Prostatitis may occur with an infection in or around the testicles (epididymitis or orchitis), especially if it was caused by an STD. In this case, there will also be symptoms of the other condition.
Symptoms of acute prostatitis are more likely to start quickly and cause greater discomfort. They may include the following:
Other symptoms that may occur with this condition:
During a physical examination, your health care provider may find the following signs:
Examination of the discharge from the prostate may show increased white blood cells and bacteria.
Note: Your health care provider may choose not to perform a prostate massage if the prostate is obviously swollen and tender. Massage may spread the infection and cause bacteremia or sepsis. These are potentially life-threatening infections in which bacteria are in the bloodstream, rather than in just one part of the body.
Acute prostatitis may also affect the results of the following tests:
Nickel JC. Inflammatory conditions of the male genitourinary tract: prostatitis and related conditions, orchitis, and epididymitis. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 9.
Barry MJ, McNaughton-Collins M. Benign prostate disease and prostatitis. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 130.
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