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The differential diagnosis between prostatitis and urethritis

Date:2012-09-11 click:

Prostatitis is easily mixed up with other common diseases because of various symptoms. How to carry on the differential diagnosis? What diseases should be differentiated?

 
First, we should understand the diagnostic criteria of prostatitis. Prostatitis falls into several classes such as acute bacterial prostatitis, chronic bacterial prostatitis, Chronic nonbacterial prostatitis, asymptomatory inflammatory prostatitis etc. 
 
Acute bacterial prostatitis is urgent, have obvious symptoms of lower urinary tract infection, such as frequency and urgency of urination, urinary pain, burning urination, difficult urination, uroschesis and discomfort in anal perineum area. Patients can also feel chill, high fever. Both blood routine and urine routine inspection are detected positive signs. 
 
The symptoms of chronic bacterial prostatitis include recurring lower urinary tract infection symptoms such as frequency, urgency, urinary pain, etc., which often last for more than three months. 
 
Chronic nonbacterial prostatitis not only have these symptoms mentioned above, but also cause mental anxiety, dysphoria, deterioration of the memory, sexual function decline, insomnia and depression etc. 
 
Patients with asymptomatic prostatitis has no symptoms, only prostatitis evidence found when have an examination.
 
However, the chlinc symptoms of patients usually are not so typical as mentioned above. So doctor should know patient's condition in detail and then draw a conclusion.
 
Differential diagnosis with urethritis: The clinical symptoms of prostatitis and urethritis are usually similar, but still have subtle differences. The patients who get urethritis have the symptom of urethral overflowing sanies, but prostatitis patients don't have it. Prostatitis has the symptom of urethral dropping white after unrination. To get diagnosed, patients need to take prostate routine examination and urine routine examination.
 
Differential diagnosis with acute pyelonephritis: The symptoms of pyelonephritis are usually shaking chills, accompanied by a high fever and pain in the joints and muscles including flank pain. There may be similar symptoms with prostatitis such as burning when urinating, a sense of urgency, or increased frequency of urination. But acute pyelonephritis has no pain in pelvic area and no pain when rectal touch. Besides, Prostate fluid examination will be normal.
 
Differential diagnosis with seminal vesiculitis: The paitients with seminal vesiculitis commonly find blood in semen. The red and white blood cells will be found in seminal vesicle fluid examination.
 
Differential diagnosis with BPH: BPH accompanies frequency of urination and impeded urination. The disease mostly occur in elderly men. Prostate can be found increased through a digital rectal exam.

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