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Wednesday, December 3, 2008

Prostatitis - nonbacterial

Male reproductive anatomy
Alternative Names

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 urinalysis and urine culture:

  • #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.



Review Date: 06/13/2006
Reviewed By: Neil D. Sherman, MD, Urologist, Essex County, NJ. Review provided by VeriMed Healthcare Network.

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