Hi,
July 2007 I have the horrible burning at tip of penis and full blown testicle pain. I see my PCP exam prostate inflamed and tender. Bactrim for 10 days - 5 days I am worse I call PCP office and get the doctor that I prefer. She examines me says prostate is inflamed, bactrim is weak prescribes Levaquin for 30d. 5 days on the Levaquin the penis tip burning went away but testicle pain remained. I finished the levaquin and went back to PCP she examined again and said prostate still inflamed and sent me to a Uro.
Visit with URO was routine, said that he had no doubt that I had prostatitis and that the penis tip burning was a sure sign, he did exam said inflamed. Put me on flomax, no acidic foods or drinks for 30 days. I followed 30 days with little improvement. Next visit did not go well with this doctor, I did not feel confident in him.
I found new URO,he did exam said prostate was inflamed. Cipro 500mg 2xd, Ibuprofen 800mg 3xd and Uroxatrol 10mg 1xd for 30d. After 30d little to no improvement, says we have to stop looking at prostate and look at Interstitual Cystitis, wants to do cystoscopy with hydrodistention. So we schedule it but I'm freaked out about this procedure I see my PCP again and ask if we can try Doxycycline - she agrees and switches me to Flomax saying it works better. After about ten days of doxy and flomax I have marked improvement so 3d before the surgery I call URO and tell him of the improvement. He begrudingly agrees to cancle surgery. About 45d later I return to the URO and while I still have testicle pain my freq/urgency issues are less than half what they were on. He says you are not improving, you've suffered enough and I think we should do the cystoscopy with hydrodistention.
Three doctors diagnose inflamation of prostate. The URO in question confirmed inflamed prostate.
WHY is he switching diagnoses so quickly?
And why go right to hydrodistention instead of doing just a cystoscopy to have a look around?