Dysuria + perineal pain and boggy tender prostate on DRE
InVx= Urine Cx with prostate message
In case of urinary retention and acute renal failure 2° obstruction
perform SPC (urethral instrumentation including urethral catheterization is contraindicated due to the risk of sepsis)
DOC is fluoroquinoline x 4-6 wks
TMP/SMZ 6-8 wks
Fractional urine examination
Four-glass test (according to Meares‑Stamey)
Two-glass test