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Prostatitis is the inflammation of the prostate that may be caused by infection, chronic pelvic pain syndrome or asymptomatic prostate inflammation.
Prominent signs and symptoms are genitourinary, pelvic or rectal pain and lower urinary tract symptoms, eg urinary frequency, urgency, hesitancy, weak stream and straining on urination, dysuria, pain that increased with urination.
Empiric antibiotic should be started for prostatitis caused by bacteria. While prostatitis due to other causes are treated appropriately based on the underlying pathology with management based on patient’s symptom pattern. A urological or specialist referral for treatment management is often required.