I am a 50 year old male. Six weeks or so ago I got a UTI.
While I realize this is rare for a male, I know the reason
why it occurred and that is not the issue in my question.
Its symptoms were simply feeling rotten in general and
cloudy urine - no burning or urgency. My family practice
physician put me on 800mg Septra DS twice a day for 10 days.
However, about 3 weeks after I quit taking it one of my
testicles became sore, swelled up, and I got cloudy urine,
blood in my urine, and blood in my semen - but no burning or
urgency. So I am thinking, "this is probably a prostate
infection". In any event, I went to see my urologist who
put me on a course of Cipro. He said that 10 days on
antibiotics is often insufficient so he prescribed 500mg
of Cipro twice a day for the first 10 days then 500mg of
Cipro once a day for 50 more days. This is a total of 2
months on this antibiotic. After about 5 days on it
everything started to get better and the painful part of
the swelling went down, although I understand that
getting back to normal size can take several months.
I would simply like some information on the side effects of
being on this medication that long. The PDR indicates that
prolonged useage might affect the kidneys. I am also concerned
about possibly building up an immunity to this drug or others
in the same family. Since I am totally medically uninformed,
any opinions on anything pertaining to what I have mentioned
will be appreciated.
Your concerns regarding long term antibiotic use in regards to development of resistant organisms (bacteria) and possible side effects are legitimate. Although what you initially described sounds like a UTI (urinary tract infection), what you later describe 3 weeks after the initial antibiotic course sounds like a UTI with involvement of the epididymis/testis (epididymitis, orchitis) which require a longer course of antibiotic treatment. In general, the choice of antibiotics is at the discretion of your physician, but we usually start with the least expensive and safer antibiotics, and save the
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