Prostatic fluid test: Why are white blood cells high?

High white blood cells in prostatic fluid examination may be related to acute prostatitis, chronic prostatitis, urinary tract infection, prostate stones, immune factors, etc., which can be alleviated through anti-infective treatment, physical therapy, lifestyle adjustment, etc. It is recommended to seek medical treatment promptly and standardize treatment under the guidance of a doctor after the cause is clarified.

1. Acute prostatitis

Acute prostatitis is usually caused by bacterial infection, and common pathogens include Escherichia coli, Staphylococcus aureus, etc. Patients may experience symptoms such as fever, perineal distension and pain, and frequent urination and urgency. Commonly used clinical drugs include levofloxacin tablets, cefixime dispersible tablets, azithromycin capsules, etc. During treatment, you need to rest in bed and avoid sitting for long periods of time and spicy foods.

2. Chronic prostatitis

Chronic prostatitis can be divided into two categories: bacterial and non-bacterial, which may be caused by pathogenic infection, pelvic congestion and other factors. Symptoms include discomfort during urination and dull pain in the pubic area. Doctors may recommend the use of tamsulosin sustained-release capsules, celecoxib capsules, Pervasive tablets and other drugs, combined with warm water sitz baths to promote local blood circulation.

3. Urinary tract infection

When a urinary tract infection travels up to the prostate, it can cause an increase in white blood cells in the prostatic fluid, often accompanied by symptoms such as painful urination and cloudy urine. Nitrofurantoin enteric-coated tablets, fosfomycin trometamol powder, Sanjin tablets and other drugs are commonly used in clinical treatment. You should increase your daily water intake and maintain a daily water intake of 1500-2000 ml to help flush the urinary tract.

4. Prostate stones

Prostatic stones may stimulate the gland and trigger an inflammatory response, resulting in an increase in white blood cells during examination. Patients may have symptoms such as bifurcated urinary stream and difficulty urinating. Treatment options include terazosin hydrochloride tablets, Qianliekang tablets and other drugs. In severe cases, surgical intervention such as transurethral resection of the prostate should be considered.

5. Immune factors

Some patients have autoimmune abnormalities, leading to sterile inflammation of the prostate tissue. This is a situation where white blood cells are elevated but cultures for pathogens are negative. Doctors may recommend the use of immune modulators such as Total Glycosides of White Paeony Capsules and Pidotimod Oral Liquid. At the same time, overwork and stress must be avoided.

Patients with elevated white blood cells in prostatic fluid should maintain a regular schedule and avoid staying up late and having excessive sex. Eat a light diet and limit alcohol and caffeine intake. Carry out moderate aerobic exercise every day, such as walking, swimming, etc., but avoid riding a bicycle for a long time. Pay attention to the cleanliness of the perineum and avoid holding urine. Regularly review prostate fluid routine and monitor changes in inflammation. If symptoms persist or worsen, follow-up visits should be made in a timely manner to adjust the treatment plan.