prostatitis

[chukien]

In Feb. went to doctor with complaint of dripping and slight pain in groin area and decrease in ejactulate volume. doctor did swab for clamydia (chlamydia) and prescribed doxycyline for 10 days.  pain seemed to go away, and test came back neg.  a couple weeks later started having severe pain and decide to see a urologist does a dre and say i have bacterial prostatitis sub acute or acute. gives me leviquine for 10 days.  when i see him after the 10 days. pain still present but subsided some. does cyctoscopy and comfirms bacterial prostatitis. prescribe 30 days septra because leviquine was causing me problems and to see him again after 30 days. see uro. after 30 days. and tell him i only have some dribbing still but no pain really, but ejactulate volume still low. he said he thought i was cured. and give it time to heal. a month has passed sence i have seen him and been off antibiotics. my urine flow is normal, but starts in a slight split stream but quikly normalizes.  i do not have any pain when urinating, but my ejactulation volume is still low, and sometimes have slight stinging after ejactulation.
1. should i be completely healed by know with no symptoms or does it take awhile for these symptoms to go away completely or do you think i need to go back and take more antibiotics.
for what you have read will these symptoms go away over time or do i need more antibiotics.

[Kevin Pho, MD]

The antibiotics you were given are reasonable initial treatments for prostatitis.  However, some cases would require extended courses of treatment (sometimes months).  

A transrectal ultrasound can be considered, as well as a rectal exam with analysis of any expressed prostatic fluid.  

If the prostate is normal, a cystocopy can be considered to evaluate for any anatomical abnormalities of the lower GU tract (i.e. urethral strictures or polyps).

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_

[chukien]

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[losst]

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