Symptoms of prostatitis


Prostatitis is a prostate disease of an infectious or inflammatory nature.

In 1999, the National Institutes of Health (NIH) approved a distinctive classification of four types of prostatitis.

  1. Acute bacterial prostatitis.
  2. Chronic bacterial prostatitis.
  3. Chronic Prostatitis with Chronic Pelvic Pain Syndrome (CPPS):
    • inflammation;
    • does not cause inflammation.
    • Asymptomatic prostatitis.

According to this classification, acute and chronic bacterial prostatitis is prostatitis in which a bacterial pathogen has been identified in a laboratory. Bacterial acute and chronic prostatitis is more common in young and middle-aged men, and acute prostatitis is less common than chronic prostatitis.

Symptoms of acute bacterial prostatitis

Acute bacterial prostatitis usually begins suddenly with a moderate to significant increase in body temperature with chills, pain in the lower back and perineum, urinary mass, nocturia, difficulty urinationand general malaise. Arthralgia (joint pain) and myalgia (myalgia) can also occur with acute bacterial prostatitis. Sometimes acute bacterial prostatitis can lead to acute urinary retention. Diagnosis of bacterial acute prostatitis is made mainly based on clinical and laboratory data, confirmed by the identification of the bacterial pathogen.

Let's once again highlight the main possible symptoms in acute bacterial prostatitis:

  • Fever
  • chills
  • Not well
  • Joint pain
  • Myalgia
  • Pain in the perineum, prostate gland
  • Difficulty urinating (painful or burning urination)
  • Symptoms of an obstruction (obstruction) of the urinary tract, such as frequent urination, difficulty controlling (urgency), nocturia (urinating at night), weak flow, and feeling emptyhollow bladder after
  • urination
  • Low back pain
  • Lower abdominal pain
  • Spontaneous urethral discharge

Symptoms of bacterial chronic prostatitis.

Men aged 35-50 are more likely to develop prostatitis.

Patients with chronic bacterial prostatitis often have many subjective complaints. The main feature of chronic bacterial prostatitis is frequent urinary tract infections. Between these infections, a person with chronic bacterial prostatitis may not have symptoms. Diagnosis was confirmed with a positive result when culturing urine culture and prostate secretions.


  • Recurrent difficulty urinating
  • Recurrent pain in the perineum, penis, testicles, rectum, lower abdomen, and back.
  • Recurrent symptoms of urinary tract obstruction such as multiple, uncontrolled urination (urgency), difficulty urinating, nocturia (urinating at night), weak flow, and a feeling of bladder emptyingafter urinating
  • Sexual dysfunction.
  • Recurrent urinary tract infections
  • Other symptoms may include: discharge from the urethra, pain during ejaculation, blood with difficulty clotting (blood in semen).

Chronic Prostatitis Symptoms With Chronic Pelvic Pain Syndrome (CPPS)

Chronic prostatitis with chronic pelvic pain syndrome is characterized by chronic pain and urinary complaints in the absence of infection in the urinary tract. This form of prostatitis is classified as an inflammatory and non-inflammatory prostate gland.

CPPS due to inflammation is defined as prostatitis, which detects the presence of white blood cells in semen, prostate fluid, or urine analysis after prostate massage.

Noninflammatory CPPS is defined as prostatitis in which leukocytes are not detected.

Typical symptoms of chronic prostatitis with chronic pelvic pain syndrome are:

  • Pain or discomfort in lower abdomen, back, perineum, coccyx, rectum, urethra, and testicular inflammation.
  • Pain in specific areas more than 3 months out of the previous 6 months and no positive test result for urinary tract infection.
  • Symptoms of urinary tract obstruction such as frequent urination, difficulty controlling (urgency), difficulty urinating, nocturia (urinating at night), weak flow, and a feeling of not exhausting the bladder afterwhen urinating.
  • Pain on ejaculation
  • Erectile dysfunction (potential disorder)

Asymptomatic in asymptomatic prostatitis

Asymptomatic prostatitis is an accidental finding, the patient does not have any complaints and diagnosis is made on prophylactic examination or when the patient mentions infertility or antigenicprostate-specific (PSA).

Differential diagnosis.

Symptoms similar to prostatitis can be caused by the following conditions:

  • Anus leaking or anal fissure
  • Prostate cancer
  • Back pain caused by injury to a tendon, ligament or muscle
  • Myopathy
  • Benign prostatic hyperplasia
  • Testicular cancer
  • Chronic pain syndrome
  • Urethritis
  • Cystitis
  • Urinating
  • Erectile dysfunction
  • A blockage in the urinary tract, such as a
  • urolith
  • Foreign objects, rectum
  • Urinary tract infections
  • Non-infectious hemorrhagic cystitis
  • Urolithiasis