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Urology (Expert Forum)
Prostatis
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.
Prostatis
by air3cxk, Oct 21, 2004 12:00AM
I have been fighting an on-going bout with what has been deturmined to be Prostatis.
About 7 months ago it was originally thought to be a urinary infection and prescribed an antibotic (antibiotic) for a week long period, and the symptoms appeared to go away. A few days later the symptoms returned. Another 7 day round of antibotic (antibiotic) was prescribed, with the same result. A few days after the medicine is done, the symptoms return. The doctor then checked my prostate. When he just touched it, the pain was very sharp and decided it was now prostatis. He then prescribed a 30 day period of antibiotics. I do not recall the exact name, at this time, but it was called (Sulfer)something ?. I do recall, the dosage was a 500mg tablet twice a day. I ended up doing this 30 day routine twice because, once again, when I stop the medicine it comes back in a few days. I went to another doctor 3 1/2 months ago and he changed the medicine to Ciprofloxacin. I had been taking 500mg twice a day for 12 weeks straight, and the symptoms again appeared to be gone. But once again, when this ended, the symptoms came back in less than a week. I am now back on another 30 day round of Ciprofloxacin, that I started 8 days ago, and the pain is starting to go away again. The best I can tell, the Ciprofloxacin is the medicine of choice. The treatment time, from what I have read can be 4-12 weeks, being it is difficult to treat, as I am finding out. But I suspect this will be back again after the 30 day round.
I have had a PSA test, and several urine, and culture tests, all normal. I am trying to deturmine if there is any other treatments that may be more successful, or any other ideas. In every case the treatments appear to be somewhat effective, but I have yet to be rid of this completely.
About 7 months ago it was originally thought to be a urinary infection and prescribed an antibotic (antibiotic) for a week long period, and the symptoms appeared to go away. A few days later the symptoms returned. Another 7 day round of antibotic (antibiotic) was prescribed, with the same result. A few days after the medicine is done, the symptoms return. The doctor then checked my prostate. When he just touched it, the pain was very sharp and decided it was now prostatis. He then prescribed a 30 day period of antibiotics. I do not recall the exact name, at this time, but it was called (Sulfer)something ?. I do recall, the dosage was a 500mg tablet twice a day. I ended up doing this 30 day routine twice because, once again, when I stop the medicine it comes back in a few days. I went to another doctor 3 1/2 months ago and he changed the medicine to Ciprofloxacin. I had been taking 500mg twice a day for 12 weeks straight, and the symptoms again appeared to be gone. But once again, when this ended, the symptoms came back in less than a week. I am now back on another 30 day round of Ciprofloxacin, that I started 8 days ago, and the pain is starting to go away again. The best I can tell, the Ciprofloxacin is the medicine of choice. The treatment time, from what I have read can be 4-12 weeks, being it is difficult to treat, as I am finding out. But I suspect this will be back again after the 30 day round.
I have had a PSA test, and several urine, and culture tests, all normal. I am trying to deturmine if there is any other treatments that may be more successful, or any other ideas. In every case the treatments appear to be somewhat effective, but I have yet to be rid of this completely.
Doctor's Answer
by Kevin Pho, MD, Oct 21, 2004 12:00AM
, Oct 21, 2004 12:00AM
You certainly have been treated with extended periods of antibiotics. One consideration would be to be evaluated for any sign of prostate abscesses. If present, no amount of antibiotic would be able to take care of this.
The test to consider would be a transrectal ultrasound, which can image the prostate. If there is evidence of an abscess, it would have to be drained.
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
The test to consider would be a transrectal ultrasound, which can image the prostate. If there is evidence of an abscess, it would have to be drained.
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
Member Comments
by Calusa, Nov 29, 2004 12:00AM
To: Prostate
0
by air3cxk, Dec 23, 2004 12:00AM
To: Prostate
0
