Prostatitis: Pre- and Post-Massage Test
The pre- and post-massage test is a simple, inexpensive test that may help diagnose the type of prostatitis you have.
- First, your penis will be cleaned to eliminate any bacteria, then you will give a urine sample (pre-massage sample).
- The doctor will ask you to stop urinating and bend over so your prostate can be massaged to collect secretions from your prostate gland. The doctor does this by inserting a gloved finger into your rectum and pressing several times on your prostate.
- You will then be asked to provide another urine sample (post-massage sample).
The two urine samples and, if possible, a sample prostate secretion, are examined for bacteria or cells that point to inflammation (leukocytes).
- If bacteria are found in the post-massage (or prostate secretion) sample, you may have chronic bacterial prostatitis.
- If cells that point to inflammation are found in the post-massage (or prostate secretion) sample, you may have inflammatory chronic pelvic pain syndrome.
- If no bacteria or cells that point to inflammation are found in the post-massage (or prostate secretion) sample, you may have noninflammatory chronic pelvic pain syndrome.
There are other possible results, and the test may not always give a clear answer.
Primary Medical Reviewer E. Gregory Thompson, MD - Internal Medicine
Specialist Medical Reviewer Christopher G. Wood, MD, FACS - Urology, Oncology
Current as ofJune 4, 2014
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