Examination of expressed prostatic secretions tests a sample of the
secretion for signs of inflammation or bacterial infection.
While you bend over or lie on your side or back, the doctor inserts
a lubricated, gloved finger into the rectum and presses each side of the
prostate gland 6 or 7 times. The
urethra is then gently "milked" with a gloved finger.
The secretions are collected in a tube or on a swab.
Life provides men with an endless supply of things to get angry about.
There’s the sullen waitress who refuses to look in your direction while you
wave desperately for the check. There’s the oaf who drifts across the road
without ever using his blinker. There’s the dropped call, the tepid shower, the
gum on the bottom of the shoe.
While it’s perfectly natural to get angry about any of these things, anger
comes to some men more naturally than others. For the hot-tempered, the
Findings of expressed prostatic secretions may include the
This may also be called a negative result.
Few or no white blood cells are seen when the sample is viewed
under a microscope.
No bacteria grow in the sample.
A negative culture may indicate the symptoms are caused by
chronic prostatitis/pelvic pain syndrome, inflammatory or
This may also be called a positive result.
White blood cells, pus cells, or other types of cells
indicating inflammation are seen when the sample is viewed under the
Bacteria grow in the sample.
What To Think About
Your health professional may ask you to avoid ejaculation for 5
days prior to this test. This allows prostatic fluid to build up and prevents
an increase in the number of white blood cells in the prostate fluid, which
could interfere with test results.
The results of the test may help indicate which type of prostatitis
is causing your symptoms. However, this test often fails to provide conclusive
evidence of the cause of symptoms.
Nickel JC (2007). Inflammatory conditions of the male
genitourinary tract: Prostatitis and related conditions, orchitis, and
epididymitis. In AJ Wein et al., eds., Campbell-Walsh Urology, 9th ed., vol. 1, pp. 304-329. Philadelphia: Saunders
Shoskes DA, et al. (2003). Long-term results of
multimodal therapy for chronic prostatitis/chronic pelvic pain syndrome.
Journal of Urology, 169(4): 1406-1410.
Primary Medical Reviewer
E. Gregory Thompson, MD - Internal Medicine
Specialist Medical Reviewer
Christopher G. Wood, MD, FACS - Urology, Oncology
January 6, 2010
WebMD Medical Reference from Healthwise
January 06, 2010
This information is not intended to replace the advice of a doctor.
Healthwise disclaims any liability for the decisions you make based on this