The first step your doctor will take to examine your prostate is a digital rectal examination
(DRE). During the exam, your physician will use a gloved, lubricated finger to check for
in your prostate gland: enlarged prostate
, swelling and tenderness of the
etc. However, the digital rectal exam is not enough to confirm the diagnosis; other tests such as
urine and semen test
and biopsy of the prostate will be performed to accurately diagnose the prostatitis.
Digital rectal exam
(DRE) - during this
proctologic exam, your doctor introduces a gloved, lubricated finger into your rectum through the anus to detect
any sign that indicates prostatitis. In case of prostatitis, the prostate is enlarged and painful. Although
painless, this exam, however, can be uncomfortable for some patients. DRE can only reveal if the prostate is
tender or inflamed; it cannot determine the causative factor of the disorder.
Urine and semen test
– to do this test, a lab specialist will take sample of your urine and semen to look for bacteria and white blood cells.
This exam will detect the germs responsible for the infection, and pus in the urine if there is any. The
prostatitis is most often caused by
in patients under 35 years, and Escherichia coli (E.coli) in older patients.
– this imaging technique
is a noninvasive medical test that helps your physician to diagnose prostatitis and other medical conditions. It
allows your health care provider to examine your bladder and prostate gland and their surrounding tissue. During
the procedure, the specialist inserts an ultrasound probe into your rectum, which allows him/her to detect
abnormal change in your prostate and bladder.
- your doctor may
recommend a cystoscopy
of your urethra and bladder. Under local anaesthesia, a tube with a small camera on the
end called cystoscope is inserted through your
urethra and into the bladder. It allows your doctor to take picture of the inside of your bladder and
urethra. Cystoscopy is performed in case of
recurrent prostatitis to rule out other disorders of the prostate gland.
Prostate biopsy - to rule out prostate cancer, your doctor may recommend a
biopsy of prostate. During the procedure, small samples of your prostate gland are taken to be examined under
microscope to look for the presence of cancer cells. After the biopsy, for several days or even several weeks, you
will tend to have:
Bleeding in the urine
Bleeding in the stool
Blood in the ejaculate.