NBP; Prostatodynia; Pelvic pain syndrome
Symptoms
The common symptoms associated with nonbacterial prostatitis include:
- Pain
- Perineal
- Suprapubic
- Scrotal
- Low back
- Urethral
- Tip of penis
-
Frequent urination -
Pain or burning with urination - Decreased urinary stream
-
Pain with ejaculation - Pain with bowel movements
- Blood in the urine
- Blood in the semen
The symptoms of nonbacterial prostatitis are the same as those of chronic bacterial prostatitis.
Signs and tests
A physical examination usually will not reveal anything unusual, although the prostate may be swollen, soft or firm, warm, and tender.
Triple-void urine specimens may be collected for
- #1 -- initial stream
- #2 -- mid-stream
- #3 -- after prostatic massage by examiner
A urinalysis reveals increased white blood cells, but no bacterial growth, upon culture of urine #3. Blood may be detected in the urine. Prostatic secretions also contain increased levels of white blood cells and no bacteria.
A semen culture will not demonstrate bacterial infection but may demonstrate increased numbers of white blood cells and decreased numbers of sperm, with poor motility.
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