Chronic bacterial prostatitis. Signs and symptoms. Prostate may feel normal, boggy, or focally indurated. Chronic prostatitis is the most common cause of recurrent UTIs in men. UA and cultures should be done.
Prostatic secretions reveal inflammatory cells, with macrophages containing oval fat bodies.
UA will show WBCs and bacteriuria if secondary cystitis is present. Causative agents are usually E. coli or Pseudomonas. 500 mg orally, or norfloxacin 400 mg orally, twice daily for 4 to 6 weeks. Failure of therapy may indicate the need for IV antibiotics or the presence of infected prostatic calculi. It is a diagnosis of exclusion.