Prostatitis; acute
Symptoms:
Additional symptoms that may be associated with this disease:
Signs and tests:
A physical examination will reveal a prostate that is swollen, firm, warm, and very tender. The physical examination may reveal enlarged and/or tender inguinal lymph nodes (groin area), scrotal swelling and/or tenderness, and a urethral discharge.
Triple-void urine specimens may be collected for urinalysis and urine culture: - #1 initial stream
- #2 mid-stream
- #3 post (after) prostatic massage by examiner
Note: The health care provider may choose not to perform prostatic massage in an acute condition where the prostate is obviously swollen and tender because massage may potentially spread the infection and cause bacteremia or sepsis (generalized infection in which bacteria are present in the bloodstream, rather than localized to one specific part of the body).
Prostatitis may be present where urinalysis reveals increased WBCs and bacterial growth upon culture of urine #3, or where prostatic secretions contain increased levels of WBCs and more concentrated bacterial growth upon culture.
This disease may also alter the results of the following tests:
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