Symptoms:

• Blood in the urine
• Decreased urine stream
• Frequent urination
• Incontinence
• Low-grade fever
• Pain with urination
• Urinary hesitancy (delayed start of urination)

Low-grade or subtle symptoms may include:

• Low back pain
• Pain and burning with urination
• Pain in the perineum or pelvic floor
• Pain with bowel movement
• Pain with ejaculation
• Testicular pain

Note: There may be no symptoms.

Signs and tests:

A physical examination may show:

• Discharge from the urethra
• Enlarged, mildly tender prostate
• Enlarged or tender lymph nodes in the groin area
• Swelling and tenderness of the scrotum

Triple-void urine specimens may be collected for urinalysis and urine culture. Urine may be collected:

1. Initial stream
2. Mid-stream
3. After a prostate massage by examiner

Other tests may include:

• Culture of prostate secretions
• Semen analysis