Prostitis - Not Sure If that is the proper diagnosis

I am a 32 year old male, very healthy, athletic... with little stress in my life.  Last year I began to have the urge to urinate frequently - this came on suddenly within a few days.  Took Macrobid - 30 day trial... everything cleared up.  Blood and Urine tests showed no infections.  

Six months later the symptoms returned - the need to urniate frequently... but I have no pain, stream is good (strong)... my only symptom is the urination.  Saw the dr's and urologist - they feel I have prostitis....  I am on a round of meds ( broad spectrum antibiotics - 30 days) with alpha blocker - Flomax, and taking something to help me sleep.  Some days my symptoms are almost 0... then without warning they return....  Sex life is daily... no issues...  

I am not convinced this is prostitis...  any ideas....

[David A Burks, MD]

Hi,  
Some patients have acute prostatitis which usually occurs once and is cleared with antibiotics.  Others have chronic prostaitis (CP), which often recurs off antibiotics.  Cipro is probably the  best antibiotic because it gets good penetration in the prostate.  Patients often need 4-6 weeks of treatment to eradicate the chronic infection.  Flomax can help relieve the symptoms in some men with CP.  Unfortunately there are men who get recurrent infections that keep coming back off treatment and may need surgery.  Other men get the symptoms of CP but have no infection and antibiotics are ineffective.  They have frequency and pain in the testicles, penis or rectal area.  The good news is you have no pain.  Urinary frequency without pain or infection could be overactive bladderContinue to follow with your urologist to help sort this out.  Good Luck