How Prostate & Pelvic Symptoms Are Evaluated
Your urologist will review your symptoms, medical history, and previous treatments. A physical examination and laboratory testing can help identify infection and rule out other conditions that cause similar symptoms.
Depending on your concerns, the evaluation may include:
- Urine testing for signs of infection.
- A physical examination, which may include a prostate or pelvic floor assessment.
- Evaluation of urine flow or bladder emptying.
- Additional testing when the diagnosis is uncertain or symptoms suggest another condition.
Not everyone needs the same tests. Your provider will explain why a particular examination or test is recommended.
Does Prostatitis Affect PSA Levels?
Prostatitis can raise a prostate-specific antigen, or PSA, level. An elevated PSA does not automatically mean prostate cancer, and PSA alone does not diagnose prostatitis.
Your urologist will interpret the result alongside your symptoms and other findings and determine whether further evaluation is appropriate.
Treatment Depends on the Cause of Your Symptoms
Bacterial prostatitis is treated with antibiotics selected for the infection. The length and type of treatment depend on the diagnosis and clinical circumstances.
Chronic pelvic pain without a confirmed infection may require a different approach. Treatment can include medication, symptom-management strategies, and pelvic floor physical therapy when muscle tenderness or dysfunction is identified.
Repeated antibiotic courses are not recommended for CP/CPPS when urine cultures and relevant infection testing are negative. Your provider will explain the reasoning behind the treatment plan and how your response will be reassessed.