What are the symptoms of chronic bacterial prostatitis? Symptoms of chronic infection of the prostate gland, which occur periodically, are not as severe as acute infection. These symptoms develop slowly or remain mild. Symptoms can last more than three months and include: Burning during urination; Frequent or urgent urination; Pain around the groin, lower abdomen, or lower back (lower back); Bladder pain; Pain in the testicles or penis; Problems starting to urinate or a weak flow when urinating; Painful ejaculation; Urinary Tract Infections What are the symptoms of chronic pelvic pain? Symptoms of chronic pelvic pain syndrome are similar to symptoms of chronic bacterial prostatitis. The patient may also experience a sense of discomfort or pain for three or more months, and complaints may affect: The area between the scrotum and the anus; Lower abdomen; Penile area, scrotum or lower back Feeling of discomfort or pain may occur during or after ejaculation. It is important to seek medical attention in the presence of pelvic pain, painful urination or painful ejaculation. How is prostatitis diagnosed? The diagnosis of a prostate infection is based on the patient’s history (medical history), physical examination, and specialized tests. The doctor can also rule out other serious conditions such as prostate cancer during the examination. A digital rectal examination of the prostate may be performed during the physical examination. The doctor may also ask about complaints, recent urinary tract infections, and medications or supplements the patient is taking. Other medical tests that can help with a diagnosis and treatment plan include: A urine test or semen test, to look for infections; Prostate biopsy or prostate-specific antigen (PSA) blood test; Urodynamic examination of the bladder to check the function of the bladder and urethra; Cystoscopy, an endoscopy of the bladder through the urethra to check the inside of the urethra and bladder for blockages An ultrasound (echography) – an imaging study to look at body structures – may also be ordered. Clarifying the cause of prostatitis will help determine the correct course of treatment. Bibliography: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Prostatitis: Inflammation of the prostate National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). What I need to know about prostate problems