Prostatitis; chronic

Symptoms:

• history of recurrent urinary tract infections
• low-grade or subtle symptoms may include:
  • low back pain
  • perineal or pelvic floor pain
  • testicular pain
  • pain/burning with urination
  • pain with ejaculation
  • pain with bowel movement

Note: There may be no symptoms.

Additional symptoms that may be associated with this disease:

• urine, bloody
• incontinence
• abnormal urine color

Signs and tests:

A physical examination will reveal an enlarged, mildly tender prostate
The examination may reveal enlarged and/or tender lymph nodes in the groin area, scrotal swelling and 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

A urinalysis reveals increased WBCs and bacterial growth upon culture of urine #3. Prostatic secretions contain increased levels of WBCs and more concentrated bacterial growth upon culture.