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Urology (Expert Forum)
Prostatitis/Phantom Pain or What!
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
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.
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Prostatitis/Phantom Pain or What!
by rar512, Jun 17, 2005 12:00AM
I am 52 yrs old, I have had prostatitis on and off since "79.
In the last five years, it seems i have had an annual flareup,take Levaquin and ok. I had a Iguinal hernia repair 15 months ago and I still have a dull ache in my cord and testicle, the Urologist said it could be phantom pain. while I was there, i complained that I am an avid sportsman and ride atv's and horses plus mowing, and when i do, i get irritation frequent urination and feels like i need to have bowel movement or like a golf ball in my rectum. He tells me to avoid this activity. These are the things that I live to do, he does say take Advil and sitz baths, I have taken advil and it helps but does tend to give me diarrhea. He also said that i could have T.U.M.T. that it normally is for enlarged prostate but it could help my situation and if not it would not hurt anything. Also, after i had the hernia repair when i would ejaculate, i would get pain in the cord and testicle, as time goes by that has gotten better, but can still feel it. If I keep giving up things i love to do, i'll be old before my time. I also average getting up 1 to 2 times a night. I also consume no alcohol, do have two cups of coffee in morning. Look forward to your help.
In the last five years, it seems i have had an annual flareup,take Levaquin and ok. I had a Iguinal hernia repair 15 months ago and I still have a dull ache in my cord and testicle, the Urologist said it could be phantom pain. while I was there, i complained that I am an avid sportsman and ride atv's and horses plus mowing, and when i do, i get irritation frequent urination and feels like i need to have bowel movement or like a golf ball in my rectum. He tells me to avoid this activity. These are the things that I live to do, he does say take Advil and sitz baths, I have taken advil and it helps but does tend to give me diarrhea. He also said that i could have T.U.M.T. that it normally is for enlarged prostate but it could help my situation and if not it would not hurt anything. Also, after i had the hernia repair when i would ejaculate, i would get pain in the cord and testicle, as time goes by that has gotten better, but can still feel it. If I keep giving up things i love to do, i'll be old before my time. I also average getting up 1 to 2 times a night. I also consume no alcohol, do have two cups of coffee in morning. Look forward to your help.
Doctor's Answer
by Kevin Pho, MD, Jun 20, 2005 12:00AM
, Jun 20, 2005 12:00AM
Chronic prostatitis can be very difficult to treat. With almost 30 years of this disease, I would assume that much of the work has been done. One thing to consider would be a transrectal ultrasound to evaluate for any prostatic abscesses.
There are small studies suggesting medications like finasteride and alpha-blockers on a chronic basis may be helpful.
A small study suggested some benefits with mepartricin, which lowers estrogen levels in the prostate - more study is needed with this medication.
You can discuss these options with your personal physician, or in conjunction with a urology referral.
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.
Medical Weblog:
kevinmd_b
There are small studies suggesting medications like finasteride and alpha-blockers on a chronic basis may be helpful.
A small study suggested some benefits with mepartricin, which lowers estrogen levels in the prostate - more study is needed with this medication.
You can discuss these options with your personal physician, or in conjunction with a urology referral.
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.
Medical Weblog:
kevinmd_b
Member Comments (2)
by rar512, Jun 20, 2005 12:00AM
To: Prostate
0
by Toolmandal, Jun 29, 2005 12:00AM
To: Prostate
0
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