What are some common misconceptions about prostate fluid testing?

  In recent years, many domestic and foreign experts have published research reports and found that there is no positive correlation between the symptoms of chronic prostatitis and the number of white blood cells in the prostate fluid; many patients with chronic prostatitis have obvious symptoms but no or very few white blood cells in the prostate fluid test, and after treatment, the symptoms are significantly reduced while the white blood cells increase or even become piles in the full field of vision; therefore, the diagnosis of chronic prostatitis is not based on the number of white blood cells in the prostate fluid test, but on the symptoms (with the exception of asymptomatic prostatitis). This is a good example of how the prostate fluid test can be used as a reference for diagnosis and treatment (with the exception of asymptomatic prostatitis).  This is supported by clinical experience. The number of white blood cells in the prostate fluid test does not reflect the condition of the chronic prostatitis condition very well. For example, if prostate inflammation causes blockage of the prostate ducts, the test may show no or very few white blood cells. The actual fact is that, when the symptoms are reduced after treatment, and the ducts become open, the white blood cells can be discharged from the gland, and the test value increases. Obviously, the condition is reduced rather than worsened, but not completely healed, at least not in the glandular ducts. What part of the improvement is it? It should be the inflammation within the parenchymal tissue of the prostate outside the glandular ducts.  The loss of an objective indicator inevitably makes the understanding of prostatitis more confusing. The author’s experience is that another aspect that has good reference value in determining the presence and severity of chronic prostatitis is the anal finger examination of the prostate. The anal finger examination can give an idea of the texture, size, tension, and shape of the prostate. These features are important to help determine the inflammation of the prostate and its changes.