Acute and chronic prostatitis discussion. Arnon Krongrad, MD, moderator.
A patient who believes he has prostatitis wrote in this morning that he had terrible pain during a rectal examination. What are the possible explanations?
Consider that the exam may place pressure on the skin, anus, rectum, and peri-rectal structures, such as the pelvic muscles and rectum. So sure, pain during rectal examination may reflect prostate diseases, such as prostate infection.
Pain during rectal examination may also reflect diseases that are not directly related to the prostate. Among those are hemorrhoids and anal fissures. These can be evaluated by a proctologist.