The most common symptoms of acute prostatitis include high fever, chills, nausea, and vomiting. Some cases may develop bacteremia
, a bacterial infection of the blood.
Other symptoms, which can occur in both chronic and acute cases, include urination related symptoms due to the prostate being swollen, including pain with urination, slow urine flow, urinary retention, and hematuria
(blood in urine).
Additionally, there may be pain during ejaculation or pain in the pelvic floor.
Diagnosis of Prostatitis
If you experience symptoms that suggest prostatitis, the doctor may perform these initial tests to come to a diagnosis:
- Digital rectal examination (DRE), which involves the doctor inserting an index finger into the rectum and pressing on the prostate to see if there is any pain; pain indicates inflammation
- Urinalysis, which is the analysis of the urine
- Prostate massage to help secrete any cultures present into the urinary tract and have the secretions tested, known as a semen analysis