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chronic prostatitis

Saturday 21 January 2012

Chronic prostatitis may follow acute prostatitis, but is more likely to occur without prior history in older men, and may suggest an underlying obstructive urinary tract abnormality. There can be intermittent urinary frequency and dysuria. The prostate may not be enlarged. Prostatic massage may increase the yield of urine culture. Routine cultures, however, do not identify one common organism: Ureaplasma urealyticum.

Chronic abacterial prostatitis is the most common cause for prostatitis, but is difficult to diagnose from lack of specific findings. No organism can be identified as a causative agent. Symptoms of dysuria along with low grade pelvic pain or low back pain may be present. Microscopically, lymphocytes, plasma cells, and macrophages appear in the prostatic stroma.

Prostatitis can elevate the serum prostate specific antigen (PSA), but generally not more than double normal, and generally not increasing significantly over time. (Potts, 2001)