Doctor insights on:
Chronic Prostatitis Surgery
Not all prostatitis: Is bacterial. Perhaps prostate and seminal vesicle congestion may be irritating? We call prostatis when we cannot make a more specific diagnosis, and you suffer irritative effects. Commonly, anti-biotics are used, and anti-inflammatories. But sex, too much or too little, has no established role. Having sex can elevate the psa test, however. ...Read more
Prostatitis is the swelling and inflammation of the prostate gland, which is a gland located beneath the bladder in men. Prostatitis usually results in painful and difficult urination, and there may be flu-like symptoms present. There are many causes of prostatitis, one of ...Read more
Surgery withheld pending resolved UTI ecoli chronic prostatitis refractory to past 8wks of antibiotics. What is the most aggressive drug of choice?
Depends on the bug. : The antibiotic of choice is dictated by the susceptibility of the particular bacteria in the urine. Not all e. Coli are the same with respect to their response to the same antibiotics. If your UTI hasn't responded to 8 weeks treatment, it could be that the e. Coli is resistant to the antibiotics tried or that a prostate abscess is present. A urologist could help you. ...Read more
Prostatitis Rx: Antibiotics are commonly prescribed in the treatment for prostatitis. Alpha blocker drugs help relax the bladder neck and the muscle fibers where your prostate joins your bladder which may lessen painful urination. Nonsteroidal anti-inflammatory drugs (NSAIDs) may also help. Prostate massage by your doctor may also help. ...Read moreSee 1 more doctor answer
Usually but . . .: Acute prostatitis is typically very painful but chronic prostatitis can sometimes linger & smolder while being silent w/o pain. Then it's only diagnosed coincidentally when a high psa is found upon screening (which uspstf says we're not supposed to be doing these days, at least not w/o thorough talk about ramifications). Regardless, prostatitis is very difficult to cure & takes a long bout of abx. ...Read moreSee 1 more doctor answer
Diagnosed chronic prostatitis several yrs ago. Episodes usually last a couple months. Bike riding agravates it. Love bike riding. Should I not ride?
Unlikely, but: Severe straddle injuries to the perineum and complex pelvic fractures can cause disruption to the urethra or pelvic floor, which could set up the conditions for inflammation of the prostate. Many cases of chronic prostatitis, however, are ultimately idiopathic, meaning no clear cause is found. ...Read more
No correct choice: There are different sub-types of prostatitis and for each the treatment varies. Also important to rule out other causes for your symptoms. Speak to a urologist. In general treatments might include: antibiotics, anti-inflammatories, Alpha blockers, physical therapy, chronic pain management, dietary modifications, lifestyle changes, prostate massage. ...Read more
Maybe: Chronic prostatitis is a difficult diagnosis to treat and harder to cure. The causes are often difficult to determine, some evidence has shown improvement in symptoms with Flomax (or other Alpha blockers) and pelvic floor physical therapy. Try to not get frustrated and work with your urologist to help determine the cause and if any treatment works for you. Realize this process may take time. ...Read more
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