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Urology (Expert Forum)
Can't sit down
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.
Can't sit down
by Reno man, Nov 05, 2004 12:00AM
I start having pain between my rectum & the testicles 3 years ago. After a docent of medications to kill possible bacteria, it has done nothing to help my situation but irritate my prostate even more. I’m 43 & I was diagnosed with BPH. I have not problems of urinating at night, but it does burn a little when I pee & during ejaculation. PSA levels are fine & the Cystoscopy shows nothing. My biggest problem is I CAN SIT DOWN. I can’t take a fly or ride a motorcycle. My job is in computers & it hurts badly. I commute 1 hour a day & it is a nightmare. I have not heard anybody that has the same problem of sitting down like me. The rectal examination shows a enlarge prostate. My urology can't do nothing for me. Is this unusual situation? I’m considering a minimal invasive treatment, but seems that most procedures are only for the obstruction of urine & "that is not my case". What method of surgery o ? could help my situation?
Thanks
Thanks
Doctor's Answer
by Kevin Pho, MD, Nov 06, 2004 12:00AM
, Nov 06, 2004 12:00AM
Prostate problems would be the most suspicious culprit. Typically chronic inflammation or infection can cause the symptoms you describe. Some cases of chronic infection may require several months of antibiotic treatment.
I would consider sending some prostatic secretions for culture and analysis. A transrectal ultrasound can be considered to image the prostate and to ensure there is no abscess present. If so, it needs to be drained since antibiotics won't be effective.
You may want to discuss these possibilities 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.
Medical Weblog:
kevinmd_b
I would consider sending some prostatic secretions for culture and analysis. A transrectal ultrasound can be considered to image the prostate and to ensure there is no abscess present. If so, it needs to be drained since antibiotics won't be effective.
You may want to discuss these possibilities 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.
Medical Weblog:
kevinmd_b
