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Chronic Prostatitis - How is it diagnosed?

The diagnosis of Chronic Prostatitis / Chronic Pelvic Pain Syndrome (CP/CPPS) is usually based on a detailed discussion of your symptoms. Before attending for your appointment, it would be useful if you could fill in the NIH-Chronic Prostatitis Symptom Index (CPSI) questionnaire (this can be downloaded below).

The most important step is to find a specialist with a clinical interest in this complex and difficult condition. Further tests may be recommended depending on the outcome of your consultation.

The Stamey "4-glass" or "2-glass" tests

Your specialist will examine the prostate by gently inserting a finger into the back passage. Urine samples taken before prostate examination and immediately afterwards can be very helpful in looking for signs of inflammation of bacteria.

Other tests

There are no tests that can reliably diagnose or exclude CP/CPPS. However, scans and blood tests are frequently performed to help make the right diagnosis and to rule out other more dangerous prostate conditions, such as prostate cancer.

  • urine flow-rate test and bladder scan
  • urine specimens
  • semen tests to look for bacteria
  • urethral swab to look for infection
  • urodynamics (bladder pressure tests)
  • cystoscopy (telescopic examination of the bladder)
  • transrectal ultrasound scan or other scans
  • PSA blood test