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Prostate massage with secretion

How to take the secret of the prostate gland: proper preparation for the procedure

Prostate secretion analysis - microscopy, examination under a microscope in order to determine compliance with the norms and identify pathological processes. The sampling of prostate secretion makes it possible to identify the degree and type of inflammatory processes, as well as a violation of the functionality of the organ.

What is microscopy for?

The study of prostate juice is an important step in making a diagnosis and identifying organ problems. With the help of analysis, you can quickly and with high accuracy detect prostatitis and other problems that can affect the lifestyle and psychological state of a person.

Fact! It is recommended to donate prostate juice at least once a year after the age of 40, since even obtaining healthy tests does not protect against the development of diseases in the future.

Microscopy of the secretion of the prostate gland is carried out in the laboratory. The smear is stained with special markers that provide certain information about the form, course of prostatitis, as well as the factors that provoked it. Important data obtained as a result of the analysis is sensitivity to certain drugs.

What is in the prostate juice?

The secret of the prostate is a biological fluid, which is 95% ordinary water. But the remaining 5% is distributed among a huge range of enzymes and vitamins:

• salts of calcium, zinc, sodium and potassium;
• chlorides and citrates;
• acid salts bicarbonates;
• salts of phosphorus groups;
• proteins and special white blood cells in the prostate;
• feeder cells and amyloid bodies;
• lecithin grains.

Due to the unique composition, the secret of the prostate has a specific smell and color.

Prostate Secretion Analysis Purpose

The procedure is given a referral when a man often develops infectious diseases of the genitourinary tract, and inflammation appears in chronic prostatitis. It is necessary to regularly take a secret for analysis with symptoms of chronic bacterial prostatitis, when there are frequent urination and sexual dysfunction. Constant aching or dull pain in the pelvic region is also considered a reason for the analysis.

Procedure for taking prostate secretion for analysis

It is rare for a man to say that taking a prostate secretion is a pleasant process. Shyness and indecision often make it necessary to postpone the procedure for a long time, as a result of which the disease becomes advanced and begins to cause much more trouble.

Important! Before the procedure, a man must remember that you can not have sex 3 days before the tests. Before the procedure itself, you can not go to the toilet.

How to take the secret of the prostate gland in a clinical setting:

After collecting a few drops of secreted secretion, the liquid enters the study. They detect the presence of sexually transmitted diseases such as fungus and gonorrhea. It is important to deliver the collected juice to the laboratory within a maximum of 2 hours, for this a cooler bag is used. Otherwise, the liquid will lose its value and the information it carries.

What information does prostate juice analysis give?

To get a complete picture of a man's health, you need to donate prostate juice several times at different intervals, this is the only way to build an accurate dynamics. During the analysis, the main properties of the juice are taken into account:

• presence of pathogenic organisms and viruses;
• cholesterol level;
• leukocyte count;
• presence of erythrocytes and blood cells;
• number of lecithin grains;
• number of epithelial cells and amyloid bodies.

If there is a malignant tumor, then the corresponding cells are present in the juice. If the prostate is working normally, then there is no pathogenic flora and blood cells in its juice. There are very few epithelial cells in secret. Explanation of some indicators:

• the inflammatory process is characterized by the presence of more than 2 erythrocytes and 10 leukocytes;
• with infectious prostatitis there are pathogenic microorganisms;
• amyloid bodies are found in adenoma;
• more than 2 epithelial cells indicate the presence of pathology.

The counting of all these cells is carried out not under a microscope, but in a special counting chamber. The bacterial culture method is also used for suspected infectious prostatitis.

It is bacterial culture that allows you to detect all unnecessary microorganisms, and also provides information on sensitivity to various types of antibiotics and drugs.

Important! If there are no Lecithin grains in the juice, the likelihood of inflammation and malignancy is high.

Thus, the analysis of the secretion of the prostate gland reveals a number of serious diseases: malignant and benign tumors, including adenoma, congestion, prostate enlargement, acute and infectious prostatitis.

How to prepare for the procedure?

The secret of the prostate is produced by the male body constantly, but a third of it is excreted during sexual intercourse. Therefore, it is recommended that at least 3 days before visiting the doctor, give up sexual intercourse and masturbation. If a man is over 35 years old, then it is necessary to refuse sex 7 days before the procedure.

Alcohol can also affect the composition of prostate juice, so you should stop drinking any alcohol within 3 days. Also during the week, urologists advise:

• do not visit baths, saunas and hot tubs;
• not to engage in sports and serious physical activity, including weight lifting;
• try not to be nervous or conflict, as stress affects the composition of the juice;
• Eat well, sleep well and don't stress.

The results after the analysis will be known within 2-5 days. But it is important to understand that taking prostate juice for analysis is not the only way to determine a possible pathology. Only a few examination methods will help to get a complete picture of a man's health.

Reasons why a prostate massage may not release a secret

Stagnation in the prostate gland is to some extent characteristic of any pathological process in it. The diagnosis of the type of prostatitis is based on the secretion during prostate massage and its analysis.

Diagnostic massage improves the patient's condition, as it relieves the patient of stagnant juice, which is usually released from the prostate during massage. However, sometimes it happens that the secret is not highlighted.

Photo 1: A Healthy prostate produces and "stores" so much juice that it is sure to be released after a massage. The absence of such may indicate the development of pathology. Source: flickr (Sida).

Prostate massage as a method of obtaining prostate secretions

Prostate secretion is a fluid produced by the prostate gland. It is necessary to ensure the mobility of spermatozoa, their protection from the external environment. A healthy prostate produces juice that is opaque, slightly viscous, the color of diluted milk, and the pH is slightly alkaline. It contains metal salts, proteins, lecithin grains, leukocytes.

It is most convenient to take prostate juice for analysis by the method of its natural secretion through the urethra. In order to forcibly "evacuate" the liquid, a finger massage of the gland is performed with access to it through the rectum.

The procedure is performed with an empty bladder. This is a necessary condition, since a full bladder clamps the prostate gland upward, which clamps the ducts and makes it difficult to get a secret. Bowel cleansing is required first.

Pay attention! Carrying out massage movements, the doctor does not "squeeze out" the contents of the prostate. Under the influence of massage, the muscle fibers of the organ contract, the gland independently pushes the secret into the urethra.

Comfortable massage position to get the secret

The most comfortable position for the patient during a massage to take the secret is the elbow knee, with a slight downward bend of the back. This position of the body ensures the symmetry of the location of the prostate lobes and its maximum accessibility.

The patient can also take a "standing" position, with legs apart, resting their elbows on the table.

If the patient is not able to take one of the above positions for massage, then it can be carried out in the position of the patient "lying on his side, bending his knees." The patient in this position is positioned with his back to the doctor. The position "lying on your side" is the least favorable for taking the secretion of the prostate, since the gland is displaced to the side.

Massage technique

The urologist massages the prostate gland with the index finger through the anus. The finger is immersed 4-5 cm and the prostate is groped. Stroking movements are carried out with a slight pressure from the periphery to the center, to the dividing groove. The procedure takes no more than 1 minute.

After massaging both lobes, you should press on the furrow itself. After that, a few drops of the necessary juice are released from the urethra.

Secret secretion during massage

When the secret is not highlighted

Healthy reasons for the lack of secretion of prostate juice during palpation:

• Performed on the eve of sexual intercourse. In a healthy man, the prostate may be emptied after natural ejaculation;
• visiting a hot bath or sauna;
• heavy physical activity;
• heavily intoxicated.

Therefore, when conducting an analysis for prostate juice, a man should refrain from the above actions a week before taking the analysis.

Pay attention! Failure to comply with the mandatory conditions before the diagnostic massage procedure may lead to the need to repeat it.

Pathological reasons for the lack of secreted juice during prostate massage:

• too little secret produced. The prostate gland does not work well enough and its contents are so small that it does not reach the exit of the urethra or enters the bladder. In this case, its content is analyzed;
• The prostate ducts are clogged with purulent contents or secretion thickened due to stagnation.

An interesting fact! The last reason for the lack of a secret for analysis is the inexperience or lack of professionalism of the doctor who performed the procedure.

Photo 2: Sometimes the patient's urine is taken for analysis in the absence of a secret immediately after the procedure. However, such an analysis is considered uninformative. Source: flickr (Jim Chambers).

Why a lot of secrets are released during massage

A large amount of secretion secreted after a diagnostic massage may indicate the following points:

Pay attention! Discharge from the urethra may not be associated with the activity of the prostate gland. They can be "produced" by inflammatory diseases of the urinary system.

Causes of bleeding during prostate massage

When a secret mixed with blood is released from the urethra during a diagnostic massage, there are several reasons:

The presence of pathological secretions during a diagnostic massage will not go unnoticed by the urologist. He will suspend the procedure and take the necessary measures to find out the cause of what is happening.

Pay attention! The presence of inflammatory (in the acute stage) or tumor pathologies of the prostate or rectum in a patient is a contraindication for diagnostic massage. A relative contraindication is hemorrhoids.

Taking a prostate secret

Taking prostate secretion Private urology and andrology

Prostate secretion is taken by a urologist or urologist-andrologist for the purpose of its microscopic examination or seeding for microflora and sensitivity to antibiotics and bacteriophages. 1-2 drops of prostate secretion, which is released during its massage for 1-2 minutes, are taken onto a glass slide and evenly distributed over it for subsequent microscopic examination.

If the material is taken for seeding on microflora, then a special cotton swab with a test tube with a nutrient medium is used to take it. Before sampling the secret of the prostate, it is advisable to urinate so that the discharge from the urethra does not get into the test material.

If the secretion of the prostate is thick or the prostate gland is painful, it is not possible to obtain material for research by massage. In this case, a study of the 3rd or last portion of urine is performed.

At the same time, at the end of urination, due to the contraction of the neck of the bladder and the prostate gland, a partial release of prostate secretion into the lumen of the urethra occurs. With proper prostate massage, its sampling for laboratory research is painless.

Preparing to take prostate secretion.

Any special preparation, in addition to what was said above, is not required to take a prostate sectet.

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Prostate secretion smear Healthy prostate

Home >Diagnostics >Research secretion of the prostate, urine, ejaculate >A smear of prostate secretion is a necessary diagnostic element

Prostate smear is a necessary element of diagnostics

The number of men with pathologies from the genital area is increasing every year. The leading position in the list of pathologies is occupied by diseases of the prostate gland. To identify them and make an accurate diagnosis, doctors use a number of studies, one of the most informative of which is recognized as a smear of prostate secretion. The study of prostate secretion allows you to identify infectious diseases (trichomoniasis, gonorrhea, gardenellosis, fungal infections), oncological diseases at an early stage, inflammatory and other processes occurring inside the gland.

Prostate secretion collection

Taking prostate secretion is not a very pleasant process.Many men, due to natural shyness, indecision or fear, postpone this procedure, thereby aggravating the course of the disease. Before the procedure, two conditions must be met: the exclusion of sexual intercourse 3 days before the test is taken and the bladder is emptied immediately before the secretion is taken. The secretion of the prostate gland is taken in several stages:

• Cleansing the glans penis from secretions with a gauze swab dipped in 0.9% sodium chloride solution. Rectal (through the rectum) prostate massage (contraindicated in acute prostatitis, urethritis, orchitis). The massage is performed by a doctor using a special technique (massaging the gland from the periphery to the central region, at the end of the massage pressing on the central groove of the gland). Collecting the excreted secret into a sterile test tube. li>

Types of examination of prostate secretions

The resulting secret is examined in the laboratory in several ways.

Thus, the examination of a prostate secretion smear is the primary necessary analysis. Based on the results of this analysis, it is possible to make a diagnosis or refer for further research. It is important to remember that early diagnosis of prostate diseases is the guarantor of a successful and complete cure!

A delay in making a diagnosis can lead to irreversible changes in the male reproductive system. Share this article on social networks: Prostate secretion analysis is a study under a microscope of the fluid that is produced by the prostate gland. This analysis allows you to find out the cause of inflammation, assess the severity of the disease and its effect on the main functions of the organ.

How the doctor receives material for analysis

To obtain the secret of the prostate gland, a prostate massage is performed. The liquid that is released from the canal is applied to the glass and sent for research.

Sometimes it is not possible to get liquid by massage, in such a situation, doctors collect the first urine for examination. The first urine washes away the secret that was released into the urethra, but, for some reason, did not stand out. If urine values deviate from normal values, this is regarded as changes in the prostate gland, additional tests are prescribed.

How to prepare for the test

Especially, preparation for the delivery of prostate secretion for analysis is not required. Doctors recommend giving up sexual intercourse for several days.

Conducting research on a secret

Microscopy

The resulting liquid is sent for analysis, which is carried out by examining it under a microscope. A drop of the secret is applied by specialists on a glass slide, and covered with a cover glass on top.

When microscopy of an unstained preparation, laboratory assistants pay attention to the number of leukocytes, lecithin grains, epithelial cells and amyloid bodies. This is important! Normally, the secret of the prostate gland should contain no more than ten leukocytes in the field of view.

If their number is increased, this indicates the presence of an inflammatory process in the male gland. This disease is called prostatitis. If the first analysis of the fluid taken showed good results, this does not mean that there is no inflammatory process.

Because if this process was of a long latent nature, then a thick viscous secret could form, which generally clogged the excretory ducts of the gland. But at the same time, a normal secret will be released from the unaffected glands during prostate massage, and create the appearance of well-being.

To make sure that there is no prostatitis, after 1-2 days, carry out 3-4 prostate massages. Also, some specialists prescribe certain drugs at the same time.

Then, after a short course of massage, a re-analysis of the prostate secretion is prescribed, which will show an up-to-date picture of the presence and or absence of the inflammatory process of the prostate. This is important! An increased level of leukocytes in the secretion of the male gland does not always indicate the presence of prostatitis.

It can be caused by inflammation of the urethra. To exclude the presence of this disease, along with the secretion test, the doctor also takes two urine tests for examination before examining the fluid itself. Lecithin grains are a product of the secretion of the prostate glands.

If their number is reduced, this may indicate an incomplete functioning of the male gland. Next, microscopy is performed after staining the liquid with a special preparation.

Bacteriological examination

In another way, this study is called prostate secretion seeding. It is carried out to diagnose the prostate and determine the type of pathogenic microflora and its abundance.

Also, inoculation of the described liquid helps to determine how sensitive microbes are to certain groups of antibiotics.The absence of growth of microflora during one analysis of the secret does not mean that there are no closed foci of infection. For more accurate information, a re-seeding may be scheduled.

Investigation of the nature of crystallization

This is an auxiliary diagnostic test that is often prescribed by doctors for chronic prostatitis. During the study, the nature of the crystallization of the secretion of the prostate gland is clarified.

The shape of the precipitated sodium chloride crystals depends on the physicochemical properties of the secretion of the male gland. If everything is in order with the prostate, then crystallization has a pattern similar to a fern leaf. When there is a chronic inflammatory process, the structure of the crystals will be disturbed, in advanced cases, the crystals may be completely absent. This is important! It is believed that the crystallization of the secret of the described gland also largely depends on the level of saturation of the body with male sex hormone (androgens), and not only on the state of the prostate gland. Prostate secretion indicators: their norm and deviation:

Main indicators

The secret of the prostate gland (microflora) microscopic examination of the secretion (juice) of the prostate gland microflora of the secretion of the prostate Unimedic.r

This study is used to diagnose prostate diseases. It consists in microscopy of the secret obtained after prostate massage. Microscopic examination of the separable can reveal: leukocytes, erythrocytes, epithelial cells, macrophages, giant cells, amyloid calculi (bodies), lecithin grains, cells of malignant neoplasms, elements of fungal mycelium. This study can be useful in diagnosing diseases such as prostatitis, prostate neoplasms, benign gland hypertrophy. Before taking the secret of the prostate, the glans penis is treated with a sterile cotton swab moistened with saline. The secret of the prostate is taken after a preliminary massage of the prostate through the rectum. The doctor performs a pressure massage with several vigorous movements from the base to the top. Then, a prostatic secret is squeezed out of the cavernous part, which is collected in a sterile container (vessels with a wide neck, test tubes).

The diagnosis of conditions and the treatment regimen depend on the history, symptoms, results of a physical examination, research data and laboratory tests, as evaluated by the attending physician. The information provided on this site (as well as any other information not obtained from the attending physician) cannot be used for self-diagnosis or self-treatment. Be sure to check with your doctor before changing, suspending, or canceling your prescribed treatment.

Ask your question to the description of analyzes, tests, etc.

Analysis of the secret of the prostate gland includes the determination of its physical properties (consistency, transparency, color, opalescence) and cellular composition. To study these indicators, microscopy of the secret is used. The study of the secret is carried out after receiving the material. The secretion is taken from the urethra, after stimulation of the prostate.

The resulting liquid is placed on a glass slide or a sterile test tube. For research, the first portion of urine, which is excreted after stimulation, is also used.

The latter may also contain a large amount of secretion, but it is pre-centrifuged. Microscopic analysis of prostate secretion is the main method for assessing its work or determining diseases. To examine the prostate gland, a biopsy is also done, but in the case when there is a suspicion of a cancerous tumor.

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Basic indicators of the prostate gland

• Leukocytes in the secret of the prostate can be found in the normal state, they should not be more than 10 in the field of view. An increase in their number indicates the presence of inflammatory processes; there should be no erythrocytes in secret, but they appear in a single amount if the material was taken by intensive massage. If there are more than 1-2 in the field of view, this may indicate the presence of prostatitis or a cancerous tumor; epithelial cells can normally be present in the secret, but not more than 1-2 in the field of view. The epithelium is usually cylindrical, which lines the ducts of the prostate. A large number of cells indicates inflammation. The appearance of cellular elements in the stage of fatty degeneration and in combination with leukocytes may indicate a tumor; macrophages should not be present. Their appearance indicates the presence of chronic inflammation; amyloid bodies are normally absent. Their appearance speaks of congestion in the prostate, which happens with adenoma or hypertrophy of the gland; lecithin grains are found in a large number of prostate secretions, up to 10 million / l.With prostatitis and malignant tumors, their number decreases or they may be completely absent; other cells may also be present: malignant, indicative of cancer of the gland, Trousseau-Lallemand bodies and Boettcher's crystals in prostatitis.

Bacteriological examination of the secretion of the prostate gland is carried out to determine the causes of the inflammatory process. Normally, the secret may contain a small amount of bacteria that are not pathogenic.

Bacteria that can lead to infectious processes include: streptococci, staphylococci, Klebsiella, Escherichia, Pseudomonas aeruginosa. Secretion culture helps to determine the type of pathogen, its quantity and, very importantly, its sensitivity to antibiotics.

This makes it possible to choose the right treatment tactics. In case of prostate infection, not only the secret itself, but also urine or semen can be used to determine its causes. During bacteriological examination, the material (secret) is sown on a nutrient medium where bacteria, including pathogens, actively grow.

After that, the type of pathogen and its sensitivity to antibiotics are determined. Share it with your friends and they will definitely share something interesting and useful with you! It's very easy and fast, just click the button of the service you use most often:

Technique for taking material for research

It is this stage that is carried out in medical institutions of various profiles, while further processing of the material is carried out in specialized laboratories.

Research materialFor cytological and immunocytological research methods scraping from the urethra or cervical canal, scraping from the conjunctiva of the eyes. In newborns, scraping from the conjunctiva of the eyes is used as a material for research.

In girls, scrapings from the vulva are used as a material for research. For PCR, scrapings from the urethra or cervical canal, prostate secretion, urine sediment, scrapings from the conjunctiva of the eyes. In newborns, scrapings from the conjunctiva and the posterior pharyngeal wall are used as material for research.

For girls, scrapings from the vulva are used as a material for research, for boys, urine. For PCR, scrapings from the urethra or cervical canal, prostate secretion, urine sediment, scrapings from the conjunctiva of the eyes. In newborns, scrapings from the conjunctiva and the posterior pharyngeal wall are used as material for research.

For girls, scrapings from the vulva are used as a material for research, for boys, urine. Preparation of the patient, taking biological material and conditions for its transportation days before taking the material for research. PCR or microbiological research is recommended to be carried out no earlier than 1 month after the last intake of antibacterial drugs. Due to the fact that Clamydia trachomatis is an intracellular parasite and multiplies only inside the cells of the cylindrical epithelium of the urethra or cervical canal to obtain adequate As a result, it is necessary that the largest possible number of epithelial cells and the minimum amount of mucus and blood impurities be present in the test material. The presence of a large amount of mucus and blood in the test material can lead to both false positive and false negative results.Features of taking material from the urethra

• before taking the material, the patient is advised to refrain from urinating for 1.5-2 hours; immediately before taking the material, the external opening of the urethra must be treated with a swab moistened with sterile saline; immediately before taking the material, the external opening of the urethra must be treated with a swab moistened with sterile saline solution; in women, before inserting the probe into the urethra, it is massaged on the pubic joint; in the urethra in women, the probe is inserted to a depth of 1.0-1.5 cm, in men 3-4 cm, and then several rotational movements are made; in children, material for research is taken only from the external opening of the urethra;

Features of taking material from the cervical canal

• before taking the material, it is necessary to remove the mucus with a cotton swab and then treat the cervix with sterile saline; the probe is inserted into the cervical canal to a depth of 0.5-1.5 cm; if there are erosions of the cervical canal, they must be treated with sterile saline; the material should be taken at the border of healthy and altered tissue; when removing the probe, it is necessary to completely exclude its contact with the walls of the vagina;

Features of taking the secret of the prostate -Before taking the secret of the prostate, the glans penis is treated with a sterile cotton swab moistened with saline. The secret of the prostate is taken after a preliminary massage of the prostate through the rectum.

The doctor performs a pressure massage with several vigorous movements from the base to the top. Then, a prostatic secret is squeezed out of the cavernous part, which is collected in a sterile container (vessels with a wide neck, test tubes).Features of taking (collecting) urine

Urine is collected in the morning on an empty stomach after sleep or not earlier than 2-3 hours after the last urination. When collecting urine, it is advisable to use a wide container with a lid; if possible, collect urine immediately into the container in which it will be delivered to the laboratory.

The minimum volume of urine required for analysis is 20 ml. If not all of the collected urine is delivered to the laboratory, then before some of the urine is drained into the container for transportation, it must be thoroughly shaken.

Features of taking material from the posterior pharyngeal wall A disposable probe is inserted behind the soft palate into the nasopharynx and passed along the posterior pharyngeal wall. After taking the material, the probe is lowered into a test tube with a special transport medium.

After inserting the probe into the transport medium, it is rotated several times and then removed from the tube. The tube is closed and marked. Features of taking material from the conjunctiva of the eyes

In the presence of abundant purulent discharge, it is removed with a sterile cotton swab moistened with saline. A scraping is taken from the inner surface of the lower eyelid by moving towards the inner canthus.

When taking a scraping, it is necessary to hold the eyelid with your hands so that when blinking, the eyelashes do not touch the probe. For cytological and immunocytological studies, the scraping material is distributed on a glass slide, dried in air or fixed in ethyl (wine) alcohol 960 or acetone.

Glasses are stored at a temperature of + 40C- + 80C until they are sent to the laboratory. After taking the scraping material for PCR research, the probe is lowered into a test tube with a special transport medium.

After inserting the probe into the transport medium, it is rotated several times and then removed from the tube. The tube is closed and labelled.

If the time of transportation of biological material from the moment of its taking to the moment of delivery to the laboratory is more than 2 hours, then the tube must be frozen at -200C. The scraping material should be transported only in a cooler bag.

Frozen scraping material can be stored for no more than 2 weeks. The secret of the prostate should be delivered to the laboratory within 1-3 hours. It should be transported only in a cooler bag.

Urine is delivered to the laboratory within 1-3 hours without additional cooling. Long-term storage of urine at room temperature before the study leads to a change not only in its physical properties and to the destruction of cells, but also to the reproduction of bacteria.

After taking the scraping material for the ELISA study, the probe is lowered into a test tube with a special transport medium, which is stored at +40С +80С until sent to the laboratory. If the time of transportation of the scraping material from the moment of its taking to the moment of delivery to the laboratory is more than 2 hours, then the tube must be frozen at -200C.

Storage, storage and delivery of material for ELISA research (determination of antibodies to Chlamydia trachomatis).Material for research The blood serum that does not contain impurities of erythrocytes, bacterial contamination, chylosis and hemolysis is subject to research. If any of these signs are present, the serum is destroyed and a second blood sampling is prescribed. Blood is taken on an empty stomach in the morning. Serum is obtained from the blood.

For this, the blood is centrifuged. After centrifugation, the serum is separated from the clot and blood cells and placed in a refrigerator at +40С +80С or frozen at -200С. with ice or cooler bag)

Before taking the material, patients are advised to refrain from urinating for 1.5-2 hours.

In the presence of purulent discharge, scrapings are recommended to be taken 15-20 minutes after urination. In the absence of secretions, it is necessary to massage the urethra using a probe to take the material. When examining women, material is taken from the urethra using a disposable sterile probe.

The urethra is massaged with a finger from the side of the vagina, pressing it from the side of the pubic bone. The probe is inserted to a depth of 1.5-2 cm and the biological material is obtained by light scraping of the anterior and lateral walls of the urethra.

Immediately after taking, the probe is lowered into a test tube with a special transport medium. Material is taken from the cervical canal of the cervix only after the cervix is opened with the help of mirrors. After the cervix is opened in the mirrors, the vaginal part is wiped with a dry cotton swab.

Material must be probed. The probe is inserted into the cervical canal by 1-1.5 cm, gently turning, and removed without touching the walls of the vagina.

After taking the biological material, the probe is placed in the transport medium. In men, the study is carried out in the morning before urination, or patients are advised not to urinate for 4-5 hours before sampling. and with the fourth fingers of the left hand, the index and thumb of the same hand, the lips of the external opening of the urethra are moved apart. A sterile disposable probe is inserted into the urethra to a depth of 3-4 cm and a scraping is made from the urethral mucosa.

With very poor discharge, patients can have a light massage of the urethra, and then take the material. With abundant purulent discharge, it is recommended to take the material after urination.

Scraping from the surface of the urethra is taken bloodlessly, since the presence of blood in the smear affects the isolation of a pure culture of Chlamydia trachomatis. The resulting material is transferred to special transport media. The secret of the prostate gland is taken after appropriate treatment of the glans penis by massage through the rectum.

The doctor performs a pressure massage with several vigorous movements from the base to the top. Then, a prostatic secret is squeezed out of the cavernous part, which is collected in a sterile tube. After taking the material, the tubes with the transport medium can be stored in a refrigerator (do not freeze) at a temperature of + 40C - + 80C for 48 hours.

Prostate secretion test Code 4012 Prostate secretion test microscopic examination of the fluid produced by the prostate gland, which can be used to evaluate the function of the prostate.

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