Prostatitis (Prostate Inflammation): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps:

  • General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore:
    • Inspection (viewing).
      • Skin and mucous membranes
    • Inspection and palpation (palpation) of the abdomen (abdomen), inguinal region, etc. (groin region) etc. (pressure pain?, knock pain?, release pain?, cough pain?, defensive tension?, hernial gates?, kidney bearing knock pain?).
    • Inspection and palpation of the genitals (penis and scrotum; assessment of pubes hair (pubic hair), penile length (between 7-10 cm when flaccid), and testicular position and size (using orchimeter if necessary)).
    • Examination of the pelvic floor with identification of trigger points [due tochronic pelvic pain syndrome (CPPS, “chronic pelvic pain syndrome”)].
    • Digital rectal examination (DRU): digital rectal examination (DRU): examination of the rectum (rectum) and adjacent organs with the finger by palpation (assessment of the prostate in size, shape and consistency, possibly detection of indurations (tissue hardening)). [increased anal tone; slightly enlarged, tense (prallelastisch) and for the patient extremely pressureddolente (pressure painful) prostate with and without fluctuations (movement of a fluid under the skin / pus (pus))]
  • Cancer screening
  • Health check

Square brackets [ ] indicate possible pathological (pathological) physical findings.