With prostate in the urine, purulent threads

What tests are carried out with prostatitis: decrypt results

Prostatitis - inflammation of the prostate gland caused by bacteria or stagnation. Early diagnosis of the disease will avoid oncological rebirth of the body. Urine tests for prostatitis determine the presence of illness in men with a probability of up to 60%. The study of Urin is able to detect not only the inflammation of the PJ, but also to adenoma, prostate cancer, pyelonephritis, cystitis, other diseases of the urogenital system.

Preparation for the delivery of

The test results affect several conditions required to comply with. Proper to prepare for urin's collection is easy:

50-100 ml for analysis. Tests the test no later than 2 hours after collecting the material. Otherwise, the sediment is formed in the urine, bacteria develop, the result qualifies incorrectly.

Types of urine tests when identifying prostatitis

Diagnostic plan includes three types of urin tests: common, cytological and bacteriological methods. The features and daily amount of urin are determined. The results of the analyzes in the aggregate with the identified symptoms (with thumbs in urination, pains in the lower back, coles), the patient's inspection will be shown a full-fledged picture of the disease.

Urine color with prostatitis

The presence of the disease is determined by the color and appearance of urine. Norma Urina moderately yellow without foreign odors. If an unusual view, color and amber are saved for a long time, you should contact the urologist.

Orange shade speaks of the presence of an increased number of erythrocytes or the effects of food, medicines with coloring pigment (beets, blueberries, polyvitamins), and pink - about blood inclusions. The latter indicates serious disorders to prostate cancer. Alay urine signals about stagnation, injury to the gland, inflammation of the prostate together with acute pyelonephritis.

Mucous bright clots, sinking threads - characteristic manifestations of purulent inflammation of PJ. Flakes of a dirty and white shade (protein) indicate problems with the kidneys against the background of the ailment.

In chronic prostatitis, a foam or sticky urine with an abundant sediment is observed. In addition to the inflammation of the PJ, the cancer changes of the body are suspected.

General Analyzes

The basic test reveals the microbiological picture of inflammation. It is assumed to collect the average amount of urine. In the diagnosis of prostatitis, the color, urine transparency, as well as biochemistry: the norms of leukocytes, salts (oxalates, urates, phosphates), protein, presence / absence of erythrocytes, bacteria.

Biochemical analysis with prostatitis demonstrates an increased amount of protein, urine will be muddy. At the presence of salts, the sediment will visually indicate. This is a sign of the formation of councils in PJ. Leukocytosis is a faithful sign of acute prostatitis. Erythrocytes in the urine are dangerous, often they point to prostate cancer. The doctor interprets the results in aggregate with the indicators of the remaining tests.

Bacteriological analysis

Study urine determines the pathogen that caused inflammation of the prostatitis. After decryption, the result makes sowing on the sensitivity of the conducted provocateur to antibiotics.

The definition of bacteriological infections occurs with sowing doses of urin in Petri circles (three-folded sample). Morning urine collection is needed after 5-hour abstinence. He is preceded by the treatment of genital organs.

A man is urinated into sterile jars: first - the initial portion of Urin, in the second - average. Then the process is interrupted: the third container is filled with urine residues after a prostate massage. Containers are numbered. The results are read after 7-14 days necessary for the growth of bacteria in the nutrient medium. Normally urine absolutely sterile.

Analysis is facilitated by the diagnosis and treatment of prostatitis, the localization of the inflammatory process is found. Isolated test not carry out: only together with other analyzes at the beginning and completion of the process of therapy to determine its effectiveness.

Cytological analysis

Analysis reveals the state of the cells for their pathological rebirth. The most accurate indicators gives a portion of urine, assembled after the morning (otherwise the dead inclusions distort the result). If the study of Urin on the micro level detects the epithelium - this indicates oncological changes in prostate. When adenoma or prostate, such changes are not observed.

In suspected of the accompanying diseases, a urethral scraping is prescribed using a probe. The sample extracted from the urethra is interpreted by detected leukocytes and erythrocytes (>3), the presence of mucus and the rated epithelium (>10).

Additional laboratory studies

The need for auxiliary tests is due to the clarification of the diagnosis. It is practiced if the therapy did not bring the expected fruit. The most common is the study of prostatic juice and blood test to determine the specific PJ antigen.

Prostate secretion analysis

The conditions for the delivery of physiological fluid are as follows: when the prostate is stimulated, a secret is released. A study is recommended for chronic prostatitis. Interpretation of the results occurs after the microscopy of the sample. A good option - after half an hour the liquid takes on the appearance of a fern, negative (in the presence of prostatitis) - fragmentary spreading of the secret.

If it is impossible to extract the liquid, do a prostate massage. The first portion of urine obtained after this will contain pancreatic juice.

There should not be more than 5-10 white blood cells in a serving. Bacteria are normally absent. A small amount of lecithin grains indicates the presence of prostatitis. If an infectious agent is identified, it is recommended to collect an additional dose of liquid for culture with a mandatory test for the sensitivity of the bacterium to medicines. PCR is a polymerase chain reaction used in bacterial culture of prostatic secretions. Its accuracy is almost 100%. No analysis other than PCR diagnostics is able to detect the DNA of pathogens that are secreted by the pancreas, single bacteria and even viruses.

PSA blood test

The test is used to evaluate the results of treatment, as well as during the addition of complications. The function of the PSA protein is to liquefy the semen. The spread of the total antigen in the blood from 4 to 10 ng / ml indicates the presence of prostatitis, adenoma or cancer of the organ. PSA is divided into free, total and bound. A significant increase in the first type of antigen indicates a chronic form of prostatitis, and its decrease (

What will urinalysis show with prostatitis

What kind of urine for inflammation of the prostate

If we consider the anatomical features of the structure of a man, you can see that the urethral canal passes inside the prostate gland. Any disturbances in the work of tissues lead to changes in urine: its composition, type, color, density, etc.

There are several characteristic signs indicating the presence of an inflammatory process of the genitourinary system and prostate:

• Orange urine is normally a bright yellow effluent. The appearance of red blood cells causes the urine to darken. Orange urine can also become after taking medications or certain foods.
• Pink urine - indicates the presence of hematuria and the presence of fresh blood in the urine. An unfavorable sign indicating serious disorders of the genitourinary system, in particular prostate cancer.
• Red urine is a characteristic manifestation of acute prostatitis, as well as other inflammations of the genitourinary system. A change in the color of urine indicates the presence of stagnant blood, due to trauma to the prostate or the development of renal failure and pyelonephritis - satellites of prostatitis.
• White threads and clots in the urine are a sign of the development of purulent prostatitis. Threads gradually fall into sediment. One of the most characteristic symptoms of purulent prostatitis. If at the same time fever is diagnosed, pain during urination, you should immediately consult a doctor. Persistent thread-like discharge indicates serious clinical changes: the spread of purulent sacs or the formation of an abscess.
• Whitish flakes are nothing more than protein that appeared in urine. White flakes indicate problems in the functioning of the kidneys, bladder. Changes in the structure indicate cystitis, pyelonephritis, accompanying acute prostatitis. Flakes are also diagnosed with a purulent disease.
• Sticky urine is a characteristic symptom of immunodeficiency states. Changes indicate chronic prostatitis, cancer and any other disorders associated with inflammatory processes in the genitourinary system. The density of urine is greatly increased. A large amount of cloudy sediment falls out. In some forms of chronic prostatitis and cancer, urine foams.

Normally, a man should have yellow urine with a clear consistency and without sharp unpleasant odors. Several factors influence the structure.

Visible changes in the urine provoke drugs, food, lack of fluid in the body. If heterogeneous inclusions continue to remain in the outgoing urine, the color changes for a long time - this is a reason to consult a doctor for additional diagnosis of the condition.

Is it possible to determine prostatitis by urine analysis

Urine sampling for a clinical study allows you to suspect the presence of inflammatory processes at an early stage

Changes help to conclude that tissue inflammation occurs in the urinary tract, catalyzing violations of the main functions of internal organs.

According to the analysis of urine, prostatitis can be determined with an accuracy of about 60%. In other cases, diagnosed disorders relate to pyelonephritis, renal failure, urethritis, cystitis and other diseases.

Clinical changes in the urine are not considered absolute evidence of inflammation of the prostate gland.The results obtained during laboratory tests are used in differential diagnosis using instrumental examination methods.

In addition to cytological, general and bacteriological conclusions, when deciphering the analyzes, the following are taken into account:

• Physical properties of urine - data obtained from visual inspection of fluid samples.
• Daily amount of urine - after the onset of dysuric disorders, the waste of fluid becomes much more difficult. Violation of the outflow of urine under adverse circumstances leads to a complete cessation of urination.
• Existing signs and symptoms of the disease - if the physiological parameters of urine indicate the presence of inflammation and at the same time the man has cramps during going to the toilet, pain during sex and dysuric disorders, the likelihood of prostatitis increases to 80%.

Types of urine tests for detecting prostatitis

To detect inflammation of prostate tissue, several types of urine samples are prescribed at once. Comprehensive analysis is preferred, as it reveals general changes in the structure of urine, disturbances at the cellular level, the presence of pathogenic microorganisms.

As a rule, the following types of laboratory tests are prescribed:

• General clinical analysis.
• Cytological examination.
• Sampling for the detection of infectious and bacteriological factors.

To clarify the results with a significantly increased volume of erythrocytes and leukocytes, an additional analysis according to Nechiporenko is recommended. The latter method of research is justified in the case of determining concomitant inflammatory processes: urethritis, cystitis, etc.

General analysis of urine for prostatitis

The main goal is to reveal physical and chemical changes in the structure and color of samples taken for analysis. If prostatitis is suspected, a general clinical analysis is mandatory. During laboratory studies, pay attention to the following:

• Appearance - take into account changes in color and smell, increase in density and the presence of foreign inclusions.
• Physical and chemical properties - the acidity of urine is normally 5-7 pH. An increase in values indicates the presence of prostatitis or any other inflammatory process. Density does not play a role in determining the disease, but helps to exclude the presence of adjacent pathologies.
• Biochemical analysis of urine - in the course of clinical studies, the number of leukocytes, erythrocytes, oxalates and protein is determined. Indicators help to suspect cancer or calculous, acute and infectious prostatitis.

A general urinalysis gives an idea of the patient's condition and the presence of inflammatory processes in the genitourinary system. Clinical studies are included in a number of mandatory diagnostic procedures.

Cytological examination of urine

Prostatitis in a chronic form can degenerate into prostate cancer. The symptoms of inflammation of the prostate gland and a malignant tumor are identical. Laboratory tests for cytology will help differentiate cancer.

Urine microscopy in oncology reveals particles of the epithelium. If there is no malignant formation, microcells of tissues in urine are not detected during the study. Together with a biopsy of the prostate, urine cytology is essential for the early detection of cancer

Bacteriological diagnosis of urine

Bakposev is necessary to determine the catalyst for inflammation in an acute infectious disease. The cause of prostatitis can be pathogenic microorganisms and Candida fungi. A urinalysis for culture makes it possible to determine a sexually transmitted infection and choose the most effective antibiotic therapy in each case.

Normally, human urine is completely sterile. If the tank study reveals traces of fungi or pathogens, infectious prostatitis is diagnosed. In the absence of STIs or fungi, a chronic or acute form of inflammation is diagnosed.

How to take a urine test when diagnosing prostatitis

How to properly collect urine

Results of urine analysis for prostatitis

The data obtained from the study of urine is difficult to interpret. Deciphering the analyzes requires the experience and professionalism of a urologist. Comparison of the obtained results with the symptoms and manifestations present in the patient.

Some of the data indicated in the results of the analyzes can be deciphered independently:

• Protein - normally completely absent in urine. Protein in the urine with prostatitis is in proportions of more than 0.033 g / l. The result does not always indicate the presence of prostate inflammation. Increased protein in the urine is diagnosed with cystitis, nephritis, urethritis and kidney failure.
• RBCs in urine - increased volume indicates calculous prostatitis and prostate cancer.The normal number of red blood cells is their complete absence during the study of samples or the maximum presence of 1 cell.
• Leukocytes - in the normal state, about 3 units are diagnosed. Leukocytes in the urine with prostatitis increase above the established levels. Particles enter the urine from the bloodstream due to the inflammatory process. An elevated white blood cell count indicates prostatitis or cancer.
• Phosphates in the urine - diagnosed with calculous prostatitis.

Deviations in the overall analysis are not yet a cause for concern. Many factors influence the results. It is possible to talk about suspicion of prostatitis after re-examination of urine samples. Persistent changes in indicators confirm the development of the inflammatory process in the human genitourinary system.

Signs of prostatitis on urinalysis help to suggest the presence of inflammation. It is impossible to draw conclusions only on the basis of urine samples. To clarify the diagnosis, additional biochemical and instrumental studies will be required.

Threads in urine analysis

The biological fluid, in which the end products of metabolism (metabolic processes) are excreted from the human body, is called urine (or urine). The study of this substance can tell about the physiological state and functional activity of many organs. Depending on the level of proteins, bile acids, ketone and urobilin bodies, glucose in the urine, practitioners conclude that various diseases develop in the human body.

Normal urine is a clear, straw-yellow biological fluid without sediment. The shade and consistency of urine can be influenced by physiological (justified by natural causes - diet and fluid intake) and pathological (consequences of inflammatory processes occurring in the body) factors.

One of the important symptoms of many serious pathological processes occurring in the genitourinary system is the appearance of threads in the urine. In our article, we will talk about the main causes of this problem, its consequences and methods for preventing further occurrence.

The reasons for the appearance of filamentous inclusions in urine

A change in the transparency of the excreted urine can be caused by:

• consumption of large amounts of meat and dairy products;
• predominance in the diet of vegetables or products containing animal proteins;
• dehydration of the body;
• taking medication.

Unlike natural causes, pathological factors are caused by the development of diseases of the genitourinary organs and do not disappear by themselves. Most often, the presence of threads in urine is due to the presence of impurities of proteins, acetone, glucose, as well as increased excretion of mucus and leukocytes in the urine.

The most common causes of the appearance of threadlike inclusions are pathological processes that occur in the urinary organs during inflammation:

• urinary canal - urethritis;
• external genitalia and vagina of women - vulvovaginosis;
• the skin of the head of the penis - balanoposthitis;
• mucous walls of the bladder - cystitis;
• prostate gland of men - prostatitis;
• Tubular kidney system - pyelonephritis.

Thread-like discharge in the urine may also appear:

• with immunodeficiency;
• pathologies of the endocrine organs;
• infectious diseases of the genitourinary tract caused by pathogenic bacteria;
• fatty degeneration of the epithelial tissue of the renal tubules;
• nephrotic syndrome;
• urolithiasis (urolithiasis - the appearance of stones in the urinary organs);
• kidney damage by Mycobacterium tuberculosis;
• malignant neoplasms in the genitourinary tract.

Self-treatment of pathological processes that caused the appearance of threads and fibers in the urine is unacceptable! Irrational therapeutic measures - taking various medications, traditional medicine methods and thermal procedures can provoke the transition of an acute disease into a chronic one that is difficult to treat traditionally.

To accurately diagnose pathological processes in the urogenital organs, it is necessary to conduct a comprehensive examination of the patient, including instrumental and laboratory methods.

Features to look out for

The appearance of threads in the excreted urine is not the only manifestation of pathological processes, a person can feel:

• decreased performance;
• general malaise;
• apathy;
• unpleasant and painful sensations during urination - burning sensation, pain and discomfort in the urethra;
• frequent urge to urinate;
• attacks of sharp excruciating pain;
• pain in the lower abdomen, radiating to the perineum, thigh, anorectal area;
• appearance of pathological discharge from the lumen of the urinary canal or external genitalia.

Pain becomes excruciating and deprives a person of sleep and rest - this is the most pronounced sign of renal colic.

If filamentous inclusions appear in the urine of a child, parents need to carefully consider this phenomenon and correctly understand the reasons that caused it. For example:

• in an infant, the functional activity of the urinary system has not yet been established - that is why threads and fibers can appear in the urine;
• renal dysfunction often occurs with abundant consumption of protein foods - this entails a change in the transparency of the urine and the appearance of filamentous inclusions;
• Inadequate hygiene of the external genitalia (especially in girls) also affects the consistency of the excreted urine.

However, if the behavior of the crumbs is different from usual, parents notice a rise in temperature without symptoms of a cold, refusal of food and urination - you need to pay attention to the shade and transparency of the urine.

If the child's urine becomes cloudy, threads of mucus, clots of pus or blood are visible in it - this means that an acute inflammatory process is taking place in the child's body, requiring medical treatment. It is urgent to take the child to a medical facility.

Diagnostic measures to identify the causes of the appearance of threads in urine

When seeking medical help, a qualified specialist conducts a physical examination of a sick person and clarifies in detail the clinical symptoms of the pathological process, the time and circumstances preceding their occurrence. Based on the medical history, the doctor determines the means and methods for diagnosing the disease.

Comprehensive examination of the patient consists of the following methods:

• general clinical blood test, which allows to detect the presence of an inflammatory process in the body;
• study of biochemical parameters of kidney samples - concentration of urea, total protein, creatinine;
• analysis of urine according to the Nechiporenko method - counting the number of leukocytes, erythrocytes and cylinders in a certain volume of urine;
• bacteriological inoculation of urine sediment on culture media to detect the presence of pathogenic microorganisms and determine their susceptibility to antibacterial and antimicrobial agents;
• bacterioscopic analysis of pathological discharges from the urethra and genital organs, which allows to detect the presence of infectious agents;
• excretory urography - an X-ray examination of the urinary tract, based on the ability of the urinary organs to remove certain contrast agents from the blood;
• MRI or CT of the urinary organs.

Therapeutic measures

The course of treatment of a sick person begins immediately after establishing the exact cause of the appearance of filamentous inclusions in the urine. In the presence of physiological factors of this problem, the patient needs to adjust the diet and lifestyle principles, he is recommended:

• balanced diet rich in vitamins and microelements;
• rational water load;
• fulfillment of the requirements of intimate hygiene.

In the presence of infectious and inflammatory processes, antiviral, antibacterial and antimicrobial drugs are used. Medications, dose and duration of therapy is determined by the attending physician, depending on the causative agent of the disease and the severity of the patient's condition.

Summing up all of the above, I would like to note once again that the appearance of threads in the urine is not always a symptom of a serious illness. However, it is important for each person to remember that timely seeking the help of a qualified specialist with changes in the shade and transparency of urine will avoid the development of a pathological process in the urinary organs and reduce the likelihood of developing complications of the disease.