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Urology (Expert Forum)
chronic 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.
chronic prostatis
by jr978, Nov 18, 2005 12:00AM
Hi Dr, I have had chronic nonbacterial prostatitis for the past 2 years. I am concerned because I am fairly young (35yo) and dont really understand why I have this problem. I am being treated with flomax with pretty good success (90% better), I still have burning sensation after ejaculation but pretty much ok otherwise. Its hard for me to live with this and to always have in the back of my mind if it is cancer! My urologist said he thinks its a food allergy?? Have you heard of this?? I have had the following exams performed.
1. ultrasound of the kidney and the bladder. (test all ok)
2. sygmoscopy (SP?) tube done the urethra to visually inspect the prostate. (md found that the prostate is still inflammed)
3. flowmeter urine reading.
4. initally I was treated for a couple of months with cipro (no effect)
5. Ive given urine samples many times all neg for bact but did find some rbc.
My questions are
1. If this was you would you be ok with these results or would you want some other test to be performed?? Is my urologist missing something? Should I get a second opinion?
2. How common is it for young men to get prostatitis? What causes it??
3. Does this eventually go away??
4. My doctor doesnt seem to want to do a PSA is that odd?
5. Shouldnt an ultrasound of the prostate be done?
Thanks for all advice :)
1. ultrasound of the kidney and the bladder. (test all ok)
2. sygmoscopy (SP?) tube done the urethra to visually inspect the prostate. (md found that the prostate is still inflammed)
3. flowmeter urine reading.
4. initally I was treated for a couple of months with cipro (no effect)
5. Ive given urine samples many times all neg for bact but did find some rbc.
My questions are
1. If this was you would you be ok with these results or would you want some other test to be performed?? Is my urologist missing something? Should I get a second opinion?
2. How common is it for young men to get prostatitis? What causes it??
3. Does this eventually go away??
4. My doctor doesnt seem to want to do a PSA is that odd?
5. Shouldnt an ultrasound of the prostate be done?
Thanks for all advice :)
Doctor's Answer
by Kevin Pho, MD, Nov 21, 2005 12:00AM
, Nov 21, 2005 12:00AM
To answer your questions:
1) This is a pretty comprehensive workup. You can consider a transrectal ultrasound to further image the prostate and evaluate for the possibility of abscesses.
2) It is not uncommon for young men to get prostatitis. This is normally causes by bacteria migrating up the prostatic ducts.
3) Most cases of prostatitis goes away after appropriate treatment.
4) The PSA will be elevated during a case of prostatitis. It will go down after appropriate treatment.
5) See above answer.
You can discuss these options with your personal physician.
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_b
1) This is a pretty comprehensive workup. You can consider a transrectal ultrasound to further image the prostate and evaluate for the possibility of abscesses.
2) It is not uncommon for young men to get prostatitis. This is normally causes by bacteria migrating up the prostatic ducts.
3) Most cases of prostatitis goes away after appropriate treatment.
4) The PSA will be elevated during a case of prostatitis. It will go down after appropriate treatment.
5) See above answer.
You can discuss these options with your personal physician.
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_b
Member Comments (5)
by Science, Nov 19, 2005 12:00AM
To: Prostate
0
by veeranna, Nov 22, 2005 12:00AM
To: Prostate
0
by FloridaSLP, Nov 29, 2005 12:00AM
To: Prostate
0
by cdb35, Dec 07, 2005 12:00AM
To: Prostate
0
by gre66ne, Feb 02, 2006 12:00AM
To: Prostate
0
