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The symptoms of pain tend to wax and wane and include: Frequent and urgent need to urinate, both day and night Dull ache in the pelvic area, lower back and scrotum Pain referred to the penis tip at the end of micturition Hesitancy when initiating a urine stream Blood in urine or semen Pain after ejaculation c) Chronic non-bacterial prostatitis Chronic non-bacterial prostatitis is due to persistent non-infective inflammation of the prostate