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Urology (Expert Forum)
Interstitial cystitis
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
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.
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Interstitial cystitis
by gowinmktg, Jan 19, 2007 12:00AM
Dear Drs,
I am 25, male, about 1.5 year ago, I noticed everytime i drink coffee/tea, I get this discomfort around my pelvic area, sometimes around my testicular area as well, and I get really frequent urge for uraination. To sum up my symptons.. I have.
# ower abdominal pain,
# urinary frequency,
# decrease strength and caliber of the urinary stream as well as
# pain in the testicles or perineum (the area just in front of the rectum and behind the scrotum) especially after coffee/tea.
I DON'T HAVE:
# cramping,
# bladder spasms,
# burning during urination,
# difficulty in beginning urination,
# interrupted urination.
I didn't think it was a big deal, until I felt that my erection was not as good as it used to be, so I went to see an doctor. The doctor did a test.. basically put a microscope in my penis(uroscopy?) and came back with the result that I have interstitial cystitis, which only 10% happenes to man, the doctor told me that it won't cause any erection issues, and i don't have pain during or after intercourse. The doctor said I have a "Classic Case of Interstitial cystitis" because when they filled my bladder full with water, traces of blood would appear.
I was given a drug called Elmiron, so I have been taking that. Ever since than, my erection has been good. However, for a month or so I stopped taking Elmiron becaus I ran out. Than I didn't notice that general sympton such as pelvic pain and testicular discomfort getting any worse after I stopped taking the drug, but I noticed my erection is getting weaker again.
I am very worried about this situation, I am especially worried because I am 25 and I don't want to be dealing with erection problem for the rest of my life. I am also curious as to why Elmiron is almost a little vigra for me, evertime I take it I get frequent/solid erection. My questions are as follow:
1) Do IC cause erection problems?(I don't have pain during or after intercourse)
2) Could what I have be something other than IC? my sympton looks very much like PROSTATITIS.. but they would have checked that during the uroloscopy? Because I do know Prostatitis causes impotence. If possible to be Prostatitis, what should I do?
3) Why does Elmiron allows me to get frequent erection? I really don't want to rely on drugs my whole life.
Thank you so much for your help....
I am 25, male, about 1.5 year ago, I noticed everytime i drink coffee/tea, I get this discomfort around my pelvic area, sometimes around my testicular area as well, and I get really frequent urge for uraination. To sum up my symptons.. I have.
# ower abdominal pain,
# urinary frequency,
# decrease strength and caliber of the urinary stream as well as
# pain in the testicles or perineum (the area just in front of the rectum and behind the scrotum) especially after coffee/tea.
I DON'T HAVE:
# cramping,
# bladder spasms,
# burning during urination,
# difficulty in beginning urination,
# interrupted urination.
I didn't think it was a big deal, until I felt that my erection was not as good as it used to be, so I went to see an doctor. The doctor did a test.. basically put a microscope in my penis(uroscopy?) and came back with the result that I have interstitial cystitis, which only 10% happenes to man, the doctor told me that it won't cause any erection issues, and i don't have pain during or after intercourse. The doctor said I have a "Classic Case of Interstitial cystitis" because when they filled my bladder full with water, traces of blood would appear.
I was given a drug called Elmiron, so I have been taking that. Ever since than, my erection has been good. However, for a month or so I stopped taking Elmiron becaus I ran out. Than I didn't notice that general sympton such as pelvic pain and testicular discomfort getting any worse after I stopped taking the drug, but I noticed my erection is getting weaker again.
I am very worried about this situation, I am especially worried because I am 25 and I don't want to be dealing with erection problem for the rest of my life. I am also curious as to why Elmiron is almost a little vigra for me, evertime I take it I get frequent/solid erection. My questions are as follow:
1) Do IC cause erection problems?(I don't have pain during or after intercourse)
2) Could what I have be something other than IC? my sympton looks very much like PROSTATITIS.. but they would have checked that during the uroloscopy? Because I do know Prostatitis causes impotence. If possible to be Prostatitis, what should I do?
3) Why does Elmiron allows me to get frequent erection? I really don't want to rely on drugs my whole life.
Thank you so much for your help....
Doctor's Answer
by Kevin Pho, MD, Jan 19, 2007 12:00AM
, Jan 19, 2007 12:00AM
To answer your questions:
1) I am not aware of IC leading to erectile dysfunction, although this may be possible.
2) I agree that prostatitis should be considered. The cystoscopy would not properly evaluate this. You can consider a prostatic massage and subsequent analysis of the prostatic fluid. A transrectal ultrasound can be done to image the prostate for any abscesses.
3) I am not aware of Elmiron leading to a change in erectile quality. Looking at the PDR, it does not mention an association with erectile function.
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_
1) I am not aware of IC leading to erectile dysfunction, although this may be possible.
2) I agree that prostatitis should be considered. The cystoscopy would not properly evaluate this. You can consider a prostatic massage and subsequent analysis of the prostatic fluid. A transrectal ultrasound can be done to image the prostate for any abscesses.
3) I am not aware of Elmiron leading to a change in erectile quality. Looking at the PDR, it does not mention an association with erectile function.
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_
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