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Urology (Expert Forum)
Follow up Question
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.
Follow up Question
by dearborn, Nov 12, 2004 12:00AM
Your reply to an earlier post of mine was as follows " Evaluation of the prostate would be a reasonable next step. This can include expressing some prostatic fluid for analysis and culture to ensure there is no infection present there. I would also consider a transrectal ultrasound which can image the prostate for any abscesses. "
My question to you is A.) Are these two procedures painful ? B.) Does " expressing some prostatic fluid " mean using a syringe or needle to extract the fluid ? If the answer to the last question is no, how is the procedure performed and C.) Do either of these two procedures invole going into the urinary tract (such as wiht a DNA swad, as that is more painful than the current discomfort I feel)
If the answer is yes to the above questions and there is a lot of discomfort with these procedures are there other tests that do the same things with less pain (such as a scrotal sonogram or MRI)
My question to you is A.) Are these two procedures painful ? B.) Does " expressing some prostatic fluid " mean using a syringe or needle to extract the fluid ? If the answer to the last question is no, how is the procedure performed and C.) Do either of these two procedures invole going into the urinary tract (such as wiht a DNA swad, as that is more painful than the current discomfort I feel)
If the answer is yes to the above questions and there is a lot of discomfort with these procedures are there other tests that do the same things with less pain (such as a scrotal sonogram or MRI)
Doctor's Answer
by Kevin Pho, MD, Nov 15, 2004 12:00AM
, Nov 15, 2004 12:00AM
Expressing prostatic fluid can be done via a digital rectal exam where the prostate is literally massaged and any fluid that is expressed collected and sent off for analysis.
More information can be found here:
www.fpnotebook.com/URO44.htm
The actual massage should not involve any instrumentation of the urethra.
As for other studies, an MRI or transrectal ultrasound can be considered to further image the prostate.
You can discuss these options with your personal physician or 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.
Medical Weblog:
kevinmd_b
More information can be found here:
www.fpnotebook.com/URO44.htm
The actual massage should not involve any instrumentation of the urethra.
As for other studies, an MRI or transrectal ultrasound can be considered to further image the prostate.
You can discuss these options with your personal physician or 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.
Medical Weblog:
kevinmd_b
