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How to Judge If There are Bacteria in Prostate?

Date:2018-11-30 click:0
There are two different types of prostatitis: bacterial prostatitis and nonbacterial prostatitis. Even though there are similarities existing in some ways, we should still distinguish the treatment of these two types. In order to choose better targeted treatment of prostatitis, the diagnosis of prostatitis is crucial. So how to identify the presence of bacteria with prostatitis?
1.The confirmation about whether prostatitis is bacterial or abacterial is mainly based on the culture of prostatic fluid clinically. Bacterial prostatitis is often accompanied by urinary tract infection, and there is an excess of inflammatory bacteria in the prostatic fluid, because the bacterial culture of the prostatic fluid is positive. While urinary tract infection is rarely found in non-bacterial prostatitis or prostatic pain, but there are a large number of inflammatory cells in the prostatic fluid. 
2.The urine tests between bacterial and nonbacterial prostatitis are different. Bacteria have been found in the urine of bacteria prostatitis patients, which often companies with symptoms of urinary tract infection like frequent and urgent urination, burning pain in urethra etc.; However, abacterial prostatitis is not necessarily associated with urinary tract infection, and bladder irritation does not always occur, which doesn't mean there isn’t any urethral discomfort. That is because chronic abacterial prostatitis can cause congestion in the posterior urethra to a certain extent. It will lead to some stimulation, resulting in a mild discomfort of urination and slight burning sensation in the urethra, which is much softer than that of chronic bacterial prostatitis.
3.There are different results of digital rectal examination between these two types. The prostate glands with bacteria are normal or slightly swollen and its texture is hard; nonbacterial prostatic glands are swollen, soft and easy to discharge thin prostate fluid after massage. The excretion of prostate fluid is pretty much, around 0.5~6 ml.
Though antibiotics are commonly-used medicine for treating prostatitis, they are ineffective for most of patients since 90% of cases are without an infection. It’s improper to take antibiotic treatment if the disease is not caused by bacteria. It can’t cure the inflammation but cause side effects including liver and kidney damages. For patients who have no significant improvement by using antibiotics for prostatitis, Diuretic and Anti-inflammatory Pill is a better option for it has no side effects or drug resistance.