Diagnosing prostatitis can only be done by a medial professional. However you should prepare for a visit to a doctor and answer some simple questions created by The National Institutes of Health and Chronic Prostatitis. The answers to the questions and responses will help the doctor diagnose the disease plus you will be able to determing for yourself the likelihood of having this disease.
Take a look at the list of symptoms below and write down how frequently do you experience the following symptoms:
- Pain or uneasiness in the perineum (the surface existing between the testicles and the rectum)
- General soreness on the head of the penis
- Burning sensation at the time of urination
- Aching testicles
- Painful ejaculation or post-ejaculation pain
- Discomfort in the pelvic region or in the bladder
Questions to ask yourself
How will you rank every symptom mentioned above on the scale of 1 to 10 (10th rank being the most painful)?
How many times did you have the feeling that your bladder was not completely empty even after urination? (never, once in 5 occasions, 50% of the time, more than 50%, or always)
How many times during the last week did you refrain from engaging in regular physical activities because of the symptoms? (Never, sometimes, repeatedly, constantly)
How many times did you pay attention to your symptoms during the last week? (Not even once, sometimes, frequently, always)
How would you feel if you were to spend the rest of your life with the current symptoms? (It is okay, a little upset, very upset, dreadful)
While only the doctor will be able to properly diagnose you, you can probably assume you have a problem if you symptoms are frequent and bothersome and get in the way of your life.
Medical Tests for the Diagnosis of Prostatitis
Checking prostate abnormality with DRE: DRE or Digital Rectal Examination is performed for detecting modifications in the built, shape and size of the prostate gland. This examination is considered the most reliable prostate inspection for the diagnosis of every kind of prostate diseases like prostatitis.
Urine examination or Urinalysis: The urine of the patient is checked for certain bacteria, which are responsible for causing prostate illnesses.
Determining the level of PSA: PSA or Prostate Specific Antigen is the protein whose high level in the blood stream indicates a prostate disorder.
Prostate milking: The process is performed by a doctor, who inserts a gloved and lubricated finger into the rectum of the patient. After reaching the prostate gland, the doctor nudges it a little. Consequently, a fluid emerges from the head of the penis. This fluid is then checked for the presence of the prostate infection and inflammation causing bacteria. In case the doctor finds proof in support of severe bacterial prostatitis, he may also perform a blood test.
Meares-Stanley 4-Glass Test: This test always detects prostate problems correctly. However, as it takes time to reveal the results and is expensive, the 4-Glass test is usually ignored. The main purpose of the test is detecting the type of infection and measuring the level of inflammation that the infection has caused in the lower urinary tract. The test is conducted on the men who have been facing the symptoms of chronic acute prostatitis.
Pre and Post Massage Test (PPMT): The PPMT is the simpler version of the Meares-Stanley 4-Glass Test. Men, who manifest chronic prostatitis symptoms, are often recommended to undergo this test. The accuracy rate for the PPMT around 90%.In this test, the physician collects urine samples pre and post prostate massage. These samples are then examined for factors, which cause infection and inflammation of the prostate gland.
Uroflowmetry: This test examines the urine on the criteria of the speed of its flow, its volume, and its duration. The result of the examination points out if there is any abnormality in the lower urinary tract.
Ultrasound and MRI: Both tests provide insight into the structures of the pelvic region and of the prostate glands.
Cystoscopy: The cystocope travels through the urethra to the bladder in order to detect the presence of infection in the area.
UPOINT: UPOINT is the acronym for Urinary Psychosocial (depression related to health condition) Organ Specific Infection Neurologic/Systematic (pain syndromes) Tenderness (skeletal muscles of the abdomen and pelvic region). It was invented by Dr Daniel Shokes, a urologist to help treat The Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS)
UPOINT plays an important role in aiding the physician in determining the best course of treatment for every CP/CPPS patient. With UPOINT, the patients are less likely to suffer because of drug interaction, as customized treatment is administered by the physician.