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How can you tell the difference between prostate and prostatitis?

Both BPH and prostatitis may cause pain. However, if BPH causes pain, it usually occurs with urination (dysuria). Prostatitis may cause painful urination, painful ejaculations, and generalized groin/abdominal pain.

medicinenet.com - Prostatitis vs. BPH (Enlarged Prostate): Differences & Causes

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How can I tell the difference between prostatitis and BPH (signs and symptoms)?

If you do not have any symptoms of BPH or any of the types of prostatitis, which can be the situation for some men, you may not be able to tell if you have either problem. However, a doctor or other health care professional can detect enlargement of the prostate with a digital rectal exam (digital examination of the rectal area and prostate), even if you don’t have any symptoms. If you do have symptoms, they are related to the increase in the size of your prostate gland. When the gland enlarges, it can constrict the urethra and produce one or more of these symptoms.

The need to urinate frequently during the day or night

The sudden urgent need to urinate

Difficulty initiating a urinary stream

Feeling like you still need to urinate even though you recently urinated

Feeling like you need to push or strain to empty your bladder

A decrease in the force of the urine stream

Loss of small amounts of urine (dribbling urine)

The symptoms of prostatitis depend upon the type of prostatitis.

Acute bacterial prostatitis (type I) symptoms

Fever

Chills

Muscle soreness

Joint discomfort

Feeling tired

Prostatic discomfort and/or pain

Painful urination (dysuria)

Low back pain and/or abdominal pain

Possible urethral discharge

Urinary stream problems such as frequency, urgency, weak urine stream

Chronic bacterial prostatitis (type II)

Intermittent painful urination

Intermittent obstructive urinary tract symptoms

Recurrent urinary tract infections (with some symptoms of type I)

Chronic prostatitis and chronic pelvic pain syndrome (type III)

Pelvic pain and/or discomfort

Obstructive urinary tract symptoms such as frequency, painful urination, and incomplete urination

Pain with ejaculation

Erectile dysfunction (ED)

Asymptomatic inflammatory prostatitis (type IV)

By definition, type IV has no symptoms, but sometimes is diagnosed from a prostate biopsy or suspected when a prostate-specific antigen test (PSA blood test) is elevated. Some men may have some of these symptoms with both BPH and prostatitis. If you are over age 50, it is more likely BPH than prostatitis, and if you are under age 35, acute bacterial prostatitis is more likely than BPH. In some patients, prostatitis may be recurrent (you may get the condition again).

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Where do you feel prostate cancer?

Problems urinating, including a slow or weak urinary stream or the need to urinate more often, especially at night. Blood in the urine or semen. Trouble getting an erection (erectile dysfunction or ED) Pain in the hips, back (spine), chest (ribs), or other areas from cancer that has spread to bones.

cancer.org - Prostate Cancer Signs and Symptoms - American Cancer Society

Most prostate cancers are found early, through screening. Early prostate cancer usually causes no symptoms. More advanced prostate cancers can sometimes cause symptoms, such as: Problems urinating, including a slow or weak urinary stream or the need to urinate more often, especially at night

Blood in the urine or semen

Trouble getting an erection (erectile dysfunction or ED)

Pain in the hips, back (spine), chest (ribs), or other areas from cancer that has spread to bones Weakness or numbness in the legs or feet, or even loss of bladder or bowel control from cancer pressing on the spinal cord Most of these problems are more likely to be caused by something other than prostate cancer. For example, trouble urinating is much more often caused by benign prostatic hyperplasia (BPH), a non-cancerous growth of the prostate. Still, it’s important to tell your health care provider if you have any of these symptoms so that the cause can be found and treated, if needed. Some men might need more tests to check for prostate cancer.

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