Prostatitis

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Signs and Symptoms

Symptoms of acute bacterial prostatitis (ABP) are usually sudden. They include the following:

• Chills
• Fever
• Frequent urination
• Incomplete emptying of bladder
• Joint pain (arthralgia)
• Lower back pain
• Muscle pain (myalgia)
• Pain in penis, testicles, and area between the scrotum and the rectum (perineum)
• Painful ejaculation
• Painful urination (dysuria)
• Sensation of having to urinate immediately, often accompanied by bladder pain or spasm (urgency)
• Tender, swollen prostate

Symptoms of chronic bacterial prostatitis (CBP) and nonbacterial prostatitis are generally less severe than those of ABP and include the following:

• Blood in semen (hematospermia)
• Discomfort in genital area and perineum
• Dysuria
• Fever
• Lower back pain
• Pain in lower abdomen
• Painful ejaculation
• Recurring urinary tract infection (UTI)

Patients with prostatodynia have symptoms of prostatitis but there is no evidence of infection or inflammation.

Complications

Complications of acute bacterial prostatitis (ABP) include the following:

• Collection of pus (abscess)
• Acute urinary retention
• Chronic bacterial prostatitis
• Infection in bloodstream (sepsis)

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