About this condition
Prostatitis is a term used for several prostate-associated and pelvic pain conditions. Acute bacterial prostatitis differs substantially from chronic pelvic pain, which is not always caused by infection.
What to know
Possible symptoms include discomfort in the perineum or lower abdomen, frequent or painful urination and discomfort during or after ejaculation. A bacterial infection may also cause fever, chills and marked illness. Similar symptoms can arise from other urinary or pelvic conditions.
Symptoms and reasons for assessment
Pain or pressure in the pelvis, perineum or lower abdomen, changes in urination, frequent urgency and sexual discomfort can occur. Fever, chills and a significant change in general condition increase concern about acute infection.
Other possible causes
Chronic pelvic pain without proof of bacteria should not automatically be treated as recurrent bacterial infection. Bladder disorders, muscle-related pelvic pain and other conditions can mimic symptoms attributed to the prostate.
How clinicians assess the problem
The urologist distinguishes sudden symptoms from persistent or recurrent pain, reviews previous infections and treatments and examines the patient as appropriate. Urine studies, cultures and other investigations are considered when infection is suspected; different presentations need different tests.
Treatment and follow-up options
Confirmed or strongly suspected bacterial infection may need prompt clinician-directed antibiotics and sometimes hospital care. Management of chronic pelvic pain can involve several approaches and does not always involve antibiotics. Repeating courses on your own may delay correct diagnosis.
When urgent care is necessary
High fever, shaking chills, severe pelvic pain, inability to urinate or rapid deterioration may signal acute bacterial prostatitis or another emergency and require urgent care. Call 103 when emergency assistance is needed.
Related health information
Pain or burning during urination; Cystitis in adults; Frequent or difficult urination.
Signs and symptoms
Diagnosis and tests
Care and treatment approaches
When to seek urgent care
Frequently asked questions
Is all prostatitis caused by bacteria?
No. Long-standing pelvic pain can occur without a confirmed bacterial infection, so its assessment and management differ.
Why should I not take antibiotics on my own?
Antibiotics do not treat every cause of pelvic pain, and unnecessary courses can obscure diagnosis and cause harm.
When is prostatitis urgent?
High fever, chills, inability to pass urine, severe pain or marked deterioration requires immediate medical assessment.
Important information
A medical consultation is needed for diagnosis and treatment recommendations.
Self-treatment can be harmful to your health.
