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What should I pay attention to in prostate examination?
Pay attention to the size, shape and hardness of the prostate, whether there are nodules, tenderness, fluctuations and central sulcus. This operation can also be used as a treatment. Pay attention to the size, shape and hardness of the prostate, whether there are nodules, tenderness, fluctuations and central sulcus. If chronic prostatitis is suspected, it is necessary to massage the prostate to obtain prostatic fluid for bacterial culture and laboratory examination. In addition, this operation can also be used as a treatment. 1. Patients usually take knee-chest position or lithotomy position. If the patient is seriously ill or weak, he can also take a lateral position. 2. The doctor wears gloves or finger covers, and the fingertips are coated with vaseline or liquid paraffin. 3. When taking the knee-chest position, support the patient's left shoulder or hip with the left hand, and gently massage the anus with the right hand to make the patient adapt and avoid sudden tension of the anal sphincter. Then slowly insert your finger into the anus. When the fingertip enters the anterior wall of rectum and is about 5cm away from anus, the prostate can be touched. Pay attention to the shape and changes of prostate. 4. When massaging the prostate, massage the fingertips inward and forward slowly, about 45 times on each side, then move your hand to the upper part of the gland and squeeze it down along the median sulcus to discharge the prostatic fluid from the urethra, and take samples for inspection. Precautions 1. Prostate massage indications should be clear, generally used for chronic prostatitis, such as suspected tuberculosis, abscess or tumor, massage is prohibited. 2. Massage with even and appropriate force. If it is too light, the prostatic fluid will not come out. If it is too heavy, it will cause pain. 3. Massage should be carried out in a certain direction, not back and forth. Unreasonable methods often make the inspection fail. 4. If the massage fails or the examination is negative, it should be repeated every 35 days if there are clinical indications.