Injections to cure Chronic Prostatitis

[WalkerP]

Hi- I wrote a few months ago about pain in my frenelum and painful, premature ejaculation, seemingly symptoms of chronic prostatitis.  I recently receieved therapy from a Dr. Attila Toth in New York who practices a European technique whereby he injects powerful antibiotics directly into the prostate by using a rectal ultrasound, and bursts calcifications there.  It seems that since the injections, almost all of my symptoms have gone away.  I was wondering what you thought of the technique and why it is not more widely accepted in the US?  The technique is described in detail at www.prostatitis2000.org, though it seems Dr. Toth actually practices a variation.  While I am curious to hear your thoughts, I also just wanted to let people know that a potential new treatment is out there for the many who have suffered for years with little or no improvement.

Thanks!

[Kevin Pho, MD]

Interesting site.  I am not aware of controlled trials comparing directly injecting antibiotics into the prostate compared with oral antibiotics as well as IV antibiotics.  

As I am not a urologist, I do not have any experience in this specific procedure.  Typically chronic prostatitis is treated with oral or IV antibiotics, since it will obtain appropriate absorption by the prostate.  I suspect that the reason it is not further practiced in the United States is because of the lack of controlled trials.  

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.

Thanks,
Kevin, M.D.

[LRS337]

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