In the palpation of the prostate, the prostate may be sensitive and painful. There may be stiffness and irregularity. PSA analysis may be required for elderly patients.
Antibiogram and urine culture, sperm culture for bacteria, fungi and protozoa,
(by PCR) DNA amplification, Chlamydia, mycoplasma, gonococci, herpes simplex virus (HSV) and urine, semen and urethral swab human papillomavirus (HPV) after prostate massage
Antibody tests in the blood for Chlamydia and Mycoplasma
The presence of sexual manifestations requires hormone tests:
Total testosterone levels
GENIUS and GENIUS
LH, FSH, Prolactin
In the presence of suspected infertility, the following are required:
sperm penetration test
PostCoital Test (PCT)
Transrectal ultrasound is very important. Check out the following;
The volume of the prostate
Glandular tissue echogenicity
Presence of fibrocalcific structures
TRUS AND ACUTE PROSTATITIS
In mild forms, a halo appears around the urethra initially, with edema.
As the disease progresses, hypoechoic intraglandular bands sometimes appear associated with enlargement of the venous plexus around the prostate.
In more severe forms, the prostate increases in size. Inflamed areas are seen as hypoechoic (dark). This condition is common in elderly or immunocompromised individuals.
TRUS AND CHRONIC PROSTATITIS
The prostate capsule and glandular volume are usually regular. In mild inflammations, enlargement of the veins can be seen around the prostate. In severe chronic inflammation
Hyperechoic areas with jagged edges
Hyperechoic areas surrounded by hypoechoic halo
They are round or irregular areas of calcification from a few mm to several centimeters in size. In order to obtain good treatment results, the inside of the calcifications must be disinfected. These calcifications may cause premature ejaculation and hemospermia. Daniel Shoskes of the University of Cleveland documented the presence of nanobacteria within these calcifications.
Symptoms associated with the presence of calcification are different depending on localization:
Periurethral: voiding disorders, pain at the tip of the penis at the beginning or end of urination.
Periurethral: no perineal tension or discomfort.
Around the veru montanum: premature ejaculation, pain on ejaculation.
Urethrography should be performed if urethral stricture is suspected. This allows us to examine both the condition of the urethra and the condition of the bladder neck.
It is applied in cases of urethral stricture proven by urethrography, suspected bladder neck stenosis, tumor or interstitial cystitis with concomitant bleeding in the urine.