NBP; Prostatodynia; Pelvic pain syndrome; CPPS; Chronic nonbacterial prostatitis; Chronic genitourinary pain
Blood in the semen
Blood in the urine
Pain that is located:
Above the pubic bone (suprapubic) Between the genitals and anus (perineal) Low back Scrotum Tip of penis Urethra
Problems with urinating
Decreased urinary stream
Frequent urination Pain or burning with urination Incomplete emptying of your bladder Weak urine stream
Pain with bowel movements
Pain with ejaculation
Signs and tests
A physical examination usually will not show anything unusual. However, the prostate may be swollen, soft or firm, warm, and tender.
Urine tests may show white or red blood cells in the urine. A semen culture may show increased white blood cells and low sperm count with poor movement (motility).
Urine culture or culture from the prostate does not show bacteria.
I was recently contacted by another urologist who asked me a very interesting question - Are you aware of using a radical prostatectomy to treat prostatitis ? Prostatitis is an infection or inflammation of the prostate gland. There are different grades of prostatitis. Acute bacterial prostatitis develops when a bacteria grows inside the cells of the prostate causing fevers and severe burning when urinating. Chronic bacterial prostatitis develops when the bacteria returns to the prostate cells but the symptoms are not as severe. The man may have a low grade temperature, some discomfort when he urinates, and aches of the genitalia. These are very curable with antibiotics. Chronic non-bacterial prostatitis occurs when inflammatory cells are present in the prostate cells, not bacteria. This can occur in men after trauma, prolonged sitting, recent viral syndrome and previous bouts of bacterial prostatitis. This is the most common type of prostatitis that I see in private practice. Men gen...
Symptoms Prostatitis may occur with an infection in or around the testicles (epididymitis or orchitis ), especially if it was caused by an STD. In this case, there will also be symptoms of the other condition. Symptoms of acute prostatitis are more likely to start quickly and cause greater discomfort. They may include the following: Abdominal pain (usually right above the pubic bone) Burning with urination (dysuria) Fever, chills, flush Inability to completely empty the bladder (urinary retention) Low back pain Pain with urination (dysuria) Pain with bowel movement Pain with ejaculation Pain in the area between the genitals and anus (perineal pain) Other symptoms that may occur with this condition: Blood in the semen Blood in the urine Decreased force of urinary stream Difficulty urinating Foul-smelling urine Increased urinary frequency or urgency Testicle pain Signs and tests During a physical examination, your health care provider may find the following signs: Discharge from your urethra Enlarged or tender...
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