 [ Symptoms ] can my unsteadiness and imbalance be due to only spine issues or parkinson is or both [ Disease ] if your health professional suspects that you have prostatitis he or she will begin with a complete medical history and physical exam the type of prostatitis you have cannot be determined solely from your history and symptoms your doctor will do tests to determine the cause of your prostatitis acute prostatitis is the least common type but the easiest to diagnose if acute prostatitis is suspected a urine culture will be done to test for the presence and type of bacteria if your history and physical exam show that you do not have acute prostatitis a pre  and post massage test ppmt or expressed prostatic secretions test may be done to determine which type of prostatitis you have an expressed prostatic secretions test is not done if acute prostatitis is suspected because when the prostate is inflamed or infected massaging it to obtain a sample for tests is very painful and possibly dangerous some health professionals believe that massaging an infected prostate increases the risk of developing a bacterial infection of the blood  septicemia  more tests may be necessary if your symptoms do not improve with treatment you continue to have prostate infections the symptoms could be caused by bladder or prostate cancer your health professional suspects you have a complication related to prostatitis such as an abscess tests that may be done include complete blood count  cbc  digital rectal exam to check for growths in the prostate gland or to see if it is larger than normal blood culture to check for bacteria in your blood if you have acute prostatitis computed tomography ct scan or magnetic resonance imaging mri of your pelvic area transrectal ultrasound of your pelvic area prostate specific antigen psa to rule out prostate cancer webmd medical reference from healthwise this information is not intended to replace the advice of a doctor healthwise disclaims any liability for the decisions you make based on this information © 1995 2011 healthwise incorporated healthwise healthwise for every health decision and the healthwise logo are trademarks of healthwise incorporated