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Urology (Expert Forum)
Coping with Pain from Non-Bacterial Prostititis
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.
Coping with Pain from Non-Bacterial Prostititis
by Hagop, May 12, 2006 12:00AM
Three years ago I went through radiation therapy for prostate cancer after a failed attempt at having the prostate removed (pevlvic too tilted). There was some damage done to the urinary system. I had a Turp procedure as my bladder was not emptying completely and now I leak and suffer with incontinence. Since then, I have developed chronic and very painful nonbacterial prostatitis. I am on a waiting list for a Pain Clinic at the Cancer Centre. I am quickly declining due to the severe pain which even travels down my legs . I am now using a walker and have lost a lot of weight. The pain is debilitating. I have been trying many different drugs for pain under doctor supervision such as anti-inflammatory drugs, morphine, tylenol 3. Constipation aggravates the symptons so I struggle with this issue as some of these drugs are constipating.
What have others done in terms of pain control? I don't know how long it will be before I get into the pain clinic due to the wait list.
What have others done in terms of pain control? I don't know how long it will be before I get into the pain clinic due to the wait list.
Doctor's Answer
by Kevin Pho, MD, May 13, 2006 12:00AM
, May 13, 2006 12:00AM
At this time a pain clinic or neurology referral are suggested considerations.
Surgery to ablate the affected nerve can be considered. A neurology referral can help in helping some of the nerve pain that is travelling down your legs.
The pain clinic would start with long-acting narctics, supplemented by breakthrough medications to help manage the pain.
As the amount of narcotics increases, constipation will become more of a problem. A proper bowel regimen - including stool softeners, suppositories, etc. - needs to be closely supervised.
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.
Kevin, M.D.
kevinmd_
Surgery to ablate the affected nerve can be considered. A neurology referral can help in helping some of the nerve pain that is travelling down your legs.
The pain clinic would start with long-acting narctics, supplemented by breakthrough medications to help manage the pain.
As the amount of narcotics increases, constipation will become more of a problem. A proper bowel regimen - including stool softeners, suppositories, etc. - needs to be closely supervised.
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.
Kevin, M.D.
kevinmd_