perineal traction pain
Introduction
Introduction Acute prostatitis refers to acute inflammation caused by non-specific bacterial infection of the prostate. It is mainly characterized by urgency, frequent urination, dysuria, rectal and perineal pain, and aversion to cold and fever.
Cause
Cause
Acute prostatitis is a common infectious disease in the male genitourinary system. The pathogenic bacteria are mainly Escherichia coli, accounting for about 80%.
1. The route of bacterial infection is blood infection or direct spread. Among them, direct trans-urethral spread is more common, the main causes are:
(1). When gonococcal urethritis occurs, bacteria enter the prostate through the prostate tube to cause inflammation.
(2). Prostatic hyperplasia and stones make the prostate urethra deform, bend and congest, lose immunity to non-pathogenic bacteria and prostatitis.
(3). When the urethral device is applied, it will bring bacteria or upper urinary tract inflammation bacteria down, causing prostate infection.
2. The infection route is bloodstream infection, which is often secondary to acute infection of the skin, tonsils, caries, intestines or respiratory tract. The bacteria reach the prostate through the blood to cause infection.
Examine
an examination
Related inspection
Prostate tumor marker (PSA)
1, systemic symptoms: fatigue, weakness, anorexia, nausea, vomiting, high fever, chills, collapse or sepsis. Systemic symptoms can mask local symptoms during sudden onset.
2, local symptoms: the perineal or suprapubic area of heavy pressure, sedentary or defecation, and to the waist, lower abdomen, back, thighs and other places.
3, urinary tract symptoms: burning pain during urination, urgency, frequent urination, urine drip and purulent urethral secretions. Bladder neck edema can cause poor urination, fine or interrupted urinary flow, and severe urinary retention.
4, rectal symptoms: rectal fullness, then anxious and painful bowel movements, urethral whitening when stool.
Diagnosis
Differential diagnosis
Perineal tearing: perineal III degree laceration or complete perineal laceration, including vaginal laceration, perineal laceration and anal sphincter laceration, severe rupture can extend to the rectal wall, causing stool and gas incontinence. The cause of the accident is due to improper handling during the delivery process, and occasional trauma. Due to the vigorous implementation of the new method, the birth attendant properly protects the perineum and greatly reduces the incidence of perineal III degree laceration. Occasionally occurred in large hospitals in the city.
Perineal ulcer: The genital ulcer refers to the loss or exfoliation of the normal epithelium of the skin mucosa in the anus and genital area. It is a complex and diverse cause of genital ulcers, so it usually represents a variety of diseases including various skin diseases and sexually transmitted diseases. .
Anal perineal area is damp and unclean: old incontinence or anal incontinence refers to defecation and deflation that are not controlled at least twice or more per day. It is a kind of clinical symptom with various pathophysiological basis caused by various reasons. The incidence rate of the elderly is about 1%. The elderly inpatients are more common than the average female. Fecal incontinence is common in elderly people with mild fecal incontinence and is often not reported by patients and doctors. Physical examination showed that the perineal perineal area was wet and unclean.
1, systemic symptoms: fatigue, weakness, anorexia, nausea, vomiting, high fever, chills, collapse or sepsis. Systemic symptoms can mask local symptoms during sudden onset.
2, local symptoms: the perineal or suprapubic area of heavy pressure, sedentary or defecation, and to the waist, lower abdomen, back, thighs and other places.
3, urinary tract symptoms: burning pain during urination, urgency, frequent urination, urine drip and purulent urethral secretions. Bladder neck edema can cause poor urination, fine or interrupted urinary flow, and severe urinary retention.
4, rectal symptoms: rectal fullness, then anxious and painful bowel movements, urethral whitening when stool.
