Boggy/nodular prostate

You gave me some very good advice several weeks ago; I'd like to get some more from you

[Kevin Pho, MD]

To answer your question:
1) A prostate infection can lead to a "boggy" prostate.  In addition to the rectal exam, a transrectal ultrasound can be considered to evaluate for this.

2) A digital rectal exam is normally suggested after the age of 40 to look for suspicious masses.  A blood PSA test is recommended after the age of 50.

3) A transrectal ultrasound or an MRI would be tests that can further evaluate the prostate.

4) Yes, if negative, there can still be an infection.

5) The side effects of prolonged antibiotic treatment would be emerging resistance of the bacteria to the antibiotic.  Whether you need this should be discussed with your physician.

6) I would consider further imaging studies if the current course is non-conclusive.

7) That would depend on what is causing the symptoms.  Some kind of prostate infection should be considered.

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.
Medical Weblog:
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