Symptoms:

• Blood in the semen
• Blood in the urine
• Decreased urinary stream
• Frequent urination
• Pain
  • Above the pubic bone (suprapubic)
  • Between the genitals and anus (perineal)
  • Low back
  • Scrotum
  • Tip of penis
  • Urethra
• Pain or burning with urination
• Pain with bowel movements
• Pain with ejaculation

The symptoms of nonbacterial prostatitis are the same as those of chronic bacterial prostatitis.

Signs and tests:

A physical examination usually will not show anything unusual. However, the prostate may be swollen, soft or firm, warm, and tender.

Triple-void urine specimens may be collected for urinalysis and urine culture. For these tests, the urine is collected in the:

1. Initial stream
2. Mid-stream
3. After prostate massage by health care provider

Urine tests may show white blood cells, blood, and bacteria in the urine. A semen culture may show increased white blood cells and low sperm count with poor movement (motility).