Symptoms and causes

Symptoms

Prostatitis signs and symptoms depend on the cause. They can include:

  • Pain or burning sensation when urinating (dysuria)
  • Difficulty urinating, such as dribbling or hesitant urination
  • Frequent urination, particularly at night (nocturia)
  • Urgent need to urinate
  • Cloudy urine
  • Blood in the urine
  • Pain in the abdomen, groin or lower back
  • Pain in the area between the scrotum and rectum (perineum)
  • Pain or discomfort of the penis or testicles
  • Painful ejaculation
  • Flu-like signs and symptoms (with bacterial prostatitis)

When to see a doctor

If you have pelvic pain, difficult or painful urination, or painful ejaculation, see your doctor. If left untreated, some types of prostatitis can cause worsening infection or other health problems.

Causes

Acute bacterial prostatitis is often caused by common strains of bacteria. The infection can start when bacteria in urine leak into your prostate. Antibiotics are used to treat the infection. If they don't eliminate the bacteria prostatitis might recur or be difficult to treat (chronic bacterial prostatitis).

Nerve damage in the lower urinary tract, which can be caused by surgery or trauma to the area, might contribute to prostatitis not caused by a bacterial infection. In many cases of prostatitis, the cause isn't identified.

Risk factors

Risk factors for prostatitis include:

  • Being a young or middle-aged
  • Having had prostatitis
  • Having an infection in the bladder or the tube that transports semen and urine to the penis (urethra)
  • Having pelvic trauma, such as an injury from bicycling or horseback riding
  • Using a tube inserted into the urethra to drain the bladder (urinary catheter)
  • Having HIV/AIDS
  • Having had a prostate biopsy

Complications

Complications of prostatitis can include:

  • Bacterial infection of the blood (bacteremia)
  • Inflammation of the coiled tube attached to the back of the testicle (epididymitis)
  • Pus-filled cavity in the prostate (prostatic abscess)
  • Semen abnormalities and infertility, which can occur with chronic prostatitis

There's no direct evidence that prostatitis can lead to prostate cancer.

Nov. 23, 2016
References
  1. Meyrier A, et al. Acute bacterial prostatitis. http://www.uptodate.com/home. Accessed Oct. 11, 2016.
  2. Meyrier A, et al. Chronic bacterial prostatitis. http://www.uptodate.com/home. Accessed Oct. 11, 2016.
  3. Prostatitis. Prostate Cancer Foundation. http://www.pcf.org/site/c.leJRIROrEpH/b.5813305/k.A27E/Prostatitis.htm. Accessed Oct. 14, 2016.
  4. Prostatitis: Inflammation of the prostate. National Kidney and Urological Diseases Information Clearinghouse. https://www.niddk.nih.gov/health-information/health-topics/urologic-disease/prostate-problems/Pages/facts.aspx/. Accessed Oct. 14, 2016.
  5. Pontari M. Chronic prostatitis/chronic pelvic pain syndrome. http://www.uptodate.com/home. Accessed Oct. 14, 2016.
  6. Sharp VJ, et al. Prostatitis: Diagnosis and treatment. American Family Physician. 2010;82:397.
  7. Castle EP (expert opinion). Mayo Clinic, Scottsdale/Phoenix, Ariz. Oct. 26, 2016.