How to collect prostatic secretion?
If you noticed such symptoms as stabbing pain in your groin area, discomfort or urgency of urination, a urologist may refer you for the prostatic secretion test. Many men are afraid of this procedure but if you are aware of how prostatic secretion is collected, you will get rid of many fears concerning this test.
Physical-chemical properties and functions of prostatic secretion
Prostate gland is referred to exocrinous, androgen dependent glands and has 2 functions in a male body:
- Produces a constituent part of the sperm – prostatic secretion;
- Prevents release from the bladder during erection.
Prostatic secretion is a fluid comprised of 95 per cent water and having specific physical and chemical properties. It is produced in the prostate gland. Except water it also consists of the following elements: minerals (calcium salts, sodium salts, potassium and zinc salts), enzymes and cell elements (white blood cells and epithelial cells). Spermin is responsible for a strong smell of prostatic fluid and the secretion has its whitish color due to the crystals of cholesterol and lipoid droplets.
One-third of the sperm is prostatic secretion. Its main task is to enable activity and vital functions of the sperm cells outside a male body. As only active sperm cells are able to fertilize with ovum, prostatic secretion plays a great role in fertility of male sex cells.
Inflammatory diseases of the prostate gland or male sex hormones imbalance may cause disorder with prostatic secretion or pathological changes in its composition.
Indications for prostatic secretion test
A doctor may refer you for a prostatic secretion test in the following suspected conditions:
- Prostatitis (inflammation of the prostate gland);
- Inflammation in the urinoexcretory system (cystitis, urethritis);
- Benign condition;
What the procedure of prostatic secretion collection is like?
The procedure of prostatic secretion collection is relatively simple but it may be a bit unpleasant. Your doctor should inform you about the rules of getting ready for the test. Before a prostatic secretion test will be performed, you should do the following:
- Stop taking antibiotics and other medications;
- Refrain from sex for 3-4 days before the test;
- Do not drink alcohol, eat fatty and hot foods and smoke a day before the test;
- Do not do active sports;
- Cleansing enema (as recommended by your doctor).
The test requires a massage of the prostate in order to collect male prostate fluid. The massage is performed by a qualified doctor (urologist or andrologist).
A man stands bending 90-degree angle or standing on a bed in a knee-elbow position. The doctor then puts on gloves and applies lubricant to the examining index finger. Next, he advances the index finger into the anus for 3-5 cm. The doctor evaluates the form, size, structure and symmetrical position of the lobes of the prostate. At first, the doctor massages one lobe and the second one. His movements are from top downward, from the peripheral zone to the central groove. At first, pressure intensity on the prostate tissues is minimal but gradually it is increased. Finally, a doctor moves his finger along the central groove outwards. The duration of the massage is 1-2 minutes. If everything is done correctly, a few drops of discharge will appear at the urethral opening. This fluid will be analyzed under a microscope.
If after the stimulation, secretion did not appear, the doctor may refer you for the three-glass test. After the massage, three portions of urine are placed into three separate test tubes. If there is inflammation in the prostate gland, the changes will be observed only in the third tube.
After the doctor makes his diagnosis, prostate massage may be indicated as a treatment procedure. A positive therapeutic effect relates to the improved circulation and venous drainage from the prostate, better permeability of excretory ducts and enhanced absorption of antibacterial medicines into the glands tissues.
Contraindications to the prostatic secretion test
As any other medical interference, the prostatic secretion test has its contraindications:
- Rectal pathologies: prolapsed hemorrhoid, anal fissures, rectal inflammation;
- Acute urethritis, epididymitis;
- Prostate cancer;
- Stones in the prostate gland;
- Tuberculosis of the prostate gland.
Take care about your male health. If you know, how the test to collect prostate secretion is performed, you will be less nervous. This is not a pleasant procedure, however it is absolutely necessary for an accurate diagnosis and proper treatment.