Prostatitis

Prostatitis is any form of inflammation of the prostate gland. Because women do not have a prostate gland, it is a condition only found in men. more...

Prostatitis may account for up to 25 percent of all office visits by young and middle-age men for complaints involving the genital and urinary systems.

Signs and symptoms

Inflammation of the prostate leads to pain, often during voiding but also in back and rectum. Frequent urination and increased urgency may suggest a cystitis (bladder infection). Ejaculation may be painful, as the prostate contracts during emission of semen.

Diagnosis

If prostatitis is suspected, urinalysis may show white blood cells, red blood cells, nitrite positivity and microorganisms. This is mainly so in acute prostatitis and asymptomatic inflammatory prostatitis (see below). In the other types, urinalysis may be unhelpful.

Prostate specific antigen levels may be elevated, although there is no malignancy. In acute prostatitis, a full blood count reveals increased white blood cells. Sepsis from prostatitis is very rare, but may occur in immunocompromised patients; high fever and malaise generally prompt blood cultures, which are often positive in sepsis.

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