Examination of chronic prostatitis

Chronic prostatitis examinations are mainly the following: 1. Chronic prostatitis requires a detailed medical history, a thorough physical examination, and routine examination of urine and prostate massage fluid. The NIH Chronic Prostatitis Symptom Index is recommended for scoring symptoms. The “two-cup” or “four-cup” method is recommended for pathogen localization testing; 2. For a definitive diagnosis and differential diagnosis, the following tests are available: semen analysis or bacterial culture, prostate-specific antigen, urine cytology, transabdominal or transrectal ultrasound, urine flow rate, urine The prostate gland can be examined by CT, MRI, urethral cystoscopy and prostate puncture biopsy. 3. Rectal finger examination can be done to find out the size, texture, presence or absence of nodules, the presence or absence of pressure pain and its extent and degree, the pelvic floor muscle tension, the presence or absence of pressure pain in the pelvic wall, and the prostatic fluid obtained by massaging the prostate gland. Rectal examination of the prostate can be normal in size, or slightly larger or smaller, with mild tenderness or nodules on palpation. Some prostates may show abnormalities such as uneven softness or shrinkage or hardening.