Aseptic Prostatitis: Symptoms, Diagnosis, and Concerns

Q: Aseptic Prostatitis: Symptoms, Diagnosis, and Concerns

AAA： Hello. 1. It is possible. Symptoms of prostatitis can sometimes be atypical. 2. No, it will not. 3. A more precise prostate ultrasound is performed transrectally, which has higher accuracy. It can certainly serve as a basis for diagnosis.

Suspected aseptic prostatitis?

Hello, Doctor.
Recently, I have occasionally felt a slight heaviness in my genital area, and sometimes I notice a slightly moist sensation around the anus.
I am concerned that there might be an issue with my prostate.
Although I urinate smoothly and do not experience any discomfort after urination, I sometimes feel a heaviness in the genital area and a bit of moisture around the anus.
My morning erections are normal, and there is no significant discomfort during erections; they are firm enough.
However, I am unsure why I occasionally feel this heaviness in the genital area.
I have researched the symptoms of acute and chronic prostatitis and do not seem to have any of them, and I do not feel any discomfort in the perineal area.
Therefore, I would like to ask the doctor: 1.
Is it possible that I have prostatitis? 2.
If I undergo a digital rectal examination, could pressing on the prostate cause an issue if it was previously healthy? Will a digital rectal examination leave any lasting effects? 3.
Can ultrasound or blood tests determine if there is prostatitis? I hope you can clarify my concerns.
Thank you very much!

AAA, 20~29 year old female. Ask Date: 2013/06/21

Dr. Xu Weikai reply Urology

AAA: Hello.
1.
It is possible.
Symptoms of prostatitis can sometimes be atypical.
2.
No, it will not.
3.
A more precise prostate ultrasound is performed transrectally, which has higher accuracy.
It can certainly serve as a basis for diagnosis.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers from the internet should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This response is provided by Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2013/06/21

More Info

Understanding Aseptic Prostatitis: Symptoms, Diagnosis, and Concerns
Aseptic prostatitis, often referred to as chronic pelvic pain syndrome (CPPS), is a condition that can be quite perplexing for patients. It is characterized by pelvic pain without any identifiable bacterial infection, which can lead to a range of symptoms that may not be immediately linked to prostate issues. Your concerns about the sensations in your genital area and the feeling of moisture around the anus are valid and warrant further exploration.

1. Could it be Prostatitis?
Yes, it is possible that your symptoms could be related to prostatitis, even if you do not experience the classic symptoms associated with acute or chronic bacterial prostatitis. Aseptic prostatitis can manifest as a feeling of heaviness or discomfort in the pelvic region, which may explain the "dull" sensation you are experiencing. Other symptoms can include urinary urgency, frequency, and discomfort during ejaculation, although you have indicated that your urination is normal and you do not have discomfort during erections. It is essential to consider that prostatitis can present differently in each individual, and the absence of typical symptoms does not rule out the condition.

2. Concerns about Digital Rectal Examination (DRE):
A digital rectal examination is a common procedure used to assess the prostate's size, shape, and tenderness. While it is generally safe, some patients worry about the possibility of exacerbating existing conditions. In most cases, a DRE should not cause any harm or lead to complications if performed correctly. However, if there is significant inflammation or an acute infection, there may be temporary discomfort. It is crucial to communicate any concerns or discomfort to your healthcare provider before the examination. The procedure is typically quick, and while some patients may feel mild discomfort, serious complications are rare.

3. Diagnostic Tests:
Ultrasound and blood tests can provide valuable information regarding prostate health. A transrectal ultrasound can help visualize the prostate and identify any abnormalities, such as cysts or inflammation. Blood tests, including prostate-specific antigen (PSA) levels, can also be informative. Elevated PSA levels can indicate inflammation or other prostate issues, but they are not definitive for diagnosing prostatitis. In cases of aseptic prostatitis, traditional cultures may not yield results, as the condition is not caused by a bacterial infection.
In conclusion, while your symptoms may not fit the classic presentation of prostatitis, they still warrant further evaluation. It is advisable to consult with a urologist who can perform a thorough assessment, including a physical examination and appropriate diagnostic tests. They may also consider other potential causes for your symptoms, such as pelvic floor dysfunction or other urological conditions.
In the meantime, maintaining a healthy lifestyle, managing stress, and avoiding irritants such as caffeine and alcohol may help alleviate some discomfort. If your symptoms persist or worsen, do not hesitate to seek medical attention. Understanding your body and advocating for your health is crucial in navigating these complex conditions.

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