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Urology  (Expert Forum)
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Am I getting better/ Should I continue antibiotics
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.

Am I getting better/ Should I continue antibiotics

by calh2o, Oct 06, 2007 04:12PM
I have been on antibiotics for 3 weeks with a small break in between. Was having frequent urination and bladder spasms to begin with. I was getting better when stopped first 2 weeks of antibiotics but then frequent urination started again. Over the last week while getting back on cipro urination normal and no discomfort in bladder or testicals. Urine and blood test were clean so WHY do the antibiotics seem to be helping? Was on websight and they say they have an antiinflamatory effect and that there not really helping. Should I continue on longer course of antibiotics? Urologist said he has never seen anything like this I am scheduled for cystscope next week but should I do it as I heard it can create problems for some people. Is there anything medication that may have same effect as cipro because if I need something for frequent urination this is much better than detrol, vesicare.

by Kevin Pho, MD, Oct 06, 2007 09:12PM
Prostatitis can be consider, and may be improving on the antibiotics despite negative urine and blood tests.

Sometimes, extended courses of antibiotics are needed to completely treat cases of chronic prostatitis - 4-12 weeks are not unheard of.

Imaging the prostate with a transrectal ultrasound can be discussed as well to exclude an abscess.

I agree with the cystoscopy to further evaluate the GU tract.

These options can be discussed with your urologist.

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.
www.kevinmd.com
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