The injury itself does not produce symptoms 2. This inflammatory response can produce pain and swelling. Active inflammation can be diagnosed by looking for the presence of white blood cells in the prostatic fluid.
Prostatic calcifications can be a sign of repeated boughts of injury and repair.
In response to the injury, inflammation and pain, there can be a constellation of voiding symptoms and pain related to the pelvic muscles, nerves and bladder neck. These may include reduced stream, double voiding, frequency, nocturia, and urgency. In complex cases, video-urodynamics may help in sorting out the source of the voiding symptoms. Our approach is to determine the relative contribution of each of these factors and tailor the therapy accordingly. For instance, if there is ongoing injury from bacterial infection, the injury response is completely appropriate and necessary.