Success of these Common Prostatitis Tests Solely Decide Your Diagnosis
For many Doctors, failing to Culture a pathogen simplistically dictates a verdict of "Bacterial" or "abacterial" Prostatitis
The Role of EPS Testing in determining Prostatitis
The Gold Standard (otherwise termed "de rigueur") of all Doctors and Urologists is an EPS (expressed prostatitic secretions)
Laboratory examination of expressed prostatic secretions tests a sample for bacterial infection or signs of inflammation.
You lie on your back or bend over, the doctor inserts a lubricated, gloved finger into the rectum and presses each side of the prostate gland half-a-dozen times. The urethra is then stroked and the secretions collected.
Inexperienced Doctors and/or an infected/inflamed prostate can make this very painful, often with no result. Further, for reasons discussed below, an EPS sample may need to be done a number of times over a period. Again, a negative result does not mean there are no pathogens causing your chronic Prostatitis, it just means they didn't find any. Many a person has been "diagnosed" with abacterial prostatitis on the strength of one or two negative EPS tests.
EPS your way to a Semen Test
If a number of successive EPS tests come back negative, ask your Doctor for a semen test. A good Doctor will agree quickly, if your Doctor is reluctant or won't do one, change Doctors immediately. Make sure you haven't ejaculated recently before the test, and ask that it be grown for a longer period. We have seen a surprising number of chronic prostatitis patients who tell us they couldn't get a positive result until they insisted on a semen test, as this study demonstrates.
Test for Prostatitis: Urinalysis
Urinalysis is a very basic tool for urologists, however it is next to useless in the case of Chronic Prostatitis. Yet, many a smug Doctor has pronounced a sufferer to be infection negative, when it's obvious to everyone else including the receptionist that detection at this level is far too late.
To add to the basic error, there are any number of shortfalls in the culturing to contend with: the culture wasn't sensitive enough or cultured for long enough, or that the pathogen(s) in your prostate or surrounding tissues is well-enough established that it now is not going to show in urine.
Diagnostic tests can show if you have pathogen(s) in the sample if grown correctly, but can't show what never got into the sample. In other words, the result does not mean you don't have what the test is looking for.
The urine test will probably tell you that you don't have kidney disease or diabetes and so on. However, it won't tell you you don't have an infection, and far, far too many Doctors take one test as being definitive, which can lead them away from the truth.
http://emedicine.medscape.com/article/1948091-technique accessed 15 Jul 2014
http://emedicine.medscape.com/article/458391-workup accessed 15 Jul 2014
http://www.prostatitis.org/urineculture.html">http://www.prostatitis.org/urineculture.html accessed 27 Jul 2014
http://www.antimicrobe.org/e53.asp accessed 03 Aug 2014