I am 30 years old. I was diagnosed with prostatitis about two months ago. I have burning sensation, urgency, and increased frequency significant enough to keep me from sleeping. The symptoms seem to increase when I lay down. The symptoms are confined to my penis. My doctor has done several urinanalysis, rectal exams, cystopscopy (sp?), and gotten no abnormal results that he has shared with me. I have been on several different types of antibiotics with no noticable effect, but I have found that laying on a heating pad helps reduce the symptoms. My doctor has been treating me with flomax and pyridium plus (which I take at night) for two months now. The symptoms ebb and flow, but never quite disappear. An average of once a week they get so bad that even with the Pyridium I cannot sleep for about 48 hours.
Are these symptoms consistent with prostatitis, or is it possible that I have something else?
Is there some question I should be asking my doctor?
Is there some other treatment available besides what I am on that might be more effective?
I have read that pyridium plus may be habit forming. Are there alternatives? How long can I take it?
Are there other alternatives to help me sleep?
1) It is possible that you may have chronic prostatitis, or a prostatic abscess. Prostatitis can be difficult to treat. Make sure that prostatic massage with appropriate culture of the secretions are performed. A transrectal ultrasound can be considered to look for abscess.
2) As about the prostatis massage and about various imaging tests to visualize any possible abscess. There are cases of prostatitis where up to 12 weeks of antibiotics are needed.
3) Transurethral microwave thermotherapy can provide relief from prostatitis. Urodynamic tests can be performed to evaluate for pelvic flood dysfunction - in this case, valium can be suggested as a treatment.
4) Pyridium is typically not used for more than 2 days. High dose anti-inflammatories can also be considered for symptom relief.
5) The pain control should be optimized. You may want to try some of the suggestions above in conjunction with your 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.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.