Definition

Pain or inflammation involving the prostate region. Some forms are bacterial; chronic pelvic pain is not necessarily an infection.

Symptoms

Perineal pain, urinary burning or painful ejaculation; fever may accompany acute infection.

How it may be discovered

Sudden fever, recurring infections or pain lasting for months.

When to seek care

Fever with urinary symptoms or retention needs urgent assessment; persistent pain needs review.

Investigations and tests

History, appropriate examination, urine testing and culture; other tests guided by findings.

Reaching a diagnosis

Differentiate documented infection, chronic pelvic pain and other causes.

Treatment options

Antibiotics for bacterial disease; chronic pain may need combined treatments, rehabilitation and psychosexual support. Repeated antibiotics are not routine.

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