Chronic prostatitis is not uncommon in men over 50 years, though it can occur at any age. The organisms most commonly isolated from the prostatic secretion are staphylococci, streptococci, coliform bacilli, and diphtheroids. Nickel (1930) (1938) remarked that the incrimination of gonococci as a common cause of prostatitis was questionable; in his opinion non-specific prostatitis was generally present at the time of contraction of gonorrhoeal urethritis, and this antecedent infection persisted after the gonococci had disappeared. Kretschmer, Berkey, Heckel, and Ockuly (1937) found only 24 cases of gonorrhoeal infection in 1,000 patients with chronic prostatitis. According to Pelouze (1939) 95 per cent. of cases of chronic prostatitis were secondary to infections elsewhere in the body, the most common primary foci being the teeth and tonsils; he also stated that 35 per cent. of all men over 50 years have chronic prostatitis and that in 95 per cent. dental infection was the primary focus of the prostatic infection. The infection may be related to prolonged congestion which may cause a fertile field for bacterial invasion.Chronic urethral infections may easily pass directly into the prostatic ducts. Invasion of the * Received for publication December 15, 1964. prostate may also occur from lymphatics, from adjacent organs or from infections higher in the urinary tract with infected urine.Since urinary tract infections and complications are common in Egypt through bilharziasis, one would expect that the most common route of invasion of the prostate would be the urinary tract. Knowledge of the route of invasion is important in treating inflammation and preventing its recurrence.The aim of the present work was to study patients suffering from chronic bacterial prostatitis to discover the incidence of bacteria in bacterial prostatitis, and to evaluate the urinary tract as the possible route of invasion of the prostate.Because of the high incidence of staphylococcal infections without associated urinary tract infection, a group of these patients were subjected to: (a) A bacteriological study of the staphylococci causing prostatitis and their sensitivity to penicillin. (b) A serological study of the sera and prostatic fluids for the presence of antibodies to the strain of staphylococcus isolated. (c) A bacteriological and serological follow-up of these patients was attempted.Material and Methods 150 patients with chronic bacterial prostatitis attending the out-patient clinic ofDemerdash Hospital were studied and those were included whose prostatic secretions showed signs of inflammation with pus counts above ten per high-power field, the bacteria giving cultures of more than twenty colonies per Petri dish.A control group of twenty normal men between 20 and 40 years of age were examined in the same way as the patients.From all patients and normal controls the following specimens were collected aseptically: (1) Urine before and after prostatic massage.