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Urology (Expert Forum)
DULL, BUT INTENSE NIGHTTIME LOW BACK PAIN, RELIEVED AFTER URINATION
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
DULL, BUT INTENSE NIGHTTIME LOW BACK PAIN, RELIEVED AFTER URINATION
by DIANNEC, Mar 09, 2004 12:00AM
MY HUSBAND HAS BEEN SUFFERING FROM A RATHER INTENSE, LOW BACK PAIN THAT WAKES HIM FROM HIS SLEEP. AFTER HE URINATES IT GOES AWAY. HE JUST COMPLETED AN IVP TEST THAT SHOWED NO ABNORMALITIES EXCEPT THAT SOME SMALL AMOUNT OF URINE IS BEING RETAINED IN HIS BLADDER. AFTER A RECENT PHYSICAL HIS PSA WAS ELEVATED TO A 5. HIS PHYSICIAN HAS PLACED HIM ON A 2 WEEK ROUND OF CIPRO. COULD AN ASYMPTOMATIC INFECTION CAUSE THE ELEVATED PSA? ANY POSSIBLE IDEAS WHY THE PAIN IN THE BACK AND WHY IT WOULD BE RELIEVED UPON URINATION? MAY THERE BE A CORRELATION BETWEEN THE URINE RETENTION AND THE ELEVATED PSA? THE PAIN DOES NOT OCCUR NIGHTLY. MAYBE ONCE OR TWICE A WEEK. IT HAS BEEN GOING ON FOR SEVERAL MONTHS. HIS GENERAL HEALTH IS VERY GOOD.
Doctor's Answer
by Kevin Pho, MD, Mar 11, 2004 12:00AM
, Mar 11, 2004 12:00AM
Any type of prostate disorder, including infection or an enlarged prostate can cause an elevation of the PSA. I would suggest repeating the PSA after the antibiotics to see if it had decreased.
Prostatitis itself can cause back pain. A thorough digital rectal exam should be performed, and if the symptoms continue, a transrectal ultrasound can be considered.
Certainly if the prostate is enlarged, this can result in urinary retention as well as an elevated PSA.
I would suggest a urology referral for further evaluation and to ensure there is no prostatic diseases going on.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Prostatitis itself can cause back pain. A thorough digital rectal exam should be performed, and if the symptoms continue, a transrectal ultrasound can be considered.
Certainly if the prostate is enlarged, this can result in urinary retention as well as an elevated PSA.
I would suggest a urology referral for further evaluation and to ensure there is no prostatic diseases going on.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
