Symptoms:

The common symptoms associated with nonbacterial prostatitis include:

• Pain
  • Perineal
  • Suprapubic
  • Scrotal
  • Low back
  • Urethral
  • Tip of penis
• Frequent urination
• Pain or burning with urination
• Decreased urinary stream
• Pain with ejaculation
• Pain with bowel movements
• Blood in the urine
• Blood in the semen

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

Signs and tests:

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

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

• #1 -- initial stream
• #2 -- mid-stream
• #3 -- after prostatic massage by examiner

A urinalysis reveals increased white blood cells, but no bacterial growth, upon culture of urine #3. Blood may be detected in the urine. Prostatic secretions also contain increased levels of white blood cells and no bacteria.

A semen culture will not demonstrate bacterial infection but may demonstrate increased numbers of white blood cells and decreased numbers of sperm, with poor motility.