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What does mixed flora mean in the secret of the prostate

What does mixed flora mean in prostate secret

Detailed transcript of prostate secretion test results

Have you been struggling unsuccessfully with PROSTATITIS and POTENTITY for many years?

Head of the Institute: "You'll be amazed at how easy prostatitis can be cured by taking it every day.

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.

Our readers have successfully used M-16 to improve potency. Seeing the popularity of this tool, we decided to bring it to your attention. Read more here-

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 the prostate secret

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 alkali (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 time.

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 diagnostics 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.

Our readers have successfully used M-16 to improve potency. Seeing the popularity of this tool, we decided to bring it to your attention. Read more here-

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.

Sperm aggregation - this term can only be read by a layman in the results of a spermogram. This means that during the study of sperm, areas of significant accumulation of male germ cells were found.

Spermatozoa are glued together by particles of mucus, epithelium and various cells. Aggregation of spermatozoa with cellular debris is also possible - the remains of dead cells.

Sperm aggregation is one of the variants of deviation from the norm, and it should be absent in the sperm of an absolutely healthy man. But if we start from the famous medical joke that absolutely healthy people do not exist, but there are underexamined ones, then a slight manifestation of aggregation of male germ cells in the spermogram is considered acceptable. Most often, it occurs in the results of analyzes along with an increase in liquefaction time and semen viscosity.

The areas of aggregation can be determined visually, and not only in the spermogram. They differ in the bulk of the sperm in their greater density and whiteness. Aggregation does not have a special effect on the fertility of the stronger sex, but it reduces sperm motility. In combination with other disorders indicated by the spermogram, this deviation can become one of the causes of male infertility.

Various factors can influence the occurrence of sperm aggregation in the ejaculate, but most often this is due to the chemical and physical properties of sperm. Improper nutrition, excessive passion for fatty and fried foods, foods containing preservatives and dyes significantly affect the properties of seminal fluid and, as a result, the appearance of aggregation in sperm.

Also, the phenomenon of semen aggregation in the spermogram can also occur in various infectious diseases of the genitourinary organs. And also in the presence of chronic inflammatory processes in the body. Therefore, before retaking sperm for analysis, you should seek advice from a urologist or andrologist, as well as make changes to your lifestyle and diet.

How to correct this indicator in the analysis

First of all, it is necessary to find out the causes of aggregation in sperm. That is, contact a competent specialist who will prescribe an examination and reveal hidden infections and inflammatory processes in the body. Most often, this phenomenon occurs against the background of inflammation in the testicles, prostate gland or vas deferens. Infectious tissue lesions provoke the active formation of mucus and dead cells, which will be a kind of trap for the sperm. Chlamydia and other urogenital sexually transmitted infections should also be excluded.

With special responsibility, you need to approach the diet:

Minimize bad habits, as they are one of the reasons for negative results in the spermogram.

Under the influence of nicotine, the blood supply to the genitals and pelvic organs worsens, congestion develops, and this is the first step towards inflammatory processes, and the risk that the spermogram will indicate aggregation increases. Smoking has a detrimental effect on vitamins A and B, simply destroying them, reduces the concentration of zinc in the cells of organs, which leads to the fact that the genitourinary system will be at risk of infection by various pathogenic microflora. The toxic effect of alcohol and drugs is directly related to the presence of aggregation and agglutination in the results of the spermogram.

Sperm aggregation can cause male infertility only as one of the components of many pathological changes in sperm, by itself, and especially in small quantities, it does not affect conception. But this does not mean that you need to give up on this indicator in the spermogram. Bonding of a spermatozoon or their groups with mucus, epithelium, various cells and their remains is an indicator of hidden infectious processes in the urogenital area of a man.

If measures to combat infection are not taken in a timely manner, then the pathogenic microflora will firmly gain a foothold in organs and systems, acquire a chronic course and lead to infertility. In order to prevent such indicators in the spermogram, you should give up bad habits, review the diet and retake the spermogram in two weeks. With a new and old result of the analysis, you need to seek advice from a specialist who will compare the dynamics of the spermogram, establish the correct diagnosis and prescribe adequate treatment.

Indications and preparation for the study of the secretion of the prostate gland indicators of the norm and deviation

Examination of the reproductive system called "prostate secretion analysis in men" is a simple procedure for examining the prostate gland, the decoding of which will help the doctor determine the cause of diseases and pathological conditions. Prostate fluid affects the reproductive function of a man, therefore, if unpleasant symptoms appear, you should not delay going to a specialist.

What is the secret of the prostate

An integral part of the ejaculate in men is the biological fluid of the body, called the secret of the prostate gland. The composition of the fluid has a direct impact on the ability of spermatozoa to fertilize. Doctors determine pathological processes by changing the components of prostate juice. If there are suspicions of diseases or complaints from the patient, the specialist may prescribe a test of the functioning of the male reproductive system - to analyze the secretion of the prostate gland.

Prostate secretion analysis is an easy procedure to perform. How is prostate juice taken from men? To pass the analysis, the patient lies on his side, putting his knees to the chest, or becomes in the knee-elbow position. Stimulation of the juice is carried out by massaging the prostate through the rectum. When carrying out a massage procedure according to the generally accepted method, a special liquid begins to be released, which the specialist collects in a sterile container. In case of non-excretion of the secret, it is necessary to collect the first portion of urine. The sediment contains a small amount of prostate fluid.

Why they take it

Taking a culture of prostate fluid is carried out to identify the cause of pathologies associated with the male reproductive system (oncological diseases, etc.). Also indicators for passing the analysis are signs found in chronic inflammation of the prostate. It is very difficult to identify the symptoms of this disease. An analysis of the prostate secretion will show the quality of sperm (which is especially important for male infertility), the causative agent of inflammation, and determine the effectiveness of the prescribed treatment. Other indications for research are the presence of the following symptoms in men:

• pain in the lower abdomen or perineum;
• decreased potency and male libido;
• problems with urination (weak urine stream);
• lack of erection;
• discharge with an odor from the urethra;
• urinary incontinence;
• The urge to urinate at night.

Examination of prostate secretions

Preparing for the examination procedure is simple. On the day of the fence, it will not be superfluous to put a cleansing enema. Preparation for the delivery of the secret of the prostate includes general recommendations: abstaining from sexual intercourse a week before the date of the analysis, a ban on alcohol, a bath and a sauna, and reducing physical activity. Analysis of prostate secretion is carried out in the laboratory. The study of analysis occurs biochemically and visually. The doctor determines the reaction of the environment, the color of the secret, measures the volume.

The laboratory may conduct a special test to determine the pathology. It reveals the "fern symptom" and is produced as follows: the liquid is mixed with saline. Normally, when dried, the pattern will look like a fern.Prostate juice analysis is divided into 2 study methods:

Microscopic

By microscopic examination of the secretion of the prostate gland, the doctor examines the cellular structure of the fluid of the glandular fleshy organ. Microscopy of the secret of the prostate is carried out as follows: a drop of secret is examined by a specialist under a microscope. The liquid is placed on a glass slide and covered with a coverslip. With good results of the analysis, one cannot speak of the absence of inflammation. With untimely treatment, blockage of the excretory ducts occurs.

Bacteriological

The specialist prescribes a treatment regimen only after the results of a bacteriological study. It is necessary to take tests for prostatitis, with the help of which the doctor identifies the type of microorganism that is the cause of the inflammatory process. This procedure is also known as "prostate fluid culture". In the absence of pathogen growth, closed infectious foci may be observed, so the doctor prescribes a second seeding.

Prostate Secretion Analysis Transcript

Accurate diagnosis occurs after receiving the results of the analysis, the decoding of which is carried out only by a doctor. Bacteriological culture of prostate secretion will help determine the presence of fungi, bacteria and other pathogens. Using the information received, you can find out the type of pathogenic microflora, the number of bacteria and find a group of antibiotics to which microbes will be most sensitive. Microscopy of an unstained preparation will tell laboratory assistants about the presence, absence or number of such characteristics:

• leukocytes;
• giant cells (macrophages);
• erythrocytes;
• epithelial cells;
• lecithin grains;
• amyloid bodies.

The function of white blood cells is to support immunity. In the body, a small content of leukocytes is allowed - up to 5 cells. Ideally, the component should be absent in the prostate juice, but the presence of leukocytes in a small amount does not indicate inflammation. When testing, a few cells can enter the container, because the secret of the prostate passes through the urethra. In the inflammatory process, the prostatic fluid becomes viscous and there is a blockage of the excretory ducts. This phenomenon makes it difficult to know the exact number of cells.

Amyloid bodies

Such a procedure for examining the state of prostate juice as microscopy will help detect amyloid calculi. Exceeding their number indicates the presence of advanced stage prostatitis, stagnation in the gland, the presence of adenoma and inflammation. Amyloid bodies are a clot of prostate juice, which has an oval shape. In the results of the analysis of a healthy man, no bodies are found. In older people, the risk of finding amyloid stones is much higher than in young men.

Becher Crystals

Specific crystals were discovered by Betcher in the male semen and are needle-like accumulations that crystallize when the prostate juice and sperm dry and cool. The test material should not contain the substance. The presence of crystallization indicates oligozoospermia, azoospermia, and inflammatory processes.

The number of macrophages in the juice of the gland should not exceed one. The indicators of this substance increase with stagnation of fluid in the prostate or chronic inflammation. A significant number of macrophages is a prerequisite for carrying out bacterial culture with an undetected causative agent of the inflammatory process. Macrophages are a type of white blood cell, otherwise called monocytes, involved in the fight against infections.

Lecithin grains

Lipoid (lecithin) grains are non-cellular formations that make up 1/2 of the entire secret. The analytes are normal prostate epithelial cells. The entire field of view should be strewn with these compounds. In the normal results of the analysis, there are a large number of them, but a decrease occurs during congestion, which indicates prostatitis or human fertility.

Epithelial cells

When analyzing the secret by massaging the prostate gland, a small amount of epithelial cells - connections of the prostate ducts - can be detected. When viewed under a microscope, no more than two compounds should be in the field of view. Exceeding the norm indicates inflammation of the prostate tissue. The result of 15 cells shows desquamative inflammation - peeling of the epithelial lining.

In the flora, a single number of some types of rods or cocci can be observed, which does not indicate pathology. A sign of nonspecific inflammation is a huge number of conditionally pathogenic microorganisms. Bacterial prostatitis causes an abundant manifestation of pathogenic flora, which the laboratory assistant will definitely notice in the results of the analysis.The state of the flora is determined through bakposev, contraindications to which are:

• body temperature from 38 degrees;
• anal fissures;
• hemorrhoids;
• prostate tuberculosis.

If a man has Candida fungus in his body, fungal prostatitis (candidiasis) can develop. When immunity is normal, the fungus does not manifest itself in any way. With a decrease in the body's defenses, a pathological process begins. Fungi are detected in the analysis of prostate secretion through massage. There are 2 ways of infection with fungal prostatitis: through the urethra (ascending) or through the bloodstream (hematogenous).

Norm and deviations in the analysis of prostate secretions

Only a doctor can reliably recognize deviations and determine the presence of inflammation. When reading the test results on your own, errors are not ruled out, followed by improper treatment. Timely contact with a specialist will help to correctly diagnose the disease. Main indicators of deviations and normal values:

The secret of the prostate analysis decoding

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 alkali (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 time.

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 diagnostics 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.

For the diagnosis of various diseases of the prostate gland, studies are carried out, and an analysis of prostate secretion is required. This is an opportunity to determine how much it performs its functions and in what condition it is. With the help of this analysis, it is possible to identify an oncological disease or infertility, but only if there was a correct decoding. The composition of prostate juice may help in the diagnosis. Such an examination is always prescribed by a urologist because with its help you can get all the necessary data.

Prostate secretion analysis

Analysis of prostate secretion is a low-cost procedure that is carried out quite quickly and is of great importance in diagnosing male diseases.

The secret of the prostate is necessary for the sperm to have a fertilizing ability. Because of it, spermatozoa will be active even after they leave the body of a man. Deciphering the analysis is carried out only by a doctor, after which he establishes a diagnosis. If the color has a yellowish tint, this may indicate a violation of the prostate.

To analyze prostate juice, you need to do a massage. This procedure is painless and brings great benefits.

When such an analysis is prescribed and possible contraindications

In order for the urologist to prescribe a prostate test, the patient must have the following symptoms:

There are cases when it is not necessary to analyze the prostate secretion:

In these cases, prostate massage is contraindicated.

If the norm is established according to the test results, other medical procedures can be performed after the examination.

All appointments should be made only by a doctor, and the patient follows all his instructions. Prostate diseases affect the reproductive function of the male body. Therefore, it is very important to consult a urologist for any manifestations of a disease of the genitourinary system.

Research rules

Without a comprehensive examination, it is impossible to accurately establish the diagnosis and choose the most effective treatment. Decoding matters a lot. Leukocytes are of primary importance. If the norm is exceeded, you need to undergo a course of treatment. Be sure to pay attention to the color of the resulting juice. The urologist examines the composition of the juice and deciphering its values will be the basis for establishing a diagnosis.

There are a few rules to follow when preparing for a prostate exam. For a few days, you do not need to enter into intimacy. This period is from 4 to 7 days. Do not drink alcohol 3 days before the test. During the same time, you need to give up visiting the sauna and from heavy physical activity.

Before the analysis, an enema is required.

In the process of analysis, you need to massage the prostate:

The stages of the implementation can be seen in the photo. It may happen that the juice did not come out. Then the patient should go to the toilet and the secret of the prostate gland will be in the first portion of urine.

Interpretation of indicators

Analysis is carried out according to certain indicators and its results are determined. Prostate juice has a certain composition. The norm of some substances that are in it:

Normal macroscopic parameters:

Normal microscopic parameters:

If prostatitis is detected, the analysis of prostate secretion will have other indicators.

If it arose due to infection and the analysis is carried out at the time of exacerbation, the composition will be as follows:

For chronic prostatitis with or without infection, test results will vary. You can use microscopy for research. With the help of prostate massage, fluid is extracted and examined.

The most important indicators in the analysis:

Leukocyte counts should not exceed 10, and with a higher value, the doctor will conclude that there is an inflammatory process in the prostate. With normal indicators of the composition of the juice of the gland, it is too early to conclude that the patient is completely healthy. Very thick juice can contribute to blockage of the prostate duct. Therefore, it is necessary to do therapeutic prostate massage in order to prevent complications.

The test results will show the presence of inflammatory processes in the urethra. With a small amount of lecithin grains, disturbances in the functioning of the penis can be assumed. Experts can also offer a bacteriological method for analyzing prostate secretions.

If a patient has chronic prostatitis, diagnostic testing of the secretion and examination of sodium chloride crystals should be performed. According to its outlines, the urologist will be able to determine the disease that develops in the body of a man.

Massage can cure prostatitis, but you can't do without drugs. The prostate gland is necessary for a man to be able to fertilize and perform a full sexual intercourse.

What is the secret of the prostate

Prostate secretion or prostate juice is a clear whitish liquid secreted by the prostate gland. Prostate juice during sexual intercourse, along with male germ cells, enters the urethra. The secret of the prostate accounts for about a third of the total volume of semen. The main function of this secret is related to childbearing. Fluid released from the prostate protects the sperm from damage as it passes through the urethra. In addition, it gives the semen a more liquid consistency for increased permeability. The secret of the prostate contains substances with antimicrobial action and nutritional components. It helps maintain sperm viability and increases male fertility. The study of the secret makes it possible to assess the condition of the prostate and for this reason plays a special role in the diagnosis of male pathologies.

The study of prostate secretion is one of the main tests for prostatitis. It takes very little time for this analysis, and its results allow us to draw reliable conclusions about the state of men's health. It is very important to conduct such an examination in a timely manner and prescribe the necessary therapy. After all, prostate diseases not only worsen the quality of life of men, but can also lead to infertility and other very serious problems.

Composition of the prostate secret

In healthy men, the secretion of the prostate gland has the following biochemical composition:

- Metal salts (zinc, potassium, sodium, calcium).

- Phosphates, citrates, chlorides, bicarbonates.

- Cellular components (leukocytes and erythrocytes, epithelial cells, as well as inclusions: Boettcher crystals, lecithin grains, amyloid bodies).

1 - prostate epithelial cell; 2 - amyloid bodies; 3- lecithin grains; 4- Bettcher crystal; 5- sperm.

In what cases is the analysis of prostate secretion prescribed

The study is performed as prescribed by the urologist if the patient has the following symptoms:

- Pain in the groin area.

- Rezi and pain during urination in men.

- Frequent urination, especially at night.

- Urine output in too small volumes.

This analysis is also performed if it is necessary to evaluate the fertile function of a man.

Contraindications to the procedure

In some cases, the study of fluid secreted by the prostate gland is not recommended.Contraindications to the analysis of prostate secretion include:

- Elevated temperature (more than 38 degrees).

- Inflammations, even if they are not related to the prostate.

- Hemorrhoids in the period of exacerbation.

- Tuberculosis of the prostate.

Preparation for prostate secretion analysis

The study of prostate secretion requires preliminary preparation. So, for several days before the analysis, you need to refrain from sexual intercourse (the period of abstinence is 3-7 days). Three days before the analysis, alcohol should be completely abandoned. Also at this time, you should not expose yourself to strong physical exertion and spend time in the sauna. On the eve it is necessary to carry out an enema.

How is the analysis of the prostate secret

In order to obtain material for analysis, it is necessary to perform a prostate massage. The patient is placed on the right side, with emphasis on the knee and elbow. The doctor gropes for the gland and very gently presses on the isthmus. This is prostate massage. As a result of such manipulation, a secret begins to be released through the urethra. It is collected in a sterile container. There are times when the juice does not come out. Then the patient will need to go to the toilet (the secret of the prostate is in the first portion of urine).

Explanation of the results of the analysis of the secretion of the prostate

After the analysis, the patient is given the result. In this case, macro- and microscopic parameters are indicated.

Important macroscopic characteristics are: density, shade, smell, acidity and secretion volume. Microscopic indicators are the number of leukocytes, erythrocytes, macrophages, epithelial cells, and more. Reference values are given for each parameter. Focusing on them, you can determine whether this or that indicator is within the normal range. It is important to remember that different laboratories may have different limits of normal. Their values can be affected by technical issues such as microscope magnification, etc. Therefore, it is necessary to evaluate the result precisely according to the standards of a particular laboratory.

After receiving the results, be sure to consult a doctor. The doctor will study the laboratory parameters, assess the situation, and, if necessary, prescribe additional diagnostics in order to make an accurate diagnosis.

Norms for macroscopic indicators

The volume of fluid obtained as a result of prostate massage should be in the range of 0.5 - 2 ml. But there are also cases when the amount of secret is less than the norm. Then you can not collect it in the usual way. With an insufficient amount of secretion, they resort to another method - the study of urine using the three-glass sample method. Collection of material in the third glass is carried out after prostate massage. The secret of the prostate has a greater density than urine. It is isolated after centrifugation and analyzed.

The color of the material should normally be whitish, like diluted milk. The normal density index is 1.022. This characteristic is of great importance, since the ability of male germ cells to conceive depends on the density. Another important macro-indicator is the reaction of the environment. It should be either neutral or slightly alkaline.

Norms for microscopic indicators

Microscopic parameters of the prostate secretion are normally presented in the table.