Written by Dr.Albana Greca Sejdini, Md, MMedSc

Recognizing the main prostatitis symptom

What is the main prostatitis symptom? How far can you recognize it? Is there any other symptoms of prostatitis? Why do the symptoms appear?

Get your answers in the following paragraphs.

As you may probably know, the prostate gland is a part of male reproductive system, it has a walnut size, it is mainly formed of 2 lobes located in front of the rectum, just beneath the urinary bladder, surrounding the urethra.

The term prostatitis means inflammation of the prostate gland. Experts estimate that ten to twelve percent of men have symptoms similar to prostatitis symptoms.

But the doctors usually use the word prostatitis to refer to a series of problems ranging from acute bacterial infection and reaching the most painful chronic syndromes.

Prostatitis symptom varies from retained urine, fever, decreased impotence, myaligas, pain during ejaculation, pain at the lower back area, and perineal pain.

Unfortunately, prostatitis affect men under the age of fifty, i.e. young and middle aged men are mostly affected by prostatitis, while older men are affected with enlarged prostate. Doctors may face some difficulties in diagnosing prostatitis, as prostatitis symptom differs from patient to patient, and it can be misdiagnosed with the signs of another disease.

Acute bacterial prostatitis is the least common type of prostatitis among the other types, but it has a life-threatening potentiality. Likely, doctors can easily diagnose and treat it. As acute bacterial prostatitis is usually accompanied by urinary tract infection; there are findings of cystitis or pyelonephritis.

Acute bacterial prostatitis symptoms include:

  1. Fever, malaise, and chills
  2. Lower back pain
  3. Pain in genital area
  4. Pain during ejaculation
  5. Dysuria
  6. Frequent urination
  7. Urgent urination, especially at bed time
  8. Myalgias
  9. Variant degrees of urinary obstruction
  10. Burning or painful sensation during urination
  11. Multiple body aches
  12. Evidence of blood and bacteria in urine

Clinically, the prostate gland shows signs of tenderness, hotness, swelling, and irregularity. AUA advises doctors to avoid violent digital prostate examination as this might make bacteremia worse.

Chronic bacterial prostatitis is relatively uncommon; it starts when colonies of bacteria succeed to find an area in the prostatic tissue to survive in it. In fact, chronic bacterial prostatitis is the most common cause of recurrent UTI (urinary tract infection) in men.

Chronic bacterial prostatitis symptom is variable and includes:


  1. Irritative voiding symptoms
  2. Pain in the back, testicals, epididymis and penis
  3. Low grade fever
  4. Arthralgias and myalgias
  5. A lot of patient show no symptom at all between the episodes of cystitis


Chronic prostatitis/chronic pelvic pain syndrome; it is the most commonly occurring type of prostatitis; it can affect men at any age. Chronic prostatitis may be inflammatory or non-inflammatory. In the inflammatory type; semen, prostatic fluid, and urine are full of cells fighting infection, but these are not seen in non-inflammatory type.

Symptoms of Chronic Prostatitis include:

  1. Painful penis, testes or scrotum
  2. Painful orgasm
  3. Low-back pain
  4. Rectal or perineal pain
  5. Pain in the inner parts of the thighs
  6. Irritative and/or obstructive urinary symptoms
  7. Decreased impotence

Usually, asymptomatic inflammatory prostatitis is discovered by doctors when they are examining the causes of infertility or testing the presence of prostate cancer. This diagnosis is always given for patients who don’t have any prostatitis symptom, but have many types of cells produced by the body to fight infection in their semen and prostate fluids.


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