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Urology (Expert Forum)
Prostatitis - treatment
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 - treatment
by Geneva1976, Mar 04, 2007 12:00AM
Two weeks ago, I was having the sensation that I needed to urinate constantly. I often didn't actually urinate much at all. I saw a DR (not my regular DR who was on holidays). Assuming it was a UTI, she gave me three days treatment of antibiotics (ciproxin 250).
At the end of the 3 days I felt somewhat better. The day after having sex with my wife, she developed a bad UTI and we both went back to the DR and had urine tests as I was still having to urinate very frequently. She had an obvious UTI but my urine test came back with no problems.
Even though my urine analysis showed no infection, I was still having the sensation to urinate all the time and while having a bowel movement I discharged semen-like fluid. I went back to the DR who performed a prostate exam. This was very painful and sore. She therefore concluded that I had prostatitis and prescribed the following:
Ofloxacin 200 mg (2 x per day for 10 days)
then
Doxyclycline 100mg (2 x per for 11 days)
She also gave me Detrusitol SR 4 mg (tolterodin; 1 x per day) for the urge to urinate.
The medication to help me not have the urge to urinate constantly worked very quickly. However, since the prostate exam, I have had fairly serious pain in my lower back and bum muscles. I have been on the antibiotics for 4 days now with no change in this pain. I can't sit down for more than an hour without being very sore.
I am wondering how long it will take for the antibiotics to work (thereby decreasing my pain) and whether more aggresive or different treatment is needed.
At the end of the 3 days I felt somewhat better. The day after having sex with my wife, she developed a bad UTI and we both went back to the DR and had urine tests as I was still having to urinate very frequently. She had an obvious UTI but my urine test came back with no problems.
Even though my urine analysis showed no infection, I was still having the sensation to urinate all the time and while having a bowel movement I discharged semen-like fluid. I went back to the DR who performed a prostate exam. This was very painful and sore. She therefore concluded that I had prostatitis and prescribed the following:
Ofloxacin 200 mg (2 x per day for 10 days)
then
Doxyclycline 100mg (2 x per for 11 days)
She also gave me Detrusitol SR 4 mg (tolterodin; 1 x per day) for the urge to urinate.
The medication to help me not have the urge to urinate constantly worked very quickly. However, since the prostate exam, I have had fairly serious pain in my lower back and bum muscles. I have been on the antibiotics for 4 days now with no change in this pain. I can't sit down for more than an hour without being very sore.
I am wondering how long it will take for the antibiotics to work (thereby decreasing my pain) and whether more aggresive or different treatment is needed.
Doctor's Answer
by Kevin Pho, MD, Mar 05, 2007 12:00AM
, Mar 05, 2007 12:00AM
Prostatitis can be difficult to treat - and may require longer courses of antibiotics. You may need to be on these medications for longer than 4 days to notice an effect.
If the pain continues, I would consider a transrectal ultrasound to image the prostate. If an abscess is present, antibiotics won't be helpful and a procedure would be needed to drain the abscess.
These options can be discussed with your personal physician, or in conjunction with a 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_
If the pain continues, I would consider a transrectal ultrasound to image the prostate. If an abscess is present, antibiotics won't be helpful and a procedure would be needed to drain the abscess.
These options can be discussed with your personal physician, or in conjunction with a 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_
Member Comments (1)
by deeez, Mar 14, 2007 12:00AM
To: Urology - General
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