Final answer:
For chronic prostatitis, a comprehensive evaluation followed by a urine culture and possibly imaging studies is the next step. Treatment may include a prolonged course of antibiotics, anti-inflammatory drugs, and painkillers to manage symptoms and prevent complications.
Step-by-step explanation:
If a patient presents with signs and symptoms (S&Sx) of chronic prostatitis, the next step in management would often include a comprehensive clinical evaluation, which involves a detailed history and physical examination, including a digital rectal exam (DRE). Because recurrent prostatitis can be caused by bacterial infections, a doctor may order a urine test to look for signs of infection, such as a urine culture or analysis for white blood cells and bacteria. Depending on the presentation, further diagnostic tests may also be needed, such as ultrasound or MRI of the prostate.
If an infection is suspected, treatment typically includes a course of antibiotics, which could be prolonged for chronic cases, often lasting four to six weeks. In the case of painful symptoms, anti-inflammatory drugs and painkillers might be prescribed to manage discomfort. It is essential to treat prostatitis effectively to avoid complications such as abscess formation or chronic pelvic pain syndrome.