Prostatodynia is not associated with an inflammatory response as noted on examination of prostatic secretions and no infectious etiology has as yet been isolated. Prostatodynia produces symptoms that are basically identical to those of non-bacterial prostatitis. It announces its presence with pain inside the penis, testicles, or groin. Voiding problems are also common (the inability to start or stop urinating, urinating impulses, a noticeably weaker or slower stream, and increased frequency or urgency). Prostatodynia can be caused by many things, particularly muscle spasms in the bladder neck, prostatic urethra, perineum, or pelvic floor. These patients typically have no history of urinary tract infections, and they give negative culture and normal prostatic secretions. Primary bladder neck obstruction, external sphincter dyssenegria, and impaired detrusor contractility in young men can manifest in a clinical picture similar to prostatodynia and chronic prostatitis. As mentioned by Dr. Kaplan in 1997, urodynamic evaluation of these patients was necessary. We should also remember that patient may have prostatitis and voiding dysfunction at the same time.
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