What is the role of urine studies in the workup of prostatitis?

Updated: Nov 01, 2019
  • Author: Paul J Turek, MD; Chief Editor: Jeter (Jay) Pritchard Taylor, III, MD  more...
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Answer

On urinalysis, obtain quantitative values for the white blood count and bacterial count, presence of oval fat bodies, and lipid-laden macrophages. A urine culture can be used to identify the causative organism, if any. Escherichia coli is the pathogen most often identified on positive cultures (see the image below).

Urine culture with greater than 100,000 colony-for Urine culture with greater than 100,000 colony-forming units (CFU) of Escherichia coli, the most common pathogen in acute and chronic prostatitis. Chronic bacterial prostatitis must be confirmed and diagnosed using a urine culture.

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