heat out. (E) Ultrasound examination can be used as an auxiliary basis.