Analysis of discharge from the prostate analysis transcript

Prostate juice analysis and interpretation

In violation of urination, accompanied by pain in the perineal region, there is reason to assume pathologies in the prostate gland, including prostatitis. To clarify the diagnosis, along with instrumental methods, laboratory tests are used, one of which is the analysis of the juice (secret) of the prostate in men.

We will tell you how it is done, give information about the correct preparation and show you how to do a preliminary transcript without waiting for the doctor's opinion.

What is prostate juice collected for

The secret of the prostate gland is a transparent and viscous liquid that is produced in the organ to maintain the desired consistency of the ejaculate. The juice consists of more than 90% water, and some microelements, lecithin grains, epithelial cells and a number of other substances were also found in its composition.

The prostate gland is normally sterile and therefore there are no Bactria in its secretion. However, during the inflammatory process, the level of leukocytes will be increased, and in case of infection, various pathogenic or opportunistic microorganisms will be noted in the analysis. Therefore, a laboratory study of prostate secretion is part of the diagnostic measures.

How to prepare for analysis

Taking prostate juice is an activity that does not require special preparation. However, a man must adhere to some rules, the violation of which can distort the final results.

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Sports are allowed, but with loads regulated by a doctor. This point must be specified separately and not deviate from the prescriptions. Otherwise, you will have to take the secretion analysis again, while the favorable time to start treatment may be missed.

To eliminate infection from the bladder, 3-4 days before the date chosen by the doctor, antibacterial drugs may be prescribed in prophylactic doses. Directly on the day of sampling, you need to make a cleansing enema and thoroughly wash the genitals, paying special attention to the foreskin.

How to take a secret for research

Sometimes taking a secret is combined with a four-glass urine test. In this case, the patient collects the first two portions of urine of 30 and 10 ml in containers, then proceed to the collection of prostatic juice.

The secret of the prostate can be taken after a rectal massage of the gland. To do this, the man becomes "on all fours" or lies on his side. Further, the fence is carried out in accordance with the following algorithm:

After a few minutes of such stimulation, a secret will begin to be actively produced, then it will be released through the urethra. The liquid is collected in a container and sent for further research.

With prostatitis, the organ is inflamed, so the procedure can be painful. The doctor's recommendations will help reduce the intensity of pain, but you will not be able to completely get rid of it.

In the case of a protracted pathological process in the organs of the genitourinary system, even after a massage, no juice is released. This may be due to a change in its consistency or an obstruction in the urethra. If possible, the subject will be asked to go to the toilet for small needs and collect the first 15-20 ml of urine. It is in it that the secret of the prostate will be contained.

It will not work to collect the secret on your own. It is impossible, without knowledge in the field of anatomy, to feel the prostate through the wall of the rectum and, moreover, to exert the right influence on it. Therefore, it is better to entrust the manipulation of biological material sampling to a doctor.

Contraindications for analysis

As with rectal prostate massage, there are a number of contraindications to taking prostate juice. These include:

• exacerbation of bacterial prostatitis;
• prostate cancer;
• abscess;
• calculous prostatitis;
• acute urinary retention;
• hemorrhoids, anal fissures and other pathologies of the anus.

In this case, manipulations in the anus can cause serious complications, so the diagnosis is made on the basis of other examination methods.

Transcript of analysis results

It will not be possible to 100% decipher the results of the analysis of the secret of the prostate: in the conclusion there are many specific terms, plus you need to know all the indicators are normal. However, you can make a general conclusion about the pathology in the organ, for this you need to have an idea about the microscopic parameters.

The following are important in deciphering the results:

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• volume of secretion and its acidity, smell, density;
• the number of leukocytes and erythrocytes;
• presence of bacteria and fungi.

Each factor has its own normal values, deviations from which indicate the development of pathology. In this case, the final result depends on the technical features of the laboratory, which also needs to be taken into account.

If there are no pathologies in the prostate gland, the secret should correspond to the following indicators:

See the table for normal microscopic findings.

Analysis of the secret of the prostate gland transcript

Detailed transcript of prostate secretion test results

One of the main tests for suspected prostatitis is the analysis of prostate secretion. This analysis is done for a short time, but the indicators can tell a lot about men's health. Problems with the prostate gland can not only make a man's life inferior, but also pose a threat to his fertility and even life.

Prostate secret characteristics

Prostate secretion is a whitish fluid secreted by the prostate gland, an organ found only in men. It is released during intercourse and enters the urethra along with spermatozoa. A third of the volume of semen is the secret of the prostate gland.

The main function of this organ and the fluid it secretes is reproductive function. It helps the sperm stay intact as it passes through the urethra. In addition, it makes the sperm more fluid, improving its permeability.

It contains various nutrients and antimicrobial components to protect sperm. The fertility of a man depends on the quality of the excreted secret of the prostate. The prostate fluid reflects the state of the prostate gland, and that is why it has an important diagnostic value.

Normal biochemical composition

Normally, the secret of the prostate contains the following components:

• It is approximately 96-98% water.
• In addition, it contains metal salts: potassium, sodium, calcium, zinc.
• Phosphates, bicarbonates, chlorides, citrates.
• Citric acid.
• Prostaglandins.
• Enzymes.
• Immunoglobulins.
• Sperm
• Fructose and maltose.

In addition to the liquid part, it also contains cellular components (leukocytes, erythrocytes, epithelium and inclusions: lecithin grains, cholesterol crystals, amyloid bodies).

How to interpret the results of the prostate secretion analysis?

After passing the analysis in the laboratory, you will be given the results. The results will indicate macroscopic and microscopic parameters. Macroscopic parameters include indicators such as smell, amount of secretion, color, density and acidity. Macro parameters will include indicators of the number of erythrocytes, leukocytes, epithelial cells, macrophages and others.

In order to understand how your indicator differs from the norm, you need to pay attention to the reference value in the table with the results. Lab standards may vary. The difference in readings can be affected by things such as microscope magnification and others. Therefore, compare your performance exactly with the standards of the laboratory in which you took the test.

Be sure to contact your doctor with your results, only he will be able to diagnose and prescribe treatment, and, if necessary, send for additional studies.

Macroscopic parameters

Under normal conditions, the amount of material obtained during prostate massage is 0.5-2 ml. There are cases when its quantity is less, and it is not possible to obtain it in the usual way. Such a small amount of prostate juice is not normal.

Then a urine test is prescribed using the three-glass sample method, and before taking the sample into the third glass, a prostate massage is performed. After centrifugation, the secretion of the prostate is isolated for analysis, since its density is higher than that of urine.

The fern syndrome is the ability of biological fluids of the body to form a fractal structure during crystallization, similar to the appearance of a fern. To do this, a saline solution is added to the secret of the prostate.

This phenomenon is based on the ability of salt and macromolecules, such as hormones, to form characteristic structures during crystallization. Such an analysis is used not only in the study of prostate juice, but also in many others.

Microscopic parameters

• Lipoid bodies. A variant of the norm is their high content. Microscopic examination shows complete coverage of the field of view by them.
• Leukocytes. Normally, with an increase of 280, up to 10 is observed, and with an increase of 400 - two times less.
• Erythrocytes. Normally, they are absent. Sometimes up to 1-2 may be present.
• Epithelial cells of the prostate ducts are normally no more than two in the field of view.
• Giant cells are missing.
• Bettcher's crystals. Formed when prostate secretion solidifies. They are present in the amount of several units both in the norm and in pathologies, therefore they have no diagnostic value.
• Pathogenic organisms and fungi are absent.
• Opportunistic pathogenic microflora. These are bacteria that are normally present in the body. A small number of them is a variant of the norm.

What do deviations from the norm indicate?

A decrease in the amount of secretion secreted often indicates inflammation, as well as an increase in the amount of secretion secreted. White, yellowish, reddish, transparent and cloudy prostate secretion should not be. Yellow color can speak of prostatitis, as well as cloudiness and transparency. But the red color indicates chronic prostatitis, and can also be observed with prostate cancer.

Deviation from the norm of density in any direction indicates inflammation. Also proof of this is the acid reaction of the juice. A decrease in the number of lipoid bodies is a violation of fertility, this occurs during an inflammatory process. An increase in white blood cells in any human body fluid will always indicate inflammation.

An increased number of red blood cells indicates serious pathologies, this is either an already strong change in the prostate with prostatitis, or oncology. The presence of epithelial cells is evidence of an inflammatory process in the body, up to 10-15 per field of view.

With prostatitis, pathogenic organisms of Trichomonas and gonococci may be present. The mycelium of the fungus is found in fungal prostatitis. An increase in the number of opportunistic microflora indicates the development of nonspecific inflammation.

Results of analysis for prostatitis

Don't be afraid to go through this procedure. Of course, this is not the most pleasant analysis that can be, but without it it will be very difficult for a doctor to make a correct diagnosis. Take care of your health, it is important not only for you, but also for your loved ones.

Prostate Secretion Analysis Transcript

The main task of the prostate gland is to produce secretions. This substance is very important for the viability and motility of spermatozoa. The secret of the prostate can, during the analysis and its decoding, indicate the presence of prostatitis, adenoma or other pathologies that require mandatory treatment. They do research in the laboratory, therapy is carried out to prevent possible complications.

What is the secret of the prostate

When talking about the juice of the prostate gland, they understand the liquid, which is the male biological composition. It is secreted normally during sexual arousal of a man. The secretion of the gland is part of the ejaculate process and is part of the semen. Normally, the prostate produces about 2 ml of juice per day, but if the gland malfunctions, it may not form at all or contain pathogenic microorganisms that cause the development of diseases. To conduct tests and identify deviations, a prostatic secret is taken for analysis.

95% of the prostatic juice consists of ordinary water, like many biological fluids. The remaining 5% is microflora and specific substances that can become a marker for the presence of any abnormalities. Among the elements of the composition of the secretion of the gland can be distinguished:

• phosphates;
• chlorides;
• squirrels;
• salts of calcium, zinc;
• different groups of enzymes;
• bicarbonates;
• citrates.

In addition to the components described above, prostate juice must contain:

• nourishing cells;
• special amyloid bodies;
• leukocytes;
• lecithin grains.

Who is prescribed a prostate secretion test

For sampling and analysis, it is necessary to undergo training and a special procedure, which among men is considered unpleasant. No one wants to do research without a reason, but serious reasons for this will be:

• resi, pain when urinating;
• diagnosis of male infertility;
• pain in the groin, perineum;
• frequent urge to urinate with a weak stream;
• Thick, yellow discharge from the urethra with an unpleasant odor.

Preparing for analysis

Before taking a prostate secretion culture, a man must fulfill certain conditions. they will help to obtain a reliable result and avoid inaccuracies in the laboratory study.There is nothing complicated in preparation, a man is recommended to follow these rules:

• refrain from sexual intercourse 5-7 days before passing the secret analysis;
• it is not recommended to drink alcohol, visit a bath, sauna;
• it is not advisable to train or receive any other serious physical activity at this preparatory stage.

How to take prostate juice

To collect prostate juice, a special massage is first performed. The study of the secret of the prostate can be carried out only in this way, you can carry out the manipulation in the laboratory or on your own at home, but the second option may be spoiled by inept conduct. For analysis, you need to take the material as follows:

To conduct a study, only 1 drop of material is needed, this amount is enough to detect diseases. Sometimes the collection of a secret does not occur due to the psychological mood of the man, it simply does not stand out. Under such conditions, morning (first) urine is taken, but the reliability and information content of such a study is very low. You can take prostate juice at home, for this prostate massage can be carried out by a life partner. The material must be applied to one slide and covered with another and immediately delivered for analysis.

Transcript of analysis

A small amount of material is applied to the glass and sent to the laboratory for analysis. Analysis of the secretion of the prostate helps to determine the presence of elements in the juice, the normal state or pathological deviations in the composition. The following indicators are taken into account when decoding:

• amyloid body score;
• leukocyte count;
• presence of epithelial cells;
• Indicator of lecithin grains.

Norm and deviations

When deciphering, the doctor must take into account all the indicators that he compares with the norm. The presence of certain elements indicates the development of prostatitis, adenoma, or the presence of an inflammatory process. There are certain indicators that may indicate the activity of an infectious disease caused by a pathogen that has entered, for example, through the excretory ducts. The following are important indicators that may indicate that a patient needs treatment.

Leukocytes in prostate secretions

This is one of the elements that is taken into account when deciphering the analysis of prostate juice. In a normal (healthy) state of a person, the number in the study area should not be more than 10. If there are more of them, then this indicates an acute inflammatory process in the prostate gland. Erythrocytes (red cells) are also taken into account, which should not be in the analysis at all. A single presence is allowed if the massage was too intense. If more than 2 units are found, then this indicates the development of prostatitis or a malignant tumor.

Lecithin grains in large quantities

There should be a lot of this element in the secret. Under the microscope, grains are dotted with everything in sight, there are up to 10 million. A high indicator when studied indicates the health of the penis and the fertile function of sperm (the ability to fertilize). A decrease in the number of grains indicates a possible chronic inflammatory process. Sometimes lecithin elements are completely absent, which indicates improper prostate massage.

The same result will be if there is an inflammatory process and the ducts of the gland are clogged. In this case, the man will be prescribed a course of massages to improve blood circulation, remove inflammation. As a rule, therapy consists of 10-12 procedures for 3-5 minutes, after which inflammation should greatly decrease, pain should disappear and secretion should normalize.

Amyloid bodies

This component from the secretion of the prostate gland (prostate) is a condensed component of the substance, oval in shape and with a layered structure, sometimes have an irregular shape. If a person does not have any pathologies, but they are not detected during the analysis. The content of amyloid bodies in secret indicates the possible development of gland hypertrophy, adenoma or inflammation.

The last element of the secret, which indicates the possible occurrence of inflammation due to a malfunction of the gland or the penetration of bacteria. The absence of macrophages in the analysis is considered the norm, but if they are, then the pathological microflora has penetrated the tissues. The prostate juice of a healthy person should not contain these elements.

Video: Prostate secretion analysis

The essence of the analysis of the prostate secretion in men and the interpretation of the results

The secret (juice) of the prostate gland performs multiple functions:

• Provides a favorable environment for the urethra, which is vital for male reproductive cells.
• The juice thins the semen, making it easier to pass through the urethra and cervical canal.
• Protects spermatozoa from mechanical damage.
• The secret contains components of the sperm culture medium.
• The antimicrobial composition of the liquid protects the genitals from infectious agents.

Analysis of prostate secretion normally gives the following result: prostate juice is 95-97% water.

Other components that the crop contains:

Pathology is detected when the culture shows an abnormal result in qualitative and quantitative terms.

When the study is shown and how to prepare for it

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When is analysis shown? The analysis is carried out if there are such symptoms:

• Soreness in the groin.
• Problems with urination.
• Resi, pain during the process of emptying the bladder.
• Frequent nocturnal urges.
• Urine is excreted in small doses, the jet is sluggish.

An analysis is recommended if a man feels pain in his groin

Deciphering the analysis of gland juice is also shown to determine the fertility (the couple is being treated for infertility).

How to prepare for the analysis? In order for the result to be accurate, and the decoding to help in diagnosing and therapy, exclude alcohol 3 days before visiting the urologist's office, do not bathe in saunas and baths - high temperatures inhibit the activity of the gland, 4-7 days before the analysis refrain from ejaculation, sexual intercourse. It is advisable to put an enema before manipulation.

Neglecting these recommendations, you will negatively affect the result of the study, you may have to re-analyze.

What are the contraindications? Massage in order to obtain gland juice cannot be carried out if it is inflamed, there are other foci of inflammation in the body, the total t is above 38C.

The analysis is not possible with acute hemorrhoids, anal fissure, prostate tuberculosis.

What is the prostate juice sampling procedure?

To get an accurate result, the juice is taken using a special painless, but unpleasant technology.

A man empties his bladder, sometimes the channel is washed with diluted sodium chloride. The patient is comfortably positioned on the couch, leaning on his elbows and knees. The gland is then massaged through the anus by a trained health worker until a secret is released, which is collected in a sterile tube. Seeding is also applied to a glass slide.

If the liquid drips with difficulty or does not appear at all, urine is taken and passed through a centrifuge to separate the secret. But the result will then be less reliable.

Result and interpretation

If the doctor prescribes an analysis of the prostate secretion, then its adequate decoding will become the basis of the diagnosis and course of therapy. You can first understand the data yourself, but only for informational purposes.

Deciphering varies from laboratory to laboratory. Compare your analysis with the norms of the institution where you donated prostate juice for sowing.

The interpretation of the results of the analysis is carried out exclusively by the doctor

Prostate secretion culture is assessed by macro- and microparameters.

Macroscopic characteristics (norm):

• The smell is non-specific.
• Amount of secretion easily secreted by the gland due to massage (0.5-2 ml).
• Color - highly diluted milk.
• Density is exactly 1.022 (no more and no less).
• Acidity - neutral (7.0 / 0.3), a deviation to the alkaline side is acceptable (but this is also possible with chronic non-aggravation).

Deciphering the analysis of the secretion of the prostate gland made under a microscope gives the following characteristics:

• The number of red blood cells: normal - 0, acceptable - 1-2.
• Leukocytes with an increase - 280-10 pieces, with an increase - 400-up to 5.
• Lipoid bodies should fill all the visible space of gland juice.
• Epithelial cells - up to 2 per field of view.
• Giant cells - 0.
• Fungi and pathogenic microflora are absent.
• Opportunistic pathogens may be present in prostate fluid in minimal amounts.

The presence/absence of Boettcher's crystals (formed when the prostate juice freezes) does not affect the analysis of prostate secretion.

The combination of all parameters, when correctly deciphered, gives the urologist an accurate result of the analysis and an idea of how to properly treat the gland.

If Ph analysis shows an acidic secretion, this is also the result of inflammation.

Leukocytes are increased with prostatitis of bacterial origin, with abacterial origin they are normal.

With an increased number of red blood cells, there is a suspicion of prostate cancer

Erythrocytes are increased to the number of 20-35 within sight only in chronic, cancer of the gland. In the same case, amyloid bodies and macrophages (10-20 cells) appear.The last and giant cells also accompany stagnant processes. But the number of epithelial cells in the prostate juice increases to 20-35 in all types of prostatitis.

The presence of Trousseau-Lallemand and Boettcher crystals is a sign of the bacterial nature of inflammation of the gland.

The decrease in lecithin grains should be alerted (usually there are a lot of them - 10 million / ml).

Gonococcus, trichomonas - evidence of the corresponding sexually transmitted diseases.

If the analysis of prostate secretion and culture is not enough, a fern symptom is detected.

The juice of the gland is dripped onto the glass, mixed with a drop of saline sodium chloride, and dried. Under a microscope, you can see how a precipitate forms like an imprint of fern leaves. It is absent in healthy men.

This type of analysis can easily and qualitatively help to identify the problems that a man has. Timely diagnosis always accompanies rapid treatment. Therefore, the need for this analysis increases for every patient complaining of poor health, pain associated with the male reproductive organs and the genitourinary system. Men's strength is directly related to men's health, so you need to take care of it and undergo regular examinations.

Detailed transcript of prostate secretion test results

The prostate gland (prostate) is one of the most important glands of the male body and its genital area. It performs a number of functions, in violation of which the process of fertilization becomes impossible.

An indicator of the state of the prostate gland is its secret, or, as it is sometimes called, prostate juice.

Morphophysiological and biochemical characteristics of the secret

The secret of the prostate gland is a kind of whitish liquid substance, which during sexual intercourse is released into the lumen of the urethra, where it mixes with the product of the seminal vesicles and cooper glands. This is how seminal fluid is formed. Subsequently, spermatozoa join the seminal fluid, and as a result of ejaculation, sperm is released from the urethra; while the secretion of the prostate gland accounts for a third of its volume.

The contraction of the smooth muscles of these glands contributes to the removal of the secret to the outside.

Functional significance of prostate secretion

Prostate juice is primarily a kind of protective cushion for spermatozoa that have left the male body. In addition, it is thanks to this secret that the spermatozoa pass through the urethra intact.

Thus, the state of spermatozoa directly depends on the condition, quantitative and qualitative characteristics of the prostate gland secretion, which determines the high diagnostic value of the analysis of the prostate secretion.

Normal biochemical composition

Biochemical analysis of prostate juice allows you to establish the presence of the following components:

• water (the main component, up to 95% of the total volume);
• salts of alkaline (potassium, sodium) and non-alkali metals (calcium, zinc): chlorides, phosphates, bicarbonates, citrates;
• citric acid;
• enzymes (phosphatase, hyalorunidase, fibrokinase, fibrinolysin);
• prostaglandins;
• sugar (fructose and maltose);
• spermine;
• protein structures (immunoglobulins).

Microscopic analysis of the prostate secretion allows the laboratory assistant to detect cellular (leukocytes, desquamated epithelial cells) and non-cellular inclusions (cholesterol crystals, lecithin grains and amyloid bodies).

Diagnostic value of analysis

Deciphering the results of the analysis of prostate secretion allows you to diagnose the inflammatory process in the tissues of the prostate gland and indirectly determine its functional state. First of all, this study is used to diagnose and confirm the presence of chronic prostatitis. In addition, special techniques make it possible to identify the causative agent of the infectious process and even determine its sensitivity to different groups of antibacterial drugs.

Often, the study of prostate secretion is carried out by light microscopy by carefully examining a colored preparation applied to a glass slide. In some cases, a bacteriological study of this biological fluid is carried out by applying (seeding) it to a nutrient medium in a Petri dish, followed by creating conditions favorable for the reproduction of various types of microorganisms. This analysis allows you to determine the sensitivity of the infection to antibiotics, that is, to make an antibiogram, which is of great importance for prescribing treatment. This is a very accurate, time-tested diagnostic method, which has only one big drawback: a long analysis period.

The most modern method of examining the secretion of the prostate gland for the presence of pathogenic microorganisms is the polymerase chain reaction. This analysis of prostate juice is carried out using special equipment and gives accurate results.

Method of taking material for research

The procedure for taking material for diagnosis gives men a lot of discomfort, especially if there is an inflammatory process in the genital area. The correct selection of the secret is one of the main factors in the reliability of the obtained decryption of the analysis.

Manipulation is carried out in a hospital by a specially trained specialist. Before it is carried out, the man is offered to empty the bladder. Then, if during the inflammatory process a man notes the presence of discharge from the urethra, the urethra is washed with saline sodium chloride solution.

After preparation, the medical worker, using a special technique, massages the prostate gland through the anus. The secret, which, due to pressure on the lobules of the prostate, is released from the external opening of the urethra, is collected in a test tube (for subsequent bacteriological examination or polymerase chain reaction, the test tube must be sterile). It is possible to apply a secret on a glass slide.

If the secret is not released, it is assumed that he got into the bladder. Therefore, the man is offered to urinate again, the urine is collected and centrifuged. However, such an analysis will show a less reliable picture.

It is important to bear in mind that taking material by massage is contraindicated in the presence of acute inflammatory processes in the genitals.

Analysis results: norm and pathology

Deciphering the analysis of the secretion of the prostate by assessing its morphological and physiological qualities and subsequent microscopic examination is as follows:

An additional examination of the secretion includes testing for the presence of a fern symptom. The technique is very simple: a drop of saline sodium chloride solution is added to the secretion of the prostate, applied to a glass slide. The drug is dried and examined with a light microscope. When the physical and chemical parameters of the prostate secretion change, sodium chloride molecules precipitate, forming a pattern resembling prints of fern leaves.

It is important to remember that a single normal result of prostate secretion analysis is also possible in inflammatory processes, since the excretory ducts of the prostate gland can be clogged with a viscous secretion. It is especially important to take this into account if, in the clinical picture of prostatitis, the interpretation of bacteriological culture or polymerase chain reaction did not show the presence of pathogenic microorganisms.

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