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Is Enlarged Prostate Normal When Diagnosed With Prostatitis?

Posted on Tue, 9 May 2017

Question: If someone has prostatitis, would a doctor normally find the prostate to be enlarged or boggy when performing a digital recital exam?

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Prostate feels enlarged,boggy and tender whenever there is Prostatitis .

Detailed Answer:
Hello
Thanks for query ,

Whenever there is infection of the Prostate (Prostatitis)either bacterial infection or non bacterial infection it feels enlarged ,boggy and tender on digital rectal examination( DRE) done by a qualified Urologist .

It is always advisable to do culture of urethral discharge obtained after DRE .Since it is secretions directly from the prostate It helps to detect organisms as doing only urine culture may not detect infection in that is observed in many cases of prostatitis.

Hope I have answered your query ,please feel free to ask if you have more questions ,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. P. T. Patil (35 hours later)

What if the prostate feels a little tender to the patient, but the doctor finds no bogginess or enlarged prostate when conducting the digital rectal exam? Would this typically suggest prostatitis or no prostatitis?

Answered by Dr. Dr. P. T. Patil (3 hours later)

Brief Answer:
One can not feel tenderness of prostate . .

Detailed Answer:
Hello
Thanks for follow up, Tenderness is a tactile sensation of pain when any organ is examined by a finger or palm of the hand .What you feel is not the tenderness but discomfort which is generally associated with prostatitis .

Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (1 hour later)

But my doctor said it is likrky not prostatitis because no bogginrss and not enlarged. Does that make sense, even though I feel some discomfort?

Answered by Dr. Dr. P. T. Patil (7 hours later)

Brief Answer:
The Dr who performs the DRE is the best judge to diagnose Prostatitis .

Detailed Answer:
Hello
Thanks for follow up .
In absence of any tenderness on DRE. The discomfort can not be due to anything else than deep sited prostatitis. Hence I have suggested for swab test and culture of urethral discharge which gives us a material directly from prostate to help us to confirm the diagnosis .

Thanks and Regards.
Dr.Patil.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar