Asymptomatic inflammatory prostatitis

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Asymptomatic inflammatory prostatitis is a painless inflammation of the prostate with no infection and no symptoms. It is different from other prostatitis types that cause pelvic pain or show infection, such as chronic bacterial prostatitis, acute bacterial prostatitis, and chronic pelvic pain syndrome.

It is sometimes found in men with an enlarged prostate (benign prostatic hyperplasia). Many men have no urinary or genital symptoms, but tests can reveal white blood cells in semen, expressed prostatic secretion (EPS), or prostate tissue.

Diagnosis is made by finding inflammation without any symptoms. No treatment is required.

In men with infertility or category IV prostatitis, doctors may try antibiotics and/or anti-inflammatory medicines, but evidence that they help is weak.

Because prostate inflammation can be linked to cancer, doctors may use the free-to-total PSA ratio to help tell apart cancer from category IV prostatitis; some studies have shown differences between the two.