Indications and preparation for a study of prostate secretions - indicators of norm and deviation. Analysis of prostate secretion - decoding the results and how it is done. Study of prostate juice decoding

The male prostate gland produces a secretion that is integral part sperm. Study of prostate secretion allows the doctor to give the patient the correct diagnosis.

Composition and functions of prostate secretion

The liquid consistency of prostate secretion is explained by the presence of water, which makes up 92-95% of its volume. The remaining 5-8% are potassium, calcium, sodium, zinc salts, chlorides, phosphates, enzymes (phosphatase, hyaluronidase, fibrinase, fibrinolysin), immunoglobulins, sugar (fructose, maltose), leukocytes, epithelial cells, lipoid grains, spermine.

The harmonious balance of all components of the secretion ensures the fertilizing ability of sperm. Any deviation from the norm leads to infertility in a man. After all, it is the secretion of the prostate, which makes up one third of the volume of ejaculate, that provides motor activity and the viability of sperm released into the external environment. Including its alkaline environment, it neutralizes the harmful effects of the acidic environment of the vagina.

Microscopic examination of prostate secretion allows us to draw conclusions about changes in its composition and determine the disease.

How is a prostate examination performed?

How to obtain prostate secretion? By massaging the prostate itself. The urologist does it with his finger through the rectal route for 5-7 minutes.

But the process itself must be preceded by serious preparation:

sexual activity is contraindicated during the week;
Alcohol, physical activity, and baths should be eliminated in 2-3 days;
Immediately before the procedure, you need to perform a cleansing enema and urinate.

As a result of all manipulations, liquid should be released from the canal. If this does not happen, then the first portion of urine is collected - the secretion could have entered it through the ducts. But in this case the analysis is not so informative.

How to understand the research results

When examining the secretion of the male gland, macroscopic and microscopic parameters are taken into account.

Macroscopic parameters when examining secretions

From this point of view, the following indicators are studied:

Amount of liquid. There should be approximately 3-4 ml - up to 1-2 drops. Both a decrease and an increase in the volume of prostate secretion indicates congestion in it.
Color. A healthy color is whitish. If in male organ some kind of inflammation occurs, it changes to yellow or even reddish (with blood impurities).
Consistency. A healthy man has a thick, viscous secretion.
Density. The norm is 1022.
pH reaction. As the disease progresses, the healthy alkaline environment of the prostate secretion may become acidic. This is a sign of acute prostatitis.

Diagnosis of prostatitis: microscopic parameters

An increase or decrease in the number of cells, the absence or presence of bacteria - for this purpose, a study of the prostate secretion is carried out.

Leukocytes: what should be the norm?

Everyone knows from school that an increased number of leukocytes signals inflammation. This means that pathogenic microorganisms have appeared in the body or in a separate organ. The prostate is no exception. Even if they are present in healthy prostate secretion, there should be no more than 0-12 of them in the field of view.

Red blood cells: as evidenced by an increase in their number

There should also be few of them - isolated phenomena in the field of view. An increase in the number of red blood cells indicates serious pathologies in the prostate gland - adenoma and cancer.

Epithelial cells (columnar epithelial cells)

Normally there should be few of them - single cells of columnar epithelium. The abundance of epithelium may indicate inflammation, for pathological peeling of the epithelial lining.

Macrophages: what they indicate

This is another beacon that signals the presence of foreign cells (bacteria, viruses) in tissues. They should not be kept secret by a healthy patient. Their presence indicates inflammation in the male organ.

Amyloid bodies as a sign of prostate adenoma

Also should not be detected in the secretion of a healthy prostate gland. This is one of the signs adenomas.

Giant cells in the prostate secretion

The presence of giant cells is also explained by pathology - chronic inflammation or congestion.

Lecithin (lipoid) grains: meaning

These are healthy cells, of which there should be a lot, because lecithin grains make up 1/2 of the total secretion. A decrease in the number diagnoses male fertility and prostatitis.

Atypical malignant tumor cells

The presence of such cells is a reason to begin treatment for prostate cancer.

Mushroom spores and mycelium

None in normal condition.

Fern symptom (arborization test)

A drop of saline solution is added to the secretion, dried and examined through a microscope. Sodium chloride precipitates and forms a pattern resembling a fern print. But only if the secret is healthy. If not, such a visual effect does not occur.

Gonococcus in the study of prostate secretions

If the patient is healthy, then when examining the secretion of the prostate gland, on the contrary, the signature “not detected” will appear.

Trichomonas as a sign of pathology

Likewise, they shouldn’t exist.

Study of the bacterial flora of the secretion

The bacterial flora of the secretion is also studied. The presence of many bacteria indicates existing and developing pathology.

An example of decoding for bacterial prostatitis

The doctor made a diagnosis. But to confirm, he ordered an analysis of prostate secretions - the interpretation may look different.

Bacterial prostatitis

This disease will be indicated by:

brown-yellow, cloudy color;
sweet smell of secretion;
acidic pH environment - more than 7;
a large number of leukocytes in the field of view - more than 10 at a magnification of 280;
a large number of epithelial cells - more than 10 at a magnification of 280;
single lecithin grains;
macrophages - 15-18 per field of view;
amyloid bodies are absent;
gonococci, trichomonas and fungal mycelium were found;
microflora - in large quantities.

Chronic bacterial prostatitis

The analysis of the secret will be similar to the first example in almost all positions. Only the color of the liquid becomes reddish before the development of a chronic form of the inflammatory disease - due to the presence of red blood cells in it. Their number can reach 25-30 in the field of view.

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Answer

Prostatitis is a disease of the male reproductive system. It is interconnected with the urinary tract. When the prostate gland becomes inflamed, the flow of urine becomes difficult. The urinary tube is located between the two sides of the prostate. When the iron becomes inflamed, it becomes more difficult to remove urine from the body. If the disease is not treated promptly, it can cause cancer. According to statistics, prostatitis is diagnosed in men over the age of 35. The majority of diagnoses occur in men over 50 years of age.

Prostate secretion for analysis

IN modern society Prostatitis occurs in every 12 patients. Pathology manifests itself in acute and chronic forms. Clinical expression of the disease:

increased body temperature;
headache;
burning in the perineal area;
pain when urinating;
ejaculation disorder;
pain in the rectal area.

It is easier to start treatment of the disease in the initial stages of development. Modern medicine examines prostate secretions when diagnosing pathology. The analysis makes it possible to determine the degree of deviation from the standard indicator.

Analysis of prostate secretion

Prostate secretion is a liquid that has a specific odor and is the result of the activity of the gland. During normal functioning, the fluid is part of the sperm and ensures sperm motility. Analysis of prostate secretion using a microscope and bacteriological culture make it possible to draw conclusions about the healthy functioning of the gland or the presence of pathology. An analysis is prescribed to determine the diagnosis of prostate pathology. Relevant for male infertility, a chronic form of manifestation of the inflammatory process. The study determines the type of inflammation (bacterial or non-bacterial). Prostate juice is examined in the following conditions:

pain in the perineum, lower abdomen;

Petri dish with analysis of prostate secretion

lack of erection in the morning;
discharge from the urinary canal with an unpleasant odor;
lack of sexual attraction to women;
regular need to urinate at night;
pain when urinating;
problems with reproductive function;
decreased immunity;
feeling of weakness, malaise.

There are complications in which analysis is not recommended, as it can harm the patient:

the presence of hemorrhoids, especially internal ones;
cracks in the rectal area;
increased body temperature;
the presence of hard formations that injure tissue;
bleeding from the anus;
chronic form of inflammation of the gland.

The material is taken from the patient within two minutes. Before the study, the doctor checks the patient for any contraindications to the procedure.

How to make prostate secretion

Elements of the prostate secretion

No special preparation is required before taking biological material. Doctors recommend abstaining from sexual intercourse for up to 4-5 days. The procedure is carried out in the morning, before meals. Before the procedure, the doctor will familiarize the patient with the procedure for collecting biological material. A man should prepare psychologically, understand the order, necessity and course of the procedure. Before the analysis, the intestines are cleansed using an enema. The patient is sent to the toilet, and the remaining urine is removed. Basic instructions from doctors to patients before the procedure:

do not drink alcohol for a week;
cleanse the intestines in the morning;
before the procedure, remove the remaining urine from the urethra so that the biological material is not diluted;
abstinence from sexual contact.

Representatives of the stronger sex do not perceive the progress of the procedure. The analysis is important in determining the health of the prostate gland. Advice from the psychological impact on the patient:

ask the doctor in detail about the manipulation;
read the reviews on the forums;
When manipulating, relax as much as possible, do not be nervous.

How to take prostate juice

To study the condition of the gland, it is necessary to correctly collect biological material. When studying manipulation, men begin to resist. The doctor’s task is to convey and justify the need for the procedure. The secretion is released when the prostate gland is massaged. The doctor performs the procedure rectally. Manipulation progress:

the man kneels and leans on his elbows;

Tests for diagnosing prostatitis

the doctor inserts the index finger into the rectal area;
feels the convex gland;
performs a massage (using stroking, expelling movements);
The duration of the massage is up to 8 minutes;
the secretion is released from the urinary canal, it is placed in a sterile container and sent for examination;
A few drops are enough for analysis.

The manipulation is carried out by a male doctor. Prostate massage Prostate secretion is produced when stroking the gland. There are cases when the secretion of the prostate gland is not released during massaging. In this case, the man must urinate. The first urine sample after the massage is taken for examination. The urine contains drops of secretion. The research process provides less information from urine than from juice. The manipulation for men is painless and does not cause discomfort. When abstaining from sexual intercourse, with complete relaxation, absence of nervousness, it gives pleasant sensations. In case of inflammatory processes, the procedure is carried out in the same way as in their absence.

Analysis of prostate secretion: norm and deviations

The obtained biological material is sent for research. The study is carried out in two ways:

under a microscope;
bacteriological culture.

Examination of prostate secretions for pathologies

In the first case, a drop of liquid is located on the glass. The top is covered with special glass. Without staining the material, the number of leukocytes, lecithin grains, epithelial cells, and amyloid bodies is studied. With a standard indicator, the field of view of the researcher should contain within ten leukocytes. Increased rate- the first sign of the inflammatory process. The first result of a secret may be normative.

The indicator does not imply the absence of inflammation. To completely exclude pathology, it is recommended to repeat the manipulation. In the chronic form, thick juice is formed that clogs the ducts of the gland. Elimination after massage occurs from healthy areas. In such cases, the doctor prescribes 6 sessions of prostate massage, medications. After the procedure is completed, the procedure is repeated. The second analysis will show a picture of the inflammatory process or completely eliminate the possibility of formation. An increased level of leukocytes in the secretion does not always indicate the presence of prostate inflammation. This may be a sign of inflammation of the urinary system. Before testing the juice, urine is taken for analysis. The regulatory analysis of a secret should include:

the amount of fluid released ranges from 0.5 ml to 2 ml;
PH – neutral or slightly acidic 6.4–7.0;
White color;
specific sperm smell;
by density 1022;
the juice is thick, viscous-looking liquid;
the number of leukocytes is not more than 10 units;
amyloid bodies are not observed in the prostate secretion;
red blood cells are rare or absent;
lecithin grains about 10 million/ml.

What can prostate secretion reveal?

The microflora is normal, there are no bacteria or cocci.

Content

An examination of the reproductive system called “analysis of prostate secretions in men” is a simple procedure for examining the prostate gland, the decoding of which will help the doctor determine the cause of diseases and pathological conditions. Prostate fluid affects reproductive function men, so when unpleasant symptoms You should not delay visiting a specialist.

What is prostate secretion

A component of ejaculate in men is a biological fluid of the body called prostate secretion. The composition of the fluid has a direct impact on the ability of sperm to fertilize. Doctors determine pathological processes by changes in the components of prostate juice. If there are suspicions of disease or complaints from the patient, a specialist may prescribe a test of the functioning of the male reproductive system - analyze the secretion of the prostate gland.

How do they take it?

Analysis of prostate secretions is a simple procedure. How is prostate juice taken from men? To take the test, the patient lies on his side with his knees to his chest, or stands in a knee-elbow position. Juice stimulation is carried out by massaging the prostate through the rectum. When carrying out a massage procedure according to the generally accepted method, a special liquid begins to be released, which the specialist collects in a sterile container. If there is no secretion, it is necessary to collect the first portion of urine. The sediment contains a small amount of prostate fluid.

Why do they take it?

A culture of prostate fluid is taken to identify the cause of pathologies associated with the male reproductive system (cancer, etc.). Also indicators for taking the test are signs found in chronic inflammation of the prostate. Identifying the symptoms of this disease is very problematic. An analysis of prostate secretion will show the quality of sperm (which is especially important in case of male infertility), the causative agent of inflammation, and will determine the effectiveness of the prescribed treatment. Other indications for the study are the presence of the following symptoms in men:

pain in the lower abdomen or perineum;
decreased potency and male libido;
problems with urination (weak stream of urine);
lack of erection;
discharge with an odor from the urethra;
urinary incontinence;
the urge to urinate at night.

Study of prostate secretion

Preparing for the research procedure is simple. On the day of collection, it will not be superfluous to give a cleansing enema. Preparation for the donation of prostate secretions includes general recommendations: abstinence from sexual intercourse a week before the date of the test, a ban on alcohol, baths and saunas, and a reduction in physical activity. Analysis of prostate secretions is carried out in a laboratory setting. The analysis is studied biochemically and visually. The doctor determines the reaction of the environment, the color of the secretion, and measures the volume.

The laboratory may conduct a special test to determine pathology. It reveals the “fern symptom” and is produced as follows: the liquid is mixed with saline. Normally, when dry, the pattern will look like a fern. Analysis of prostate juice is divided into 2 methods of study:

microscopic;
bacteriological.

Microscopic

Through a microscopic examination of the secretion of the prostate gland, the doctor studies the cellular structure of the fluid of the glandular-fleshy organ. Microscopy of prostate secretion is carried out as follows: a drop of secretion is examined by a specialist under a microscope. The liquid is placed on a glass slide and covered with a coverslip. If the analysis results are good, one cannot speak of the absence of inflammation. If treatment is not timely, blockage of the excretory ducts occurs.

Bacteriological

The specialist prescribes a treatment regimen only after the results of a bacteriological examination. It is necessary to undergo tests for prostatitis, with the help of which the doctor identifies the type of microorganism that is the cause of the inflammatory process. The described procedure is otherwise called “prostate fluid culture.” If there is no growth of pathogens, closed infectious foci may be observed, so the doctor prescribes re-seeding.

Interpretation of prostate secretion analysis

An accurate diagnosis occurs after receiving the results of the analysis, which is deciphered only by a doctor. Bacteriological culture of prostate secretion will help determine the presence of fungi, bacteria and other pathogenic microorganisms. Using the information obtained, you can find out the type of pathogenic microflora, the number of bacteria and find a group of antibiotics to which the microbes will be most sensitive. Microscopy of an unstained specimen will tell laboratory technicians about the presence, absence or quantity of the following characteristics:

leukocytes;
giant cells (macrophages);
red blood cells;
epithelial cells;
lecithin grains;
amyloid bodies.

Leukocytes

The function of white blood cells is to support the immune system. A small amount of leukocytes is allowed in the body - up to 5 cells. Ideally, there should be no component in the prostate juice, but the presence of leukocytes in small quantities does not indicate inflammation. When taking the test, a few cells may penetrate into the container, since the prostate secretion passes through the urethra. During the inflammatory process, the prostatic fluid becomes viscous and the excretory ducts become blocked. This phenomenon makes it difficult to know the exact number of cells.

Amyloid bodies

A procedure for examining the state of prostate juice, such as microscopy, will help detect amyloid stones. Exceeding their number indicates the presence of advanced stage prostatitis, stagnation in the gland, the presence of adenoma and inflammation. Amyloid bodies are a clot of prostate juice that has an oval shape. In the test results of a healthy man, no bodies are found. In older people, the risk of finding amyloid stones is much higher than in young men.

Betcher crystals

Specific crystals were discovered by Boettcher in male semen and are needle-shaped clusters that crystallize when prostate juice and sperm dry and cool. The substance should not be present in the material being tested. The presence of crystallization indicates oligozoospermia, azoospermia, and inflammatory processes.

Macrophages

The number of macrophages in the gland juice should not exceed one. The levels of this substance increase with fluid stagnation in the prostate or chronic inflammation. A significant number of macrophages is a prerequisite for carrying out bacterial culture when the causative agent of the inflammatory process is undetected. Macrophages are a type of white blood cell, otherwise called monocytes, that are involved in fighting infections.

Lecithin grains

Lipoid (lecithin) grains are non-cellular formations that make up 1/2 of the total secretion. The analytes are normal prostate epithelial cells. The entire field of view should be covered with these compounds. In normal analysis results there are a large number of them, but a decrease occurs during stagnation, indicating prostatitis or human fertility.

Epithelial cells

When analyzing secretions by massaging the prostate gland, a small amount of epithelial cells - connections of the prostate ducts - may be detected. When viewed under a microscope, there should be no more than two compounds in the field of view. Exceeding the norm indicates inflammation of the prostate tissue. A result of 15 cells shows desquamatous inflammation - peeling of the epithelial lining.

Flora

A single amount of some types of rods or cocci may be observed in the flora, which does not indicate pathology. A sign of nonspecific inflammation is a huge number of opportunistic microorganisms. Bacterial prostatitis causes an abundant manifestation of pathogenic flora, which the laboratory technician will definitely notice in the analysis results. The state of the flora is determined through bacterial culture, contraindications to which are:

body temperature from 38 degrees;
anal fissures;
haemorrhoids;
prostate tuberculosis.

Fungi

If a man has Candida fungus in his body, fungal prostatitis (candidiasis) may develop. When the immune system is normal, the fungus does not manifest itself in any way. When the body's defenses decrease, a pathological process begins. Fungi are detected by analyzing prostate secretions through massage. There are 2 ways of infection with fungal prostatitis: through the urethra (ascending) or through the bloodstream (hematogenous).

Normal and abnormalities in the analysis of prostate secretions

Only a doctor can reliably recognize abnormalities and determine the presence of inflammation. When reading test results independently, errors are possible, which can be followed by incorrect treatment. A timely visit to a specialist will help to correctly diagnose the disease. Main indicators of deviations and normal values:

Secretion indicators	Norm	Deviations
Color	white	yellow tint, blood
Smell	the smell of sperm	any other
Acidity (pH)	6.4-7.0 (slightly acidic or neutral)	alkaline or acidic environment
Density	1,022	change above normal
Slime	absence	present
Red blood cells	none	There is
Epithelial cells	from 1 to 2 in the field of view	quantitative value greater than 3
Amyloid bodies	minimal amount	There is
Macrophages	absent or isolated	sharp increase
Lecithin grains	10 million/ml	reduced number

Video: analysis of prostate secretion

Attention! The information presented in the article is for informational purposes only. The materials in the article do not encourage self-treatment. Only a qualified doctor can make a diagnosis and give treatment recommendations based on the individual characteristics of a particular patient.

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Indications and preparation for a study of prostate secretions - indicators of norm and deviation

The main task of the prostate gland is to produce secretion. This substance is very important for the viability and motility of sperm. Prostate secretion may, when analyzed and deciphered, indicate the presence of prostatitis, adenoma or other pathologies that require mandatory treatment. A laboratory test is performed and therapy is carried out to prevent possible complications.

What is prostate secretion

When they talk about prostate juice, they mean the liquid, which is the male biological composition. It is normally released when a man is sexually aroused. The secretion of the gland is part of the ejaculate process and is part of the sperm. Normally, the prostate produces about 2 ml of juice per day, but if the functioning of the gland is disrupted, it may not be formed at all or may contain pathogenic microorganisms that cause the development of diseases. To conduct tests and identify abnormalities, prostatic secretions are taken for analysis.

Compound

95% of prostatic juice consists of ordinary water, like many biological fluids. The remaining 5% consists of microflora and specific substances that can become a marker of the presence of any abnormalities. Among the elements of the composition of the secretion of the gland are:

phosphates;
chlorides;
proteins;
calcium and zinc salts;
different groups enzymes;
bicarbonates;
citrates.

In addition to the above components, prostate juice must contain:

nutrient cells;
special amyloid bodies;
leukocytes;
lecithin grains.

Who is prescribed prostate secretion analysis?

To collect and carry out the analysis, it is necessary to undergo training and a special procedure, which is considered unpleasant among men. No one wants to do research without a reason, but serious reasons for this would be:

cutting, pain when urinating;
diagnostics male infertility;
pain in the groin area, perineum;
frequent urge to urinate with a weak stream;
thick, yellow discharge from the urethra with an unpleasant odor.

Preparing for analysis

Before donating a prostate secretion culture, a man must fulfill certain conditions. they will help to obtain a reliable result and avoid inaccuracies during laboratory research. There is nothing complicated in preparation; a man is recommended to follow these rules:

refrain from sexual intercourse 5-7 days before taking a secretion test;
It is not recommended to drink alcohol, visit the bathhouse, sauna;
It is not advisable to train or receive any other serious physical activity at this preparatory stage.

How to take prostate juice

To collect prostate juice, a special massage is first performed. The study of prostate secretions can only be carried out in this way; the manipulation can be carried out in the laboratory or independently at home, but the second option can be spoiled if carried out ineptly. For analysis, you need to take material as follows:

The man lies down on the couch.
Takes the fetal position (elbows and knees pressed to the stomach).
The doctor inserts a finger into the anus, feels the prostate and performs massage movements for about 5 minutes. For some men, even two minutes is enough.
Immediately after this, the collected liquid is sent for examination.

To conduct a study, only 1 drop of material is needed, this amount is enough to detect diseases. Sometimes the collection of a secret does not occur due to the psychological mood of the man, he simply does not stand out. Under such conditions, morning (first) urine is collected, but the reliability and information content of such a study is very low. You can collect prostate juice at home; for this, a prostate massage can be performed by your life partner. The material must be applied to one glass and covered with another and immediately delivered for analysis.

Analysis transcript

A small amount of material is applied to glass and sent for testing to a laboratory. Analysis of prostate secretion helps determine the presence of elements in the juice, the normal state or pathological deviations in the composition. The following indicators are taken into account when decoding:

amyloid body index;
leukocyte level;
presence of epithelial cells;
lecithin grains index.

Norm and deviations

When deciphering, the doctor must take into account all the indicators that he compares with the norm. The presence of certain elements indicates the development of prostatitis, adenoma or the presence of an inflammatory process. There are certain indicators that may indicate the activity of an infectious disease caused by a pathogen that entered, for example, through the excretory ducts. Below are described important indicators, which may indicate that the patient needs to undergo treatment.

Leukocytes in prostate secretion

This is one of the elements that is taken into account when deciphering the analysis of prostate juice. In a normal (healthy) state of a person, the number in the area under study should not be more than 10. If there are more of them, then this indicates an acute inflammatory process in the prostate gland. Erythrocytes (red cells) are also taken into account, which should not be included in the analysis at all. A single presence is allowed if the massage was too intense. If more than 2 units are detected, this indicates the development of prostatitis or a malignant tumor.

Lecithin grains in large quantities

There should be a lot of secret in this element. Under a microscope, grains dot everything in the field of view, there are up to 10 million. A high indicator when studied indicates the health of the sexual organ and the fertile function of sperm (the ability to fertilize). A decrease in the number of grains indicates a possible chronic inflammatory process. Sometimes lecithin elements are completely absent, which indicates improper prostate massage.

The same result will occur if there is an inflammatory process and the gland ducts are clogged. In this case, the man will be prescribed a course of massages to improve blood circulation and remove inflammation. As a rule, therapy consists of 10-12 procedures for 3-5 minutes, after which inflammation should greatly decrease, pain disappear and secretion secretion should normalize.

Amyloid bodies

This component from the secretion of the prostate gland (prostate) is a condensed component of the substance, oval in shape and with a layered structure, sometimes having an irregular shape. If a person does not have any pathologies, but they are not detected during the analysis. The secretion of amyloid bodies indicates the possible development of gland hypertrophy, adenoma or an inflammatory process.

Macrophages

The last element from the secretion, which indicates the possible occurrence of inflammation due to disruption of the functioning of the gland or the penetration of bacteria. The absence of macrophages in the analysis is considered normal; if they are present, it means that pathological microflora has penetrated the tissue. The prostate juice of a healthy person should not contain these elements.

Analysis of prostate secretion and its decoding is the most accurate way to identify pathology genitourinary system at an early stage, when the disease has not yet manifested itself, but is already beginning to undermine men’s health. This diagnostic method is highly accurate and allows you to determine the development of diseases such as infertility, prostate cancer and infectious diseases.

Analysis of prostate secretions is a laboratory test through which the main indicators of the functionality of the prostate are identified. The secret is subjected to various manipulations, after which the characteristics of its components are determined. If the data obtained after research has deviations from the normal value, this can serve as the basis for making an accurate diagnosis.

How to analyze prostate secretions

Before taking the test, it is advisable to familiarize yourself with how prostate secretion is analyzed. The urologist massages the prostate through the rectum, which causes secretion to be released through the urethra. In some cases, massage procedures do not lead to the desired result, then the doctor may ask you to urinate into a test tube. Urine flushes secretions from the urethra and can be used as research material.

Preparation for the procedure

Before submitting the analysis, it is necessary to adhere to a number of mandatory recommendations that will ensure the correctness of the final research result. These include:

Quitting use alcoholic drinks a week before the analysis;
Sexual abstinence 1 – 2 days before the test;
Do a cleansing enema a few hours before visiting the doctor.

Indications for analysis

In addition to the preventive reason for the test, the following symptoms are indications for analyzing prostate secretions:

Malaise and general weakness;
Frequent and painful urination;
Decreased libido;
Problems with conception;
Painful sensations in the pubic and groin area.
If sperm culture did not identify the cause of the symptoms.

Contraindications

Despite the relatively simple procedure for obtaining secretions, this diagnostic method has contraindications. Secretion analysis is contraindicated in patients with the following symptoms/pathologies:

Anal fissure;
Increased body temperature from 38 degrees Celsius;
The presence of acute inflammatory diseases;
Acute hemorrhoids;
Prostate tuberculosis.

If there are contraindications, you can perform a bacterial ejaculate seeding, which also makes it possible to obtain partial information about your health status.

Secret research methods

Since the nature of diseases is different, several types of laboratory tests are used to identify them. This does not mean that you need to think about how to analyze prostate secretions - a comprehensive study involves the use of all analysis methods. Depending on the chosen method, only the interpretation of the analysis of prostate secretion differs. On this moment Three research methods are used.

Prostate secretion culture tank

Bacterial prostate secretion culture carried out to identify infectious diseases genitourinary system. The secretion is placed in conditions favorable for the development of microorganisms, in which the pathogen will begin to reproduce intensively. After a certain period of time, the accumulation of bacteria can be examined under a microscope. Through culture, the type of infection and the most effective group of antibiotics to treat it are determined.

Microscopic examination

This method involves the use of a microscope. The secretions are applied to a glass slide and then examined under a microscope to study the structure in detail. The analysis identifies the main components of the secretion, the quantitative characteristics of which are compared with medical standards. The main indicators are the number of lecithin grains, leukocytes, epithelial cells and amyloid bodies.

Lecithin grains in prostate secretion are present in mandatory, their insufficient number indicates obvious problems with men's health;
A decreased or increased level of leukocytes indicates the development of an infectious disease;
A high level of epithelial cells indicates the presence of prostatitis;
Deviation from the quantitative norm of amyloid bodies is a symptom of prostate dysfunction.

There is a separate video on this topic

Study of the nature of crystallization

This method is used to diagnose the development of prostatitis. The crystal lattice of sodium chloride, which is present in small quantities in the secretion, is considered. With a healthy prostate, the lattice resembles a fern leaf - a deformed structure indicates the presence of prostatitis.

Alternative diagnostic methods

If there are contraindications or other factors, you can diagnose pathologies using alternative methods, which include sperm seeding tank And tank culture from the urethra in men. It should be noted that this technique does not provide complete information about the state of the genitourinary system - with its help, the presence of diseases of an exclusively infectious nature is revealed and infertility is diagnosed. The process of bacterial culture is completely similar to culture for prostate secretions.

How to take a semen analysis

Material for semen analysis is collected through masturbation. During the collection procedure, do not touch the tube as this may affect the test results. For bacterial culture, a swab is taken from the urethra from the urethra using a Volkmann spoon.

Conclusion

The earlier the disease is diagnosed, the greater the likelihood of complete healing without the occurrence of chronic complications. Analysis of prostate secretions makes it possible to identify pathology at the early stage of development and begin timely treatment. Take care of your health!

Table with transcript

We also attach a table that shows the normal indicators of the analysis of prostate secretions, their deviations and interpretation:

Indicators		Explanation of deviations:
Quantity	from 0.5 to 2 ml	Both a decrease in volume (prostatitis) and an increase (with congestion) can be observed.
Color	Whitish	Inflammation in the prostate gland can make the secretion intensely white and yellow. The admixture of blood gives different shades of red.
Smell	The specific smell of sperm	Non-specific odor
Density	1022	X< 1022 >X
Reaction (pH)	Slightly acidic or neutral (pH = 6.4-7.0)	Typically, with acute prostatitis or exacerbation of chronic prostatitis, the pH shifts to the acidic side. In chronic P., without exacerbation, the reaction can be alkaline.
Leukocytes	0-10 in p/zr (magnification - 280) 0-5 in p/zr (zoom - 400) 300 cells/µl (using counting chamber)	An increase in the number of leukocytes above normal indicates the presence of an inflammatory process. It should be remembered that leukocytes can be mixed into the secretion when passing through the urethra.
Red blood cells	Single or absent	May appear with prostatitis and prostate cancer
Epithelial cells	1-2 in p/zr	An increase indicates the presence of an inflammatory component.
Macrophages	None or single	Their number increases with a chronic inflammatory process or with stagnation
Giant cells	None	Appear against the background of chronic inflammation in the gland and stagnation
Amyloid bodies	None	Their appearance indicates stagnation
Lecithin grains	A lot (10 million/ml)	The amount decreases with prostatitis
Böttcher crystals	Single	They have no special diagnostic value
Fern symptom	Positive	Negative
Gonococcus	Not found	Gonorrhea
Trichomonas	Not found	Trichomoniasis
Fungi	Not found	Detected with prostatitis
Flora (bacteria)	Single	With bacterial prostatitis, it is detected in large quantities (abundantly)