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Prostate Test for Prostatitis
Prostate test plays a vital role in the treatment of prostatitis. Currently modern medicine and technology still have difficulties in identification of different types of bacteria and microorganisms that cause prostatitis, most medical labs have poor accuracy in lab tests, improper testing procedure and sometimes wrong procedures and concepts.
What are the Prostate Tests in Prostatitis?
Prostate Test with Digital Rectal Examination or DRE
During first visit to the prostate doctor for pain and symptoms of prostatitis, the prostate doctor may want to conduct digital rectal exam on the prostate, a gloved finger is inserted into the rectum and reach to the prostate gland, the prostate doctor then try to examine different part of the prostate gland for abnormal tissue such as hardening, calcification, also the size of enlarged prostate. If the prostate doctor is experienced, he should be able to get a general idea of how much physiological changes in the prostate gland.
Prostate Test with Microscopic Examination on Prostatic Fluid
If the prostate doctor finds abnormal symptoms in the prostate gland during DRE, he may want to go a step further by collecting a few drops of prostatic fluid from the prostate gland for microscopic examination. First the prostate doctor squeezes the prostate gland vigorously with a finger and try to force the prostate fluid out to the urethra, at this moment, most patients should get intense pain during this milking process because the inflamed prostate gland is tender and stuffed with blockage. If done properly, the prostate fluid is then squeezed to the urethra and out to the penis opening, a few drops of prostate fluid is then collected for analysis, first prostate fluid specimen is viewed under microscope, usually some particles from calcification and blockage are present and the prostate doctor makes diagnosis on prostatitis based on these particles. Lecithin count is also conducted to evaluate quality of prostate fluid, if the lecithin count is too low, that indicates the prostate infection is very serious.
Prostate Test with Microscopic Examination on Semen
After DRE on the prostate gland, prostate doctor may ask the patient to have an ejaculation immediately, at this moment, the prostate gland is shaken by DRE, prostate fluid with infection is all over the prostate gland and urethra, it is the best timing for collection of semen for analysis and tests. After ejaculation, semen, prostate fluid, calcified waste, particles of blockage are all mixed together. A microscope exam is conducted again to check sperm quality. The semen specimen is then mixed again with prostate fluid specimen for more accurate lab tests results.
Prostate Test with Epithelial Cell Test on Opening of Urethra
Prostatitis is the infection of the prostate gland, sometimes the body immunity is too weak or the bacteria is too strong that some bacteria may grow inside urethra. This test is done to make sure the presence of bacteria growth in urethra. First the prostate doctor collects some epithelial cells from the urethra using a swap, then the specimen is then analyzed to see if these cells are infected, if no traces of infection, the prostate doctor do not need to treat the urethra, if infection is found, the prostate doctor needs to map out a plan for the treatment of urethra along with treatment of prostatitis.
Prostate Test with Culture Tests of Ureaplasma and Mycoplasma on the Prostate
Prostate fluid collected from DRE is then used for culture tests, these tests are mainly for identification of Ureaplasma Urealyticum, Mycoplasma Genitalium, Mycoplasma Hominus. These culture tubes are then placed in a thermostat for a few days, the growth of these bacteria changes the color of the culture tubes to red, purple, violet colors. Usually the color changes in one to three days, if the culture tube changes in one day, that means the growth of that particular bacteria is extremely vibrant and may be very difficult to treat and require extra days or special dosages for that particular case.
Prostate Test with Blood Test of Chlamydia on the Prostate
Blood test is used for identification of Chlamydia, this kind of prostate test takes the blood sample and is then sent to a national research medical lab for testing, the test uses state-of-the-art ELISA technology to check antibodies of Chlamydia, the result usually come back in two to three days.
Prostate Test with Ultrasound Scan on the Prostate
After all these tests and examinations, our prostate doctor in the prostatitis center may request ultrasound scan test
to have a more thorough and comprehensive grasp of the condition of prostatitis. Usually the prostate doctor wants ultrasound scan in the prostate gland, seminal vesicles, sperm ducts and epididymis, and look for signs of enlarged prostate, blockage, hardening, calcification, etc. Ultrasound scan provides our prostate doctor with some ideas on ideal spots for injections.
Prostate Test with PSA Test on the Prostate
Many prostate doctors and patients associate PSA test with prostatitis, and PSA test is a common prostate test requested for prostatitis cases by mainstream doctors and urologists. In our view and past years of experience, our prostate dr. and prostatitis center found no relationship between prostatitis and PSA level, although many have brought reports of PSA tests to us. Our prostatitis center don't require any prior PSA test when patients visit us.
Prostate Test with Urine Test on the Prostate
Many prostate doctors and patients often conduct urine test to check for bacteria, urine sample is collected and used for culture tests on different bacteria, however, since prostatitis is mostly confined to the prostate gland, amount of bacteria in urine sample is very small and is very difficult to get identified in culture test. You can imagine almost all urine tests show negative outcomes on prostatitis cases. We don't conduct urine test in our prostatitis center, we think urine test is extremely inaccurate in cases with prostatitis, and if your prostate doctor suggests urine test for your prostatitis or prostate infection, you better seek help from other more experienced prostate doctors.
Why Most Prostate Tests Couldn't Find Anything In Prostatitis?
Many of you may have experience that you have intense pain and symptoms of prostatitis, such as burning sensation in urethra, prostate pain, etc, and you know for sure that it is caused by infection of bacteria, however, after numerous attempts on a variety of prostate tests such as urine test, DRE, culture, all these tests always give negative results, your prostate doctor keep saying that you are free of infection and the pain and symptoms in the prostate are purely an issue of pain, they may then refer you to some pain specialists.
Similar scenarios happen every day in every country, not matter you are in the United States, Australia, or United Kingdom. The causes of this problem is very complicated, one of the reasons is the lack of research in prostatitis in recent decades.
Accuracy of Prostate Test
A lot of people have a wrong concept that modern medical lab has very accurate result on a variety of diseases, they regard lab reports are the final verdict of their own diseases, and don't even dare to question or challenge the authority of these medical reports. However, this is not the case in prostatitis, many labs in western countries don't follow stringent standard and procedure, and use cheaper or older testing tools due to cost problems, lack of in-depth knowledge on mechanism of prostatitis, and all these problems have caused inaccurate lab result and create misleading and confusing information for patients, the problem is the worst in local community hospitals and small clinics.
Medical Labs Don't Have Thorough Knowledge on Prostatitis
A small number of national and professional medical labs maintain high standard, but since these lab tests are for general infection purposes, they are not specifically designed for prostatitis, so many lab tests are not properly done, for example, some labs may have the best urine tests in the world, however, these urine tests are inappropriate for prostatitis cases, so inevitably almost all lab test results are negative, patients with prostatitis are easily confused and misled by these reports.
Prostate Doctors and Urologists Don't Have Knowledge on Prostatitis
Most prostate doctors and urologists don't know how to treat prostatitis except oral antibiotics, many don't even have the correct knowledge on prostatitis, for example, some prostate doctors suggest urine test for prostatitis cases and not culture test or DRE, many may conclude that your prostate is
not caused by infection after review of your urine test result which is always inaccurate. Some prostate doctors don't even have the skills of extracting prostate fluid from the prostate gland, even they do, they often miss the most painful spot where the bacteria is rampant. Since most prostate doctors are highly confident and rely heavily on lab test results for diagnosis, the defect of medical lab tests on prostatitis has misled prostate doctors to conclude that pain and symptoms in the prostate is not caused by infection.
Lack of Research on Prostatitis
Funding for research on prostatitis is not enough, and prostatitis is not getting enough attention in the medical industry, government, and community, worldwide. Until today, the medical industry is still debating on whether prostatitis is caused by infection, many researchers have given wild hypothesis that prostatitis is caused by pelvic floor muscle tension, nerve tension, etc. That is why prostate doctors, urologists, researchers and patients are all confused, frustrated when confronting prostatitis.
What is the Importance of Prostate Test in Treatment of Prostatitis?
Prostate Test is critical in our prostatitis treatment, first, before injections on the prostate, we need to know precisely the conditions of the prostate first, such as how much is enlarged in the prostate, degree and distribution of blockage, degree and distribution of calcification, spots of lumps, spots of hardening, we also need the similar info for seminal vesicles, spermatic ducts, epididymis.
Second, we need to know whether prostatitis is caused by mixed infection or single infection, with one or more bacteria, and the kind of bacteria present. After we have all information about the prostate, doctor can now draft up a plan of treatment, such as what type of antibiotics to use, proportion of unblocking herbs added, where to inject first in early stage to allow smooth passage for unblocking process, spots where more injections are needed, etc.
Prostate test is also important in our ending stage of prostatitis treatment, after a few weeks of injections on the prostate, prostate doctor conducts another round of prostate test to evaluate efficiency of injections. Depending on the type of bacteria found, specific prostate test is repeated again to make sure the bacteria is gone. This is the most objective assessment of a successful cure on prostatitis.
As long as you pass all prostate test, even though patients still have low level of pain and symptoms in the prostate, it is only a matter of time for all residual symptoms and pain
to subside completely. After a few months, patients should be 100% cured and prostate symptom free.
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