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Prostatitis is often difficult to treat, in part because several forms of the disease exist and the cause of the most common form is unknown. Some men experience acute flare-ups caused by a bacterial infection of the prostate. This acute bacterial prostatitis is associated with a sudden and continuous pain that lasts for several days. Some men have signs of inflammation, such as white blood cells in their semen, but not the painful symptoms of prostatitis.
Pushing on the prostate will affect trigger points in the anterior levator ani muscle insertions, a notorious trouble spot in men with CPPS. However, vigorous prostatic massage may be very dangerous: If you have acute bacterial prostatitis it can result in septicemia (blood poisoning).