What is the role of prostatic massage in the workup of chronic bacterial prostatitis (CBP)?

Updated: Jan 15, 2019
  • Author: Samantha D Kraemer, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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Answer

The prostatic massage is needed to collect an expressed prostatic specimen (EPS) or post-massage urine to help localize the bacterial infection. It is done during the rectal examination by kneading the prostate from front to back and from lateral to medial until a milky fluid is obtained from the urethra. This may require as long as a minute of fairly vigorous massage and the patient should be informed of this. Please refer to Diagnostic Prostatic Massage / Technique/Approach Considerations for more details on performing prostatic massage.


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