Examination of the Prostatic Secretion for Leucocytes

SUMMARY As a result of the analysis of 185 cases it is concluded that in investigating the prostatic secretion for the presence of leucocytes following prostatic massage examination of the prostatic “bead” alone is inadequate. The urine passed after prostatic massage must also be examined. Provided the prostatic secretion is not allowed to drain away, examination of the prostatic urine alone is adequate. Provided the patient does not have a urethral discharge and that at least 3 fl. oz. of urine are passed immediately before the gland is massaged it is unlikely that the prostatic secretion will be contaminated from the urethra, and preliminary irrigation of the urethra is not necessary. In the interpretation of the prostatic urine care must be taken to eliminate contamination with leucocytes from the bladder and upper urinary tract.