The document summarizes the microscopic and morphological features of prostatitis. Microscopically, the prostatic acini are dilated and filled with neutrophilic exudate, accompanied by diffuse acute inflammatory infiltrate, edema, hyperemia, and foci of necrosis. Morphologically, pathologic changes are similar in bacterial and abacterial prostatitis. The diagnosis of chronic prostatitis is made by finding lymphocytes, plasma cells, macrophages, and neutrophils within the prostatic substance, along with possible prostatic calculi or foci of squamous metaplasia. Seminal vesicles are invariably involved as well. A digital rectal exam, urinalysis, blood test, cystoscopy, and transrect

6. • Microscopic:
• The prostatic acini are dilated and filled with
neutrophilic exudate.
• There my be diffuse acute inflammatory
infiltrate
• Oedema, hyperemia and foci of necrosis
frequently accompany acute inflammatory
involvement.

7. Morphological features
Pathologic changes in both bacterial and
abacterial prostatitis are similar.
Grossly :
Prostate may be enlarged
Fibrosed
Shrunken
Microscopic Features:
The diagnosis of chronic prostatitis is made by
foci Of.........
• lymphocytes
• plasma cells
• macrophages and
• neutrophils within in the prostatic substance
• Prostatic calculi & foci of Squamous metaplasia in
• prostatic acini may accompany inflammatory
• changes.
• Seminal vesicles are invariably involved.

10. In addition to prostatitis, other conditions to
consider include the following:
1. Benign prostatic hyperplasia
2. Chronic pain syndromes (ie,
inflammatory bowel disease)
3. Cystitis
4. Erectile dysfunction
5. Prostate cancer
6. Testicular cancer
7. Urolithiasis
• Digital rectal exam
• Urinalysis: A urinalysis and urine
culture check for bacteria and UTIs.
• Blood test: A blood test measures
PSA, a protein made by the prostate
gland. High levels may indicate
prostatitis, BPH or prostate cancer.
• Cystoscopy
• Transrectal ultrasound: