Case history
Case history #1
A 30-year-old man presents with a 3-day history of a progressively diminishing urinary stream, dysuria, and urinary frequency. He considers there is no possibility of a sexually transmitted infection. He is sufficiently ill with malaise and chills to require hospital admission. On examination, he is febrile with a temperature of 38.5°C (101.3°F). Digital rectal examination reveals a tender, boggy, and slightly enlarged prostate.
Case history #2
A 40-year-old man presents with a recent history of dysuria and genital and perineal pain. He has felt feverish and unwell intermittently but has not previously sought medical attention. Digital rectal examination reveals an enlarged, soft-feeling, and tender prostate.
Other presentations
Patients with acute prostatitis may also present with perineal or pelvic pain but no evidence of infection.[5] They may complain of pain in the penis, testis, or groin. Pain frequently occurs either at the time of ejaculation or shortly afterwards. Patients often also complain of erectile difficulties.[1]
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