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Urology (Expert Forum)
Problems with Prostatitis
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.
Problems with Prostatitis
by Tonynyc, Feb 15, 2007 12:00AM
Iam a 39yr male. My problems started back around the 5th Nov when I started feeling very low grade pain in my groin specifically around my groin nodes (no swelling) and inner legs and also started feeling a very mild burning sensation at times around the tip of and inside my penis as well as some discomfort between the rectum and scrotum. I tend to urinate quite often and get the feeling where I completely need to empty the blatter but I do not get up during the night to urinate. I went to see a Urologist in December. He preformed a rectal exam and advised me that I had a slight inflam of the prostate. He prescribed me a four week course of cipro and said that it should do the trick. The slight burning and discomfort between the groin and scrotum subsided but the very low grade pain near the groin nodes still exists. I recently went back for a follow-up and once again he preformed another rectal exam. He then advised that the prostate fealt fine and didn't think it was bacterial. He advised me that no more meds were needed at this point in time and that aspirin or tylenol would help my discomfort. He also mentioned to come back in a few weeks for a PSA test but nothing further was needed. I am still experiencing the sensation/vibrating feeling in my penis that comes and goes as well as the low grade groin pain. Does this appear to be prostatitis (chronic?) Are there any other tests I need to ask for? Do I need more antibiotics? Is the mild groin pain normal and can it exist for 2 + months. Can you explain the sensation I'm feeling in the penis? Thank you!
Doctor's Answer
by Kevin Pho, MD, Feb 16, 2007 12:00AM
, Feb 16, 2007 12:00AM
Prostatitis can sometimes be difficult to treat. A prostatic massage where the prostatic fluid can be sent for analysis and culture can be considered. I would also consider a transrectal ultrasound to evaluate for any prostatic abscesses.
If the pain continues, you can look at non-infectious causes. This can include a urethral stricture or polyp, which can be evaluated with a cystoscopy.
A pelvic CT can also be considered to image the groin for any masses which may be causing discomfort.
These options can be discussed with your personal physician.
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_
If the pain continues, you can look at non-infectious causes. This can include a urethral stricture or polyp, which can be evaluated with a cystoscopy.
A pelvic CT can also be considered to image the groin for any masses which may be causing discomfort.
These options can be discussed with your personal physician.
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_
Member Comments (5)
by cpv, Feb 15, 2007 12:00AM
To: Urology - General
0
by Tonynyc, Feb 16, 2007 12:00AM
To: Urology - General
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by stranger747, May 12, 2007 12:00AM
To: Urology - General
0
by boyblue, May 16, 2007 12:00AM
To: Urology - General
0
by stranger747, May 17, 2007 12:00AM
To: Urology - General
0
