Prostititis - Prostate Infection info

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Posted by HFHS M.D.-MS on March 23, 1998 at 17:27:12:

In Reply to: Prostititis - Prostate Infection info posted by TLB on March 20, 1998 at 00:39:07:

: About two 1/2 months ago I was diagnosed with Prostititis. I went to the urologist and was prescribe
  Levaquin for 6 weeks. Previously, for almost 6 months, I had noticed a strange sensitivity in my urethra
  and an odd uncomfortable feeling in my penis. The reason I ended up going to the doctor was because one morning
  I woke up and found blood in my urine. Anyway...after reading alot about Prostititis on the net..it seems that there
  are numerous posts about how difficult it is to get rid of..and how for so many people it just keeps coming back over and over again.
  I have been off the medication for almost 4 weeks now..and although there is not trace of blood in my urine, I somehow still don't feel right.
  I am not in any pain..but I notice that there is still a noticeable sensitivity in my urethra and it seems that when I urinate..I feel an odd pressure
  on my prostate. The doctor explained that the healing of the prostate after an infection is almost like having a hurt shoulder...it will get better, but will not happen overnight.

  I am concerned that my prostate infection is going to come back..and also concerned that I am still experiencing some sensitivity. My question is..is this normal?? and if it does come back
  is there anyway to be sure I get rid of it for good??
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Dear TLB
Prostatitis is a complex subject.   The terminology prostatitis is a term that applies to different diseases of the prostate in which inflammation is seen.  Acute bacterial prostatitis patient are very sick, have fever and may not be able to urinate. This is cause by a bacterial infection, treated easily with antibiotics.  Chronic bacterial prostatitis ( CBP) is more indolent although is caused by “low grade” bacterial infection of the prostate.  CBP is treated with antibiotics for about 6-10 weeks. Usually a fluroquinolone
( levaquin)   or Bactrim ( trimethaprim sulfa)  because they can penetrate the not so inflamed prostate.  Both ABP and CBP are diagnosed with clean catch mid stream urine cultures or for CBP cultures of expressed prostatic secretions (EPS) .  ( drainage from the penis when the prostate is massaged)   Nonbacterial prostatitis or prostadynia is not a typical bacterial infection.  Numerous white blood cells maybe seen on the EPS but no bacterial grow in the urine or in the EPS.  
Other diseases like a passing kidney stone need to be ruled out before one make NBP a diagnosis.  See Mike’s posting Urge to Urinate on 3-16-98.  Please use the SITE SEARCH  “Hot Key”  and type in nonbacterial prostatitis or prostadynia for more questions and answers that have been posted on the forum in the past.  It is important to know if your initial urine culture before antibiotics was positive.  Even women, who of course do not have a prostates, report altered sensation when voiding up to several weeks after a simple urinary tract infection.    If your first culture was positive you need a repeat urine culture after course of antibiotics to make sure the infection is gone. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568). We can also arrange local accommodations through this number if this is
your need. Please bring any physicians’ notes and lab test results that
you may be able to obtain. These will help us greatly.
This information is provided for general medical education purposes only.  Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
Hope this has helped.
Sincerely;
HFHS-M.D. MS
*Keyword: nonbacterial prostatitis,  prostatdynia, prostatitis, chronic bacterial prostatitis