Chronic bacterial prostatitis (NIH Category II)

Chronic bacterial prostatitis is an infection of the prostate with symptoms including pain in the abdomen and genital area, problems with urination, and pain with ejaculation. Sometimes it causes no symptoms. It occurs most often in men who have had urinary tract infections (UTIs).

Men with chronic bacterial prostatitis usually have not had acute prostate infections.

A test called a pre- and post-massage test (PPMT) is used to find bacteria or other signs of an infection. To do this test, your doctor will insert a gloved finger into your rectum and press firmly on your prostate. Your doctor will then collect urine or prostate secretion to look for bacteria or cells that indicate inflammation (leukocytes).

A digital rectal exam is usually not helpful for diagnosing chronic bacterial prostatitis.