Prostatitis laboratory findings: Difference between revisions
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Laboratory findings consistent with the diagnosis of chronic bacterial prostatitis include:<ref name="pmid10839552">{{cite journal| author=Stevermer JJ, Easley SK| title=Treatment of prostatitis. | journal=Am Fam Physician | year= 2000 | volume= 61 | issue= 10 | pages= 3015-22, 3025-6 | pmid=10839552 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10839552 }} </ref> | Laboratory findings consistent with the diagnosis of chronic bacterial prostatitis include:<ref name="pmid10839552">{{cite journal| author=Stevermer JJ, Easley SK| title=Treatment of prostatitis. | journal=Am Fam Physician | year= 2000 | volume= 61 | issue= 10 | pages= 3015-22, 3025-6 | pmid=10839552 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10839552 }} </ref> | ||
*Negative pre-massage urine culture results | *Negative pre-massage [[urine culture]] results | ||
*More than 10 to 20 | *More than 10 to 20 [[leukocytes]] per high-power field in both the pre- and the postmassage urine specimen | ||
*Bacteriuria in the postmassage urine specimen | *[[Bacteriuria]] in the postmassage urine specimen | ||
*Lower leukocyte and bacterial counts in voided bladder urine specimens as compared to bacterial count in post-prostatic massage voided urine or expressed prostatic secretions<ref name="pmid20459324">{{cite journal| author=Lipsky BA, Byren I, Hoey CT| title=Treatment of bacterial prostatitis. | journal=Clin Infect Dis | year= 2010 | volume= 50 | issue= 12 | pages= 1641-52 | pmid=20459324 | doi=10.1086/652861 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20459324 }} </ref> | *Lower leukocyte and bacterial counts in voided bladder urine specimens as compared to bacterial count in post-prostatic massage voided urine or expressed prostatic secretions<ref name="pmid20459324">{{cite journal| author=Lipsky BA, Byren I, Hoey CT| title=Treatment of bacterial prostatitis. | journal=Clin Infect Dis | year= 2010 | volume= 50 | issue= 12 | pages= 1641-52 | pmid=20459324 | doi=10.1086/652861 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20459324 }} </ref> | ||
Revision as of 15:29, 7 March 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Maliha Shakil, M.D. [2]
Overview
Laboratory findings
Laboratory Tests
Laboratory tests used in the diagnosis of prostatitis may include:[1][2][3]
- CBC
- Urinalysis
- Serum PSA (prostate-specific antigen) levels
- Urine culture
- Postvoid residual volume levels
- 2-glass pre- and post-prostatic massage test
- Stamey-Meares four-glass test
- Semen analysis
Laboratory Findings
Laboratory findings consistent with the diagnosis of acute prostatitis include:[4]
- Increased leukocytes on CBC
- Bacteria seen on urine culture
- Elevated C-reactive protein
- Transiently elevated PSA (prostate specific antigen) levels
Laboratory findings consistent with the diagnosis of chronic bacterial prostatitis include:[5]
- Negative pre-massage urine culture results
- More than 10 to 20 leukocytes per high-power field in both the pre- and the postmassage urine specimen
- Bacteriuria in the postmassage urine specimen
- Lower leukocyte and bacterial counts in voided bladder urine specimens as compared to bacterial count in post-prostatic massage voided urine or expressed prostatic secretions[3]
References
- ↑ Prostatitis: Inflammation of the Prostate. NIDDK 2016. http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/prostate-problems/Pages/facts.aspx. Accessed on February 25, 2016
- ↑ Sharp VJ, Takacs EB, Powell CR (2010). "Prostatitis: diagnosis and treatment". Am Fam Physician. 82 (4): 397–406. PMID 20704171.
- ↑ 3.0 3.1 Lipsky BA, Byren I, Hoey CT (2010). "Treatment of bacterial prostatitis". Clin Infect Dis. 50 (12): 1641–52. doi:10.1086/652861. PMID 20459324.
- ↑ Acute Prostatitis. Wikipedia 2016. https://en.wikipedia.org/wiki/Acute_prostatitis. Accessed on March 7, 2016
- ↑ Stevermer JJ, Easley SK (2000). "Treatment of prostatitis". Am Fam Physician. 61 (10): 3015–22, 3025–6. PMID 10839552.