Many patients with chronic bacterial prostatitis and prostate enlargement feel embarrassed when they are given a prostate fluid examination or prostate finger examination, and many questions arise instantly: Why do they have to go through the rectum? Is it uncomfortable? The actual fact is that you will be able to get a new method of examination. Although most people are very active in the medical examination, but for various reasons really do “comprehensive examination” of not many people, most of them avoid certain tests due to face, do not know that some disease diagnosis also depends on these tests, for our male department, patients are most embarrassed than the “burst jugular “The most embarrassing part of this is that you can’t do anything more than popping your cherry, but for the doctor, you can do a prostate exam, prostate fluid exam, transrectal ultrasound and other tests that are of high value for diagnosing the disease. So, what is the common need to “pop the cherry” in the male section of the examination? 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 accuracy rate is reported to be 50-70%. The first degree of enlargement: the gland is twice the normal size, the central sulcus becomes shallow, the estimated weight is 20-25g; the second degree of enlargement: the gland is 2-3 times the normal size, the central sulcus nearly disappears, the estimated weight is 25-50g; the third degree of enlargement: the gland is 3 times the normal size, the fingers can just touch the bottom of the prostate, the central sulcus disappears, the estimated weight is 25-50g; the third degree of enlargement: the gland is 3 times the normal size, the fingers can just touch the bottom of the prostate The central sulcus disappears and the estimated weight is 50~75g; Fourth degree of enlargement: the gland is more than 4 times normal, the finger can no longer touch the bottom of the prostate, the lateral sulcus on one or both sides disappears due to the enlargement of the gland and the estimated weight is more than 75g. 2, prostate fluid examination When men have symptoms such as frequent urination, urgent urination, painful urination, poor urination, bifurcation of the urine line, residual leaking after urination, milky discharge from the urethra after urination or during bowel movements, when considering the possibility of prostatitis. For the diagnosis of prostatitis, in addition to the combination of medical history, symptoms, rectal examination, routine urine examination, the most important is the routine examination of prostatic fluid, through the results of which can determine whether there is evidence of inflammation in the prostatic fluid. So, how do you retain a specimen of prostate fluid? Many people ask, “Is taking prostate fluid something that goes in through the urethra and takes out the prostate fluid?” . They think that since the prostate gland is in the urinary tract, the prostate fluid should be taken through the same tract. This is not the case. The truth is that the prostate fluid is removed through prostate massage, which is the process of squeezing the prostate from the urethra after entering the rectum through the anus. The actual method of operation is: the patient takes a chest and knee position, the doctor wears a rubber glove with his right index finger, coated with lubricated paraffin oil first gently massage the perineum and then slowly reach into the rectum, feel the prostate, with the last knuckle of the index finger against the rectal surface of the prostate, from the outside up to the inside down the sequence of pressure on the prostate, namely from both sides of the gland to the midline 2 to 3 times, and then from the central groove from top to bottom to the urethra. The prostate fluid is then squeezed out from the central sulcus to the outer urethra. The first thing you need to do is to remember to urinate after taking the prostate fluid to flush out the residual prostate fluid in the urethra. 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 prostate gland can be examined initially, but the specific size of the prostate, the presence of nodules and calcified foci, and the integrity of the envelope must be determined by ultrasound. (1) Obtain clearer images of the internal structures of the prostate than transabdominal ultrasound, allowing for closer examination of the prostate, seminal vesicles and surrounding structures. (2) No need to hold urine, which is convenient for patients to examine. (3) It can provide accurate positioning for prostate puncture and distal ejaculatory duct surgery. All of the above tests can only be performed after the doctor has evaluated the condition. If you have an acute prostatitis or chronic prostatitis, you can’t massage the prostate gland, otherwise the infection will spread or even cause sepsis. In addition, the prostate tuberculosis, tumor, atrophy, sclerosis and other conditions are not suitable for prostate massage.