Avatar universal

Prostatitis question

46 year old male with a history of Prostatitis. Been on bactrim ds a bunch and cipro.. my symptoms are frequent urination and incomplete bladder emptying.. it’s annoying always have to pee and I can feel it get hot m.. on macrobid because they though uti but my urinalysis came back clean…… this stinks another other recommendations on how to get this fixed.. it’s highly annoying taking ibprofin as well
1 Responses
Sort by: Helpful Oldest Newest
Avatar universal
Perhaps those antibiotics aren't the right one for the bacteria you have? I got an infection once and they gave me Cipro. Didn't work. Bacteria was resistant to cipro.
Helpful - 0
What  did they give you?
If its bacterial prostatitis, and you have a UTI or similar, you need an 'antibiotic susceptibility test' performed on your urine. They can test your urine against like 20 or so ab's. Some will be resistant, some not. Obviously, take an antibiotic thats susceptible. It's worth a try. If you have a bacterial infection though, you might have other symptoms like odd smelling urine, burning, stinging etc.. Go for an AB that has good prostate penetration. Some dont pass as readily into that little walnut gland  - its well protected from allowing bacteria in, and likewise, allowing other things in to kill the bacteria.

You can also get this test done on semen - a semen culture. Though  I think the semen has to be fresh, and obviously, its there's a little more logistics involved in delivering a fresh semen sample. It's weird, but a prostate massage, and 'milking' of that gland, and the test performed on the secreted fluid (growing the the culture [if there] on an agar plate), would be the definitive gold standard for bacterial prostatitis identification of required antibiotic.
Have an Answer?

You are reading content posted in the Urology Community

Top Urology Answerers
Avatar universal
Southwest , MI
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Discharge often isn't normal, and could mean an infection or an STD.
Dr. Jose Gonzalez-Garcia provides insight to the most commonly asked question about the transfer of HIV between partners.
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.