A routine examination of prostate fluid is one of the necessary tests when prostatitis is suspected. Through rectal examination, we obtain prostate fluid for microscopic observation. This includes: color (normal is milky white), texture (normal is clear and thin), leukocytes (normal is less than 10 per high magnification field; in general, 10 to 20 is +; 20 to 30 is ++; greater than 30 is ++++), and lecithin (normal ++++ to ++++). If the massage is too light, you can’t squeeze out most of the prostate fluid, so the cell count of the prostate fluid is relatively reduced. 3, related to the nature of the lesion: in the congested phase of acute prostatitis, the prostate tube and interstitial cells are just congested and edematous, so the number of cells in the prostate fluid is low. 4, chronic prostatitis when often focal changes, in the rectal finger examination is often found on the surface of the prostate irregularities, while can be palpable limited hard nodules and limited tender areas, so any one massage does not reflect the entire prostate situation. The prostate gland is divided into two parts: the central and peripheral zones. From the pathological statistics, the peripheral zone is more infected than the central zone, but the discharge of secretions from the peripheral zone is more difficult than the central zone, so the prostate fluid obtained from prostate massage mainly comes from the central zone, not from the peripheral zone which is more susceptible to infection, so the prostate massage fluid examination cannot fully reflect the infection of the entire prostate. The prostate massage fluid examination cannot fully reflect the infection of the whole prostate. The actual fact is that the actual prostate fluid is of different viscosity and non-homogeneous nature, making the smear thick and thin, and in some fields of view you see heaps of overlapping white blood cells, while in another field of view you see only a few white blood cells, the error is between 20% and 25%, so the examination in only one or two fields of view is not accurate enough to determine the number of white blood cells. In summary: a high number of white blood cells in the prostate fluid can diagnose prostatitis; if there are no white blood cells in the prostate fluid, prostatitis cannot be ruled out either. The actual fact is that you will not be able to get a good deal on the number of white blood cells to determine the effectiveness of the treatment, so please don’t “focus” on the white blood cells.