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Urology (Expert Forum)
Prostate or what?
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.
Prostate or what?
by Januaryfreakout, May 18, 2007 12:00AM
42 year male- in above average health
1.Molluscm in gental area in Dec'06, mostly cleared up now.Five weeks ago I quit drinking all soft-drinks and have been drinking only lots of water everyday since.
2. About February I noticed a change in my ejaculation - It would come out normal for first couple of squirts -then dribble out. It still does this now. And it seems less comes out.
3. 9 days ago annoying discomfort in the pereneum area. Swollen a bit and if I excrcsed or went walking it gets worse. Sometimes it seems normal and there is no discmfrt, other times it will get inflamed and feel a bit like a mild burning irritation, then later it may calm down and feel almost normal. My urination seems fine-none of the classical symptoms.
4. Went to my GP 3 days ago. He did a DRE and said prostate did not feel abnormal or enlarged. He said my urine sample was fine He didnt find anything else. He put me on Cipro for 2 weeks. After 3 days of Cipro I dont notice any real difference.
5. Does this sound like prostatitus? Would it be an infection since ejaculation change back in Feb. Does this heal itself or once I get prostate trouble does it stay with me for life? Since the Doc found nothing abnormal in the DRE is that an indication its pretty minor and has a chance to heal itself? If its an infection is 2 weeks Cipro a realistic regimen or should it be longer? Any input or theories appreciated - thanks.
1.Molluscm in gental area in Dec'06, mostly cleared up now.Five weeks ago I quit drinking all soft-drinks and have been drinking only lots of water everyday since.
2. About February I noticed a change in my ejaculation - It would come out normal for first couple of squirts -then dribble out. It still does this now. And it seems less comes out.
3. 9 days ago annoying discomfort in the pereneum area. Swollen a bit and if I excrcsed or went walking it gets worse. Sometimes it seems normal and there is no discmfrt, other times it will get inflamed and feel a bit like a mild burning irritation, then later it may calm down and feel almost normal. My urination seems fine-none of the classical symptoms.
4. Went to my GP 3 days ago. He did a DRE and said prostate did not feel abnormal or enlarged. He said my urine sample was fine He didnt find anything else. He put me on Cipro for 2 weeks. After 3 days of Cipro I dont notice any real difference.
5. Does this sound like prostatitus? Would it be an infection since ejaculation change back in Feb. Does this heal itself or once I get prostate trouble does it stay with me for life? Since the Doc found nothing abnormal in the DRE is that an indication its pretty minor and has a chance to heal itself? If its an infection is 2 weeks Cipro a realistic regimen or should it be longer? Any input or theories appreciated - thanks.
Doctor's Answer
by Forum-M.D.-, May 19, 2007 12:00AM
2 weeks of Cipro would treat may of the major GU infections.
There are some cases of prostatitis that may require longer treatment courses. A transrectal ultrasound can be done to rule out abscess. You can also consider a prostatic massage which would express prostatic fluid to be sent for analysis and culture.
The semen can be also sent off for analysis if there is a significant change in its character.
These options can be discussed with your personal 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.
kevinmd_
There are some cases of prostatitis that may require longer treatment courses. A transrectal ultrasound can be done to rule out abscess. You can also consider a prostatic massage which would express prostatic fluid to be sent for analysis and culture.
The semen can be also sent off for analysis if there is a significant change in its character.
These options can be discussed with your personal 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.
kevinmd_
