abdominal pain in men
Introduction
Introduction Male abdominal pain may be suffering from prostatitis, penis, spermatic cord, testicular scrotum, lower abdomen, groin area (thigh root), thigh, rectum, etc. can be affected. The symptoms of chronic prostatitis vary in severity, and mild can be asymptomatic. However, most patients have pain or discomfort in the perineum or rectum. Male abdominal pain, pain can be radiated to the lumbosacral or pubic bone, testis, groin, etc., may have urination discomfort, urinary burning sensation, urinary tract often with milky white secretions and other symptoms.
Cause
Cause
The prostate and spermatic lymph in the pelvis have traffic branches, the acute inflammation of the prostate affects the spermatic cord, causing the spermatic lymph nodes to be swollen and accompanied by tenderness; in severe cases, the groin may be involved in pain, and severe cases may have renal colic. Acute inflammation, prostate congestion, edema or small abscess formation, may have ejaculation pain, painful erection, loss of libido, sexual pain, impotence, blood essence and so on.
Examine
an examination
Related inspection
Abdominal plain film
I. Symptoms
1. The onset of acute bacterial prostatitis is sudden, with chills and high fever, frequent urination, urgency, and dysuria. Dysuria or acute urinary retention can occur. Clinically, it is often accompanied by acute cystitis. The prostate is swollen, tender, and the local temperature rises, the surface is smooth, and the abscess is full or fluctuating.
2. Chronic bacterial prostatitis has frequent urination, urgency, dysuria, urinary discomfort or burning when urinating. White secretions often flow from the urethra after urination and after the stool. Sometimes there may be blood, perineal pain, sexual dysfunction, and mental symptoms. The prostate is full, enlarged, soft, and tender. In the long course of the disease, the prostate shrinks, hardens, the surface is incomplete, and there is a small induration.
3. Chronic non-bacterial prostatitis and prostate pain clinical manifestations similar to chronic bacterial prostatitis, but no history of repeated urinary tract infections. Mainly for urinary tract irritation, dysuria symptoms, especially the performance of chronic pelvic pain syndrome. Mycoplasma and chlamydia can be cultured in the prostatic fluid of some patients.
Second, diagnosis
Acute bacterial prostatitis is easy to make diagnosis because of its clinical manifestations and typical; the clinical features of chronic prostatitis syndrome vary greatly, and it is not clear. Many symptoms, signs and pathological examinations are in chronic bacterial prostatitis, non- Bacterial prostatitis and prostate pain are often unrecognizable. Radiology and urethroscopic cystoscopy may be helpful for diagnosis, but it is not certain for diagnosis. Prostate histology is only needed in some rare types of prostatitis, such as granulomatous prostatitis. Histological changes in chronic bacterial prostatitis were not specific for determining inflammation as a bacterial cause. A group of 162 consecutive cases of benign prostatic hyperplasia were surgically removed and found to have a 98% incidence of prostatitis. Six clear inflammatory morphological types were observed, but there was no significant difference between positive and negative cultures of prostate bacterial infection. In most cases, the inflammatory response is focal, involving only a small portion of the entire prostate, so prostate biopsy has little guiding significance in the treatment of prostatitis. Prostate biopsy specimen tissue culture has little value in the diagnosis of chronic prostatitis.
Diagnosis
Differential diagnosis
Male abdominal pain: There are many factors that cause small abdominal pain in men, and most are related to inflammation associated with the male reproductive system. Paroxysmal abdominal pain: abdominal pain, accompanied by diarrhea, etc., symptoms are not like dysentery. Such abdominal pain and diarrhea symptoms can also be called summer paroxysmal abdominal pain. Also common in intestinal fistula, is the most common case of acute abdominal pain in children.
I. Symptoms
1. The onset of acute bacterial prostatitis is sudden, with chills and high fever, frequent urination, urgency, and dysuria. Dysuria or acute urinary retention can occur. Clinically, it is often accompanied by acute cystitis. The prostate is swollen, tender, and the local temperature rises, the surface is smooth, and the abscess is full or fluctuating.
2. Chronic bacterial prostatitis has frequent urination, urgency, dysuria, urinary discomfort or burning when urinating. White secretions often flow from the urethra after urination and after the stool. Sometimes there may be blood, perineal pain, sexual dysfunction, and mental symptoms. The prostate is full, enlarged, soft, and tender. In the long course of the disease, the prostate shrinks, hardens, the surface is incomplete, and there is a small induration.
3. Chronic non-bacterial prostatitis and prostate pain clinical manifestations similar to chronic bacterial prostatitis, but no history of repeated urinary tract infections. Mainly for urinary tract irritation, dysuria symptoms, especially the performance of chronic pelvic pain syndrome. Mycoplasma and chlamydia can be cultured in the prostatic fluid of some patients.
Second, diagnosis
Acute bacterial prostatitis is easy to make diagnosis because of its clinical manifestations and typical; the clinical features of chronic prostatitis syndrome vary greatly, and it is not clear. Many symptoms, signs and pathological examinations are in chronic bacterial prostatitis, non- Bacterial prostatitis and prostate pain are often unrecognizable. Radiology and urethroscopic cystoscopy may be helpful for diagnosis, but it is not certain for diagnosis. Prostate histology is only needed in some rare types of prostatitis, such as granulomatous prostatitis. Histological changes in chronic bacterial prostatitis were not specific for determining inflammation as a bacterial cause. A group of 162 consecutive cases of benign prostatic hyperplasia were surgically removed and found to have a 98% incidence of prostatitis. Six clear inflammatory morphological types were observed, but there was no significant difference between positive and negative cultures of prostate bacterial infection. In most cases, the inflammatory response is focal, involving only a small portion of the entire prostate, so prostate biopsy has little guiding significance in the treatment of prostatitis. Prostate biopsy specimen tissue culture has little value in the diagnosis of chronic prostatitis.
