A 42-year-old man comes to the office because of a 7-month history of suprapubic, and penile pain. His medical history is relevant for non-celiac gluten sensitivity. When asked about his sexual history, the patient mentions that he is in a monogamous heterosexual relationship and he denies unsafe sexual practices. Upon further questioning, the patient complains of burning pain after ejaculation and transient urinating difficulty for approximately 2 hours after sexual intercourse. Rectal exam shows a normal sized prostate gland. His temperature is 36.6°C (97.8°F), pulse is 78/min, respirations are 18/min, blood pressure is 110/70 mmHg. Three-glass urinalysis and urine culture are normal. Which of the following is the most likely cause of this patient's current condition?

Chronic prostatitis/chronic pelvic pain syndrome

Prostatitis

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Summary of Prostatitis

Prostatitis is inflammation of the prostate gland. Prostatitis is classified into acute, chronic, asymptomatic inflammatory prostatitis, and chronic pelvic pain syndrome. The conditions are distinguished by the different presentation of pain, white blood cells in the urine, duration of symptoms and bacteria cultured from the urine. To help express prostatic secretions that may contain white blood cells and bacteria, prostate massage is sometimes used.