Symptoms associated with prostatitis:
(1) pain and/or discomfort (perineal, penile, testicular, rectal, inguinal, etc.)
(2) urinary dysfunction (frequency, urgency, change in stream, incomplete bladder emptying)
(3) ejaculatory disturbances (pain, bloody discharge, discolored ejaculate)
Classification:
(1) acute bacterial prostatitis
(2) chronic bacterial prostatitis
(3) chronic nonbacterial prostatitis/chronic pelvic pain syndrome
(3A) inflammatory
(3B) noninflammatory
(4) asymptomatic inflammatory prostatitis
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Condition
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Clinical Findings
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Laboratory Findings
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acute bacterial prostatitis
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acute inflammation with an enlarged and tender prostate
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WBCs in prostatic fluid or post-massage urine; positive cultures
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chronic bacterial prostatitis
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symptomatic but not acutely inflamed
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WBCs in prostatic fluid or post-massage urine; positive cultures
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chronic nonbacterial prostatitis/chronic pelvic pain syndrome, inflammatory
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symptomatic
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WBCs in prostatic fluid or post-massage urine; negative cultures
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chronic nonbacterial prostatitis/chronic pelvic pain syndrome, noninflammatory
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symptomatic
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WBCs absent in prostatic fluid or post-massage urine; negative cultures
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asymptomatic inflammatory prostatitis
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asymptomatic
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WBCs in prostatic fluid or post-massage urine; negative cultures
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Differential diagnosis includes:
(1) benign prostatic hypertrophy
(2) cystitis
(3) urethritis with/without sexually transmitted disease
