Chronic prostatitis/chronic pelvic pain syndrome

Symptoms

• Pain in pelvis, perineum, genitalia
• Irritative voiding symptoms (eg, urgency, hesitancy)
• Hematospermia, pain with ejaculation

Diagnosis

• No or mild prostate tenderness
• Sterile urine culture

Management

• Alpha blockers (eg, tamsulosin)
• Antibiotics (eg, ciprofloxacin), especially if history of UTI
• 5-Alpha-reductase inhibitors (eg, finasteride)

UTI = urinary tract infection.