 [ Symptoms ] does chronic constipation lead to prostatitis [ Disease ] as you suspect the symptoms might be due to chronic prostatitis or a similar entity chronic prostatic pain syndrome it needs a per rectal examination per rectal examination is not that painful as you suspect urine culture after a per rectal examination will turn to be positive if it is chronic prostatitis it needs a 4 week course of trimethoprim alpha blocker drugs and anti inflammatory drugs it has to be treated with trimethoprim or levofloxacin the probable causessecondary to uti urinary tract infection differential diagnosischronic prostatic pain syndrome regarding follow upfor further queries consult an urologist online    > <link>