This disease of the prostate usually begins with fever, chills, back pain, perineal pain, increased day and night urge, painful urination and general malaise. The digital rectal examination reveals a swollen, soft and tender prostate. Prostate massage for secretion analysis should not be performed to avoid bacteremia. Instrumental examination should not be done.
After initiation of antibiotic therapy dramatic improvement is usually observed. If the patient complains of bladder symptoms or has acute urinary retention, a suprapubic tube may become necessary. Transurethral catheterization is contraindicated.