Methods of urine examination in case of suspicion of a diagnosis of prostatitis

Prostatitis is an inflammatory process of the prostate gland. Often men over 30 are sick. Prostatitis is quite a nuisance.

The main symptoms of the disease:

• Difficulty urinating;
• The presence of pus or blood in the urine;
• Urinary retention;
• Pain in the scrotum, penis, pelvis.

The disease is caused by the infection spreading from the bladder or urethra.

The causative agents of the disease are:

• staphylococcus;
• enterococcus;
• Pseudomonas aeruginosa;
• intestinal infections.

One of the examination methods to confirm the diagnosis of prostatitis will be a general urine test. The analysis contributes to the detection of the inflammatory process at the primary level. urine analysis for prostatitis informs about the presence of erythrocytes, leukocytes, protein, although normally these indicators are absent or are in a minimal amount. Deviations from the norm indicate that there is an inflammatory process that catalyzes abnormalities in the work of internal organs.

Based on the results of the examination, it is possible to make a prostatitis diagnosis with a probability of about sixty percent. Otherwise, the identified deviations will indicate other diseases. Abnormalities in urine tests will not accurately indicate prostatitis. The data obtained through research in the laboratory will be taken into account when carrying out various diagnostics, using instrumental research methods.

In addition to cytological, general and bacteriological results, in case of prostatitis, urine analysis will have in its interpretation such indicators as: Physical properties of urine - indicators that are identified during visual examination of urine. If the disorder is present, fluid drainage will be more difficult. The deviation of urine flow in the worst case can lead to a complete lack of urination.

If the physiological properties of urine indicate inflammation and at the same time a man complains of cramps during urination, the appearance of pain during sexual intercourse and dysuric disorders, then the diagnosis can be made with a probability of up to eighty percent. But only based on the results of urine analysis, such a diagnosis will not work. Nevertheless, the study dates the opportunity to detect the inflammatory process at the primary stage and identify the causative agent of the infection, which is important for determining the correct diagnosis and prescribing the correct treatment.

What is a urinalysis for prostatitis?

To detect infection and its pathogens, the doctor will prescribe: general, cytological and bacteriological analysis of urine.

General analysis. This examination method does not require any special preparation.

You just need to follow some rules:

When collecting urine, pre-perform hygienic procedures for the genitals. This research method helps to detect pathological processes, violations of the chemical composition of urine and deviations in the development of cells of the prostate and bladder. This analysis helps to determine the nature of the infection, as well as the level of its spread.

• Cytological analysis. This method of analyzing dates is an opportunity to identify pathological changes in epithelial cells, and in the number of leukocytes and erythrocytes. This method of analyzing dates is not as accurate as examining the ejaculate and scraping from the urethra. Nevertheless, the analysis contributes to a more complete diagnosis. There is no specific preparation for collecting urine for cytological. Personal hygiene must be observed. Urine is collected in a special disposable container. Sometimes, in order to conduct a study, urine is used, which was collected for general analysis.
• Bacteriological analysis. This is an additional independent examination that a doctor prescribes if an inflammation of the prostate gland is suspected. This method allows not only to help determine the diagnosis of prostatitis, but also to identify the causative agent of the disease. Basically, this analysis is prescribed in conjunction with the general and cytological. Urine must be collected immediately after sleep. There is no need to eat at night on the eve of urine collection.

For the research result to be correct

You should first drain a little urine into the toilet, and then collect in a sterilized plastic or glass container. The volume of urine does not matter. A few drops (4-7 ml) may be enough for the study to be informative. To determine the physical properties in color, transparency, the presence of sediment, you need about one hundred ml.

Alcohol and medication should be discontinued 24 hours before urine collection. It is necessary to deliver the analysis to the laboratory within three hours, otherwise the results will not be informative. The best option would be to collect urine directly in the laboratory early in the morning, to avoid agitation during transportation.

It should be taken into account that the influence of light and temperature before analysis should be the smallest. In the process of passing urine, the container and the penis are not allowed to touch, in order to exclude external seeding and changes in the chemical properties of urine. When referring to the analysis by a doctor, it is necessary to indicate the research method and the name of the patient.

In the interpretation of the results, there will be such indicators of urine analysis for prostatitis as:

• Smell. With prostatitis, it may change, but this will not be a specific symptom.
• Leukocytes. The most important stage in the laboratory study of urine will be the determination of the number of leukocytes. Their presence in the number from three to seven is considered the norm. If the indicators are higher than normal, this indicates that there is an inflammatory process inside. When the symptoms of the disease are added to this indicator, the disease is confirmed. In the initial stage of the disease, which will proceed without signs, there may be an increase in the number of leukocytes, which must be distinguished from an erroneous result. For this, a repeated urine test is prescribed. If the reanalysis of the dates is similar, the patient will be scheduled for examination using other methods.
• Proteins. In the results of the study of urine, the protein should not normally be present. Long-term retention of foam after urination indicates that urine contains albumin, which indicates the presence of many diseases, including chronic prostatitis. In order to confirm the diagnosis, a laboratory measurement of the amount of total protein is carried out. For a healthy body, the content of albumin and other polypeptides is considered the norm - 0.033 g / l.
• Red blood cells. The number of red blood cells in urine should be no more than five units. When the value is much higher than the norm, then this will indicate that an abscess is in the tissues of the prostate or bladder. A large number of red blood cells is quite dangerous and indicates a serious form of the disease - calculous.

It is also quite common to find oncological diseases of the prostate, which develops as a result of chronic inflammation. Sediment in the urine indicates the formation of calculi in the genitourinary system, as well as calcification of the secretion of the prostate gland. The inflammatory process will also be shown by bacteriological research.

According to international standards, the number of acceptable microorganisms should not exceed 1000 CFU / ml. In the case of overestimated indicators, we can accurately talk about inflammation in the organs of the urinary system.