最近审阅: 23 十月 2020
最近更新: 14 十二月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 发热、寒颤、不适感
  • 前列腺触痛

其他诊断因素

  • 年龄<50岁
  • 尿频
  • 排尿困难
  • 尿流变细
  • 会阴疼痛
  • 温暖或柔软、呈沼泽样的腺体
  • 留置导尿管
  • 近期经直肠前列腺活组织检查
  • 近期经尿道手术

危险因素

  • 泌尿道感染(UTI)
  • 良性前列腺肥大
  • 总体健康状况差
  • 吸烟和酒精摄入

诊断性检查

首要检查

  • 尿液分析
  • 尿液培养
  • 前列腺分泌物培养
  • 血液培养
  • 血清前列腺特异性抗原 (PSA)
更多 首要检查

需考虑的检查

  • 膀胱镜检查
  • 经直肠超声
  • 4 杯试验
更多 需考虑的检查

新兴检查

  • 尿液细胞学检查
  • 前列腺活组织检查
  • 前列腺按摩液生化分析
更多 新兴检查

治疗流程

撰稿人

Honorary Senior Lecturer of Urology

University of Sheffield

Consultant Urological Surgeon

Department of Urology

Royal Hallamshire Hospital

Sheffield

UK

利益声明

CC is a consultant, researcher, and speaker for Allergan, Astellas, Medtronic, and Recordati; consultant and speaker for Lilly; researcher and speaker for ONO and Pfizer; and speaker for Ranbaxy.

Consultant Urologist

Department of Urology

Royal Hallamshire Hospital

Sheffield

UK

利益声明

AM declares that he has no competing interests.

Dr Christopher Chapple and Dr Altaf Mangera would like to gratefully acknowledge the contribution of Robyn Webber MB, ChB, MD, FRCSEd (Urol) to this monograph. Not disclosed.

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Department of Urology and Centre for Research and Development

Karnsjukhuset

Skovde

Sweden

利益声明

HH declares that he has no competing interests.

Professor of Medicine

University of Washington

VA Puget Sound Health Care System

Seattle

WA

利益声明

BAL has received research funding from, and been a consultant to, several pharmaceutical companies that make antibiotic agents that might be used for treating bacterial prostatitis.

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