Prostatitus Advice

[faraday]

11 minutes ago, Batty said:

Thanks Lopburi.  I have had three ultra sounds now over 5 weeks and they couldn't see anything.  If it is bladders stones and they are small, an ultra sound wont pick that up apparently.  Same for cystitus.  I guess my only option is CT or cystoscopy.  There is a local army hospital in Udon that can do both but i just have this (possibly wrong) notion in my mind that an army/government hospital might be a bit more brutal than private.  But then even just typing that statement out seems silly, I have nothing to base that opinion on, just how I imagine it.

 

 

Only commenting on Fort Prajak here in Udon.

 

They are very good, not at all 'Brutal'. Had my hip done & a couple of Spinal injections.

 

Very caring & efficient nurses, & the 2 docs I've seen were very knowledgeable, & explained everything.

[thequietman]

36 minutes ago, Batty said:

Truly sorry to drag this thread on even more - but I am again a little lost what to do here.

 

I went back to KK hospital yesterday (Saturday) to see the Urologist Prof.  I told him that for the last few days I have had no bladder pain and peeing normaly, and this is my last day on the levofroxacin.  He said my PSA was normal (low actualy), prostate still feels normal and urine test was fine so he could not say what the issue was, but whatever it was it has gone now so no more pills, just go home all is well.

 

Then I woke up today with bladder pain again.  Its back, just as it was before.  Seems I had a few days of respite and it has reared its ugly head again.  Im guessing then that this is either bladder stones or bladder cystitus.  Youve gotta figure its one of those two issues?

 

So my options, I guess, are:

 

Go buy some levofroxacin from the pharmacy and start taking them again, in the hope it kills off whatever the issue is.  Maybe it wasnt completely eradicated before and I need another week or two back on them.

 

Or, go to hospital and have a cystoscapy to 'see' inside the bladder.

 

Or, go to hospital and have a CT scan.

 

Im not looking forward to the cystoscopy and just wondered if going private at bangkok Udon hospital will be a safer bet for the procedure.  From what I can gather, the level of discomfort/pain depends on who does the procedure.  Am I wrong in thinking there is a better chance of less pain at a private hospital?  The downside is the cost, probably.  But its going to be in and out in a couple of hours.  KK hospital seems to have great doctors but my god the system is terrible, you have to get there at like 7am just to get in line and see a doc by 10 or 11am.  Hundreds of people in every area of the hospital looking fed up and tired of waiting.  Thats not too much of an issue if your just having a check up, but the thought of all that messing around for hour upon hour lying around on gurneys for a cystoscopy is pretty daunting.

 

CT scan would be nice and easy compared to the cystoscopy but obviously I want the most relevant/necessary, not the most comfortable.

 

Im realy fed up with this now.  I have said before, there are far worse things that people are suffering with and im lucky this is a treatable thing and not in any way serious (probably) but its been 4 or 5 weeks now, 4 different hospitals, flights, hotels, 4 hours round trip drives each saturday... I thought it had gone away and then it hits me hard this morning its such a bloody drag and im lost what to do now.

 

Again, sorry to drag this on I appreciate its probably getting repetitive now but I am struggling to figure out what my next move should be.  As always, any advice very much appreciated.  Thanks so much.

Stop with the Flox. Thats what is causing your bladder discomfort. I know and have experienced the side effects going on 4 years now. It is dangerous. Read up on it. Good luck.

[georgegeorgia]

Just get the CT scan then get the results then book in for the cystoscopy, then get the results,thats all u can do otherwise you are just repeating yourself and not moving forward with this.

 

i thought you were having the CT Scan KUB ,kidney urethra bladder, done last week?

 

By the time you started this thread , i got all mine done in one day and finished.

 

First get a CT Scan as i have told you before KUB ,kidney urethra bladder

 

 

 

 

[mokwit]

The main problem with Bacterial prostatitis is that antibiotics cannot readily penetrate the Prostate capsule. Most are ineffective or have to be taken for weeks/months.

 

The most effective is Roxithromycin (Tradename Rulid, cheaper Thai generic Rothricin). As far as I understand this binds to macrophages (type of white blood cell)  and so gets released when the macrophage ruptures in response to inflammation at the site of infection. From memory (so check) dose is 2xDay for 10 days. I have found it to be completely effective for this problem in myself (although it may recur from time to time).

 

Other alternatives are trade name Bactrim (combination of sulfamethoxazole and trimethoprim). However if you are allergic to Sulfa drugs you will get too sick to complete the course (direct experience).

 

Failing that a drug used for treating TB is a last resort drug - all anti TB drugs have undesirable side effect profiles. I can't remember the name but if you need to know Dr Visit Udompanich at Bumrungrad knows (he treated me and told me about this and Rulid/Bactrim). he is not a Urologist he specialises in pulmonary medicine but I have confidence in him outside this as evidenced by him knowing exactly what drugs of many options to use to effectively treat me.

 

If you want to test if this is bacterial prostatitis the way I have done this is to take 1000mg of Azithriomycin - if the symptoms are less for a couple of days that suggest it is bacterial, but note after a couple of days symptons will be back to pre treatment levels as Azythromycin cannot fully penetrate the Prostate capsule/tissue.

 

HTH - been there so know how depressing this condition is.

[Sheryl]

Go back to the hospital and let the Prof decide whay tests are 8ndicated. Don't try to second guess this or self treat.

Cystoscopy --, if indicated-- is normally painless and should be fine done at KKU.

You finally found a good urologist who now knows your history.. Don't confuse matters by changing doctors at this stage.

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app

[Sheryl]

Go back to the hospital and let the Prof decide whay tests are indicated. Don't try to second guess this or self test/self treat.

 

Cystoscopy -- if indicated-- is normally painless and should be fine done at KKU.

 

You finally found a good urologist who now knows your history.. Don't confuse matters by changing doctors at this stage.

 

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app

 

 

 

 

[xylophone]

3 hours ago, mokwit said:

The most effective is Roxithromycin (Tradename Rulid, cheaper Thai generic Rothricin). As far as I understand this binds to macrophages (type of white blood cell)  and so gets released when the macrophage ruptures in response to inflammation at the site of infection. From memory (so check) dose is 2xDay for 10 days. I have found it to be completely effective for this problem in myself (although it may recur from time to time).

 

3 hours ago, mokwit said:

The main problem with Bacterial prostatitis is that antibiotics cannot readily penetrate the Prostate capsule. Most are ineffective or have to be taken for weeks/months.

Indeed, roxithromycin is an antibiotic I like and it does penetrate the prostate better than most other antibiotics, although doxycycline will also help, taken over a longer period of time, because it also has an anti-inflammatory effect and this was what I was using for many months on end and over many years, but as mokwit has said, and as I have posted any times previously, the prostate is hard to penetrate, as well as the bacteria setting up a biofilm which is also very hard to penetrate.

 

I found that if I took doxycycline over a three-month period, then I got many months of respite, but back onto it again as a necessity unfortunately.

 

There was one other theory that I discussed with a senior urologist in New Zealand, and that was the fact that if one had residual urine in the bladder which became infected, then it was possible that this infection could travel to the prostate, causing a form of prostatitis, and no matter how many times you clear this up, if the residual urine situation wasn't improved, then it was a never-ending cycle.

 

So I will reiterate that which I have said previously, and that is that a cystoscopy will show a lot more than we are currently surmising in these posts – – go for it.

[mokwit]

1 hour ago, xylophone said:

if one had residual urine in the bladder which became infected, then it was possible that this infection could travel to the prostate, causing a form of prostatitis, and no matter how many times you clear this up, if the residual urine situation wasn't improved, then it was a never-ending cycle.

I think similar.

 

Another situation is the NSU that never clears up because an infected prostate acts as a reservoir of infection, so even if you clear the urethral infection with an antibiotic, next time you have intercourse you reinfect the urethra from the Prostate via the micro tears to the urethra  caused by intercourse. Solution is as per my above post.

[Batty]

On 11/4/2018 at 12:58 PM, thequietman said:

Stop with the Flox. Thats what is causing your bladder discomfort. I know and have experienced the side effects going on 4 years now. It is dangerous. Read up on it. Good luck.

Thanks, yah the side affects are not too great with those things and I have read about peeople getting seriously ill from them.  Not great.  Will not be buying any.

[Batty]

On 11/4/2018 at 1:09 PM, georgegeorgia said:

Just get the CT scan then get the results then book in for the cystoscopy, then get the results,thats all u can do otherwise you are just repeating yourself and not moving forward with this.

 

i thought you were having the CT Scan KUB ,kidney urethra bladder, done last week?

 

By the time you started this thread , i got all mine done in one day and finished.

 

First get a CT Scan as i have told you before KUB ,kidney urethra bladder

 

 

 

 

Thanks for the post.  My plan was to have that done last week but Dr Catchit at KK Hospital said there we needed to do a blood test first and come back to see him.  As he only works saturday mornings, I had to wait a whole week to go back.  By that time, it has cleared up so he said no need for further tests or medication.  Unfortunately its back now.

[Batty]

On 11/4/2018 at 1:43 PM, mokwit said:

The main problem with Bacterial prostatitis is that antibiotics cannot readily penetrate the Prostate capsule. Most are ineffective or have to be taken for weeks/months.

 

The most effective is Roxithromycin (Tradename Rulid, cheaper Thai generic Rothricin). As far as I understand this binds to macrophages (type of white blood cell)  and so gets released when the macrophage ruptures in response to inflammation at the site of infection. From memory (so check) dose is 2xDay for 10 days. I have found it to be completely effective for this problem in myself (although it may recur from time to time).

 

Other alternatives are trade name Bactrim (combination of sulfamethoxazole and trimethoprim). However if you are allergic to Sulfa drugs you will get too sick to complete the course (direct experience).

 

Failing that a drug used for treating TB is a last resort drug - all anti TB drugs have undesirable side effect profiles. I can't remember the name but if you need to know Dr Visit Udompanich at Bumrungrad knows (he treated me and told me about this and Rulid/Bactrim). he is not a Urologist he specialises in pulmonary medicine but I have confidence in him outside this as evidenced by him knowing exactly what drugs of many options to use to effectively treat me.

 

If you want to test if this is bacterial prostatitis the way I have done this is to take 1000mg of Azithriomycin - if the symptoms are less for a couple of days that suggest it is bacterial, but note after a couple of days symptons will be back to pre treatment levels as Azythromycin cannot fully penetrate the Prostate capsule/tissue.

 

HTH - been there so know how depressing this condition is.

Thanks, I appreciate the advice but its probably better if I dont self medicate in hindsight - plus we dont even know if it is prostatitus.  The two most recent docs I have seen have both said it 'probably' isnt.  Thats part of the frustration here, not knowing what it is after 5 whole weeks.

[Batty]

23 hours ago, Sheryl said:

Go back to the hospital and let the Prof decide whay tests are indicated. Don't try to second guess this or self test/self treat.

 

Cystoscopy -- if indicated-- is normally painless and should be fine done at KKU.

 

You finally found a good urologist who now knows your history.. Don't confuse matters by changing doctors at this stage.

 

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app

 

 

 

 

Thanks Sheryll.  I realy feel Dr Catchit at KK (your original recommendation) is great.  Probably the best Doc I have seen so far about this, he asked a load of questions and seemed more concerned than the others.

 

The only issue is he only works Saturdays, and performs no procedures only consultations.  Now I am back in Udon, I have a whole week to wait until I can see him again.  I had to wait a whole week just to get blood/urine tests report so I am guessing it will not be too easy to get an actual procedure done.  My thinking was to have it done localy, and go see him with the results on Saturday.

 

I actualy went to the army hospital today, waited around for 2 hours to 'check in' then waited 2 hours to see a general doc, who referred me to a very young urologist after another long wait.  More blood and urine tests.  It seems you cant just stroll in and ask for an MRI and have to go through the whole process from the start, I guess thats understandable.

 

He seemed to leap straight to 'you have prostatitus' despite my insisting two very good urologists have recently cleared me of that.  I put my foot down a little and said look, I have seen so many doctors now, all I want is either a cystoscopy or MRI so I can take the results to KK on Saturday. He suggested an MRI would be the first step.  Great I thought, so he sends me off to MRI dept who then tell me the MRI will be Wednesday 7th and I can go back and see the doctor for the results on the 19th.  Jesus whats the point in that?  Im sick right now and want an MRI to get to the bottom of this, why do I have to wait until 19th?  I managed to persuade them to bring the date forward to the 12th but either way that means i cant take the results to KK this Saturday, it will have to be the Saturday after - 12 days away.

 

I dont know why, seeing as I am paying 9500 baht for this, I cant just have the MRI and take the results away without seeing a doctor there and just take it direct to KK on Saturday.  Its my MRI, why cant I have the results right away?

 

So that means waiting around for 12 days while this continues to creep back and get worse.  Today is worse than yesterday and yesterday was worse than the day before that so i am probably right to think in 12 days it will hurt like a swine once more.  This time around, I have no medicine either.

 

They also want to do a full abdominal MRI and not just lower abdominal which is half the price.  Do I realy need full abdominal?  The pain is only in my bladder, not even close to my stomach?

 

The only possible way I can deal with this once and for all is to fly down to Bumrungrad, check in for 3 or 4 days until they find out what this is.  Cystoscopy, MRI, bed for 3 or 4 days... what am I looking at there 100,000?  I just cant afford it at the moment, business has been tough and I have already spent a fair chunk over the last 5 weeks.

 

So im screwed for now realy.  Its horribly disappointing and I cant shake the feeling this is just going to drag on and on and on.  

[Batty]

22 hours ago, xylophone said:

 

Indeed, roxithromycin is an antibiotic I like and it does penetrate the prostate better than most other antibiotics, although doxycycline will also help, taken over a longer period of time, because it also has an anti-inflammatory effect and this was what I was using for many months on end and over many years, but as mokwit has said, and as I have posted any times previously, the prostate is hard to penetrate, as well as the bacteria setting up a biofilm which is also very hard to penetrate.

 

I found that if I took doxycycline over a three-month period, then I got many months of respite, but back onto it again as a necessity unfortunately.

 

There was one other theory that I discussed with a senior urologist in New Zealand, and that was the fact that if one had residual urine in the bladder which became infected, then it was possible that this infection could travel to the prostate, causing a form of prostatitis, and no matter how many times you clear this up, if the residual urine situation wasn't improved, then it was a never-ending cycle.

 

So I will reiterate that which I have said previously, and that is that a cystoscopy will show a lot more than we are currently surmising in these posts – – go for it.

HI Lopburi

 

I did ask the doctor today for an MRI or cystoscopy.  He wanted me to do an MRI first as "the problem might not be limited to bladder, so lets do MRI then cystoscopy if we need to".

 

The idea was to take the MRI results and go see KK hospital, the urologist I have been seeing there only works Saturday mornings.  The results for the MRI dont come back untill the 12th, so that means I cant see KK hospital untll 16th.  So thats 12 days of being in this no mans land of bladder pain which has come back.

 

Maybe I am making a pigs ear of the realy great advice given here - I dont know - I have tried to weigh up the advice given and follow it as best I can, but I do feel like I am not managing this too great.  Then again, what can I possibly do?  I cant afford to go to Bumrungrad and check in for a few days while they get to the bottom of this with MRI's and cystoscopies etc, so I think I am sort of stuck for now, waiting around for 12 days while I get the MRi, wait for the results and then go see KK hospital.

 

Its driving me crazy, all this.  I should be getting busy working trying to earn some money to pay for all this stuff but im so fed up now, im largely just lying around on the bed all day extremely bummed out.  I cant see that I have any other options at this point.

 

5 weeks.  Bangkok Udon Hospital. Bumrungrad Hospital.  Bangkok Pattaya hospital.  Local urologist guy. Udon Army Hospital.  Flights, hotels, long car journeys. And I still have no idea what the issue is or how to treat it.  Its beginning to genuinely get me down!

[lopburi3]

Understand your concerns and the time element (very much Thai time using public facilities).  Do not have medical knowledge to know why full rather than lower MRI but perhaps to check kidney for stones (although mri is not very good for that from quick read - ct scans are the gold standard).  Have no idea what a CT scan would cost there - you do get some radiation but it is considered much better for some things.  Have never had MRI (was changed to CT when once scheduled) but at private hospital CT is ready within an hour with full report in my experience.  If you had to go private in Bangkok there are cheaper alternative hospitals - but agree with Sheryl that another change likely not in your best interest and seems you have a doctor that will work to track it down.  Good luck.

[Batty]

26 minutes ago, lopburi3 said:

Understand your concerns and the time element (very much Thai time using public facilities).  Do not have medical knowledge to know why full rather than lower MRI but perhaps to check kidney for stones (although mri is not very good for that from quick read - ct scans are the gold standard).  Have no idea what a CT scan would cost there - you do get some radiation but it is considered much better for some things.  Have never had MRI (was changed to CT when once scheduled) but at private hospital CT is ready within an hour with full report in my experience.  If you had to go private in Bangkok there are cheaper alternative hospitals - but agree with Sheryl that another change likely not in your best interest and seems you have a doctor that will work to track it down.  Good luck.

Thanks Lopburi.  Sorry can i just ask - are you saying a CT scan would be better for checking the bladder?  Better than an MRI?

 

Because it was sort of me who suggested to the doctor 'I want a cystoscopy or MRI' and he suggested MRI would be better out of the two for now.  maybe he took me too litteraly and he should have suggested a CT?

[Batty]

1 minute ago, Batty said:

Thanks Lopburi.  Sorry can i just ask - are you saying a CT scan would be better for checking the bladder?  Better than an MRI?

 

Because it was sort of me who suggested to the doctor 'I want a cystoscopy or MRI' and he suggested MRI would be better out of the two for now.  maybe he took me too litteraly and he should have suggested a CT?

Correction - it is actualy a CT scan I am having, not an MRI.  The wife just corrected me.  

[lopburi3]

In that case probably they will want to check kidney - it could be stones are being passed and lodging in bladder before being passed out.  Had some of those when I had a bladder.  ????

 

Be sure you get the VDO of the CT scan as you doctor will likely what to review himself rather than taking report as gospel.  

[Sheryl]

19 hours ago, Batty said:

Thanks Lopburi.  Sorry can i just ask - are you saying a CT scan would be better for checking the bladder?  Better than an MRI?

 

Because it was sort of me who suggested to the doctor 'I want a cystoscopy or MRI' and he suggested MRI would be better out of the two for now.  maybe he took me too litteraly and he should have suggested a CT?

PLEASE let the doctor, who is an expert in this field, prescribe the tests he feels will be helpful rather than trying to second guess him. He is working off a list of possible differential diagnoses.

 

If he thought a CT would be helpful he would certainly have said so.

 

I believe this same doctor can be seen at Khon Kaen Ram hospital, since you are getting impatient with the government hospital slowness. Will cost more there, of course.

 

http://www.khonkaenram.com/en/search_doctors

Spelt a little differently there (Kachit Pachirat)

 

[lopburi3]

44 minutes ago, Sheryl said:

PLEASE let the doctor, who is an expert in this field, prescribe the tests he feels will be helpful rather than trying to second guess him. He is working off a list of possible differential diagnoses.

 

If he thought a CT would be helpful he would certainly have said so.

 

I believe this same doctor can be seen at Khon Kaen Ram hospital, since you are getting impatient with the government hospital slowness. Will cost more there, of course.

 

http://www.khonkaenram.com/en/search_doctors

Spelt a little differently there (Kachit Pachirat)

 

His last post #46 reports he is actually scheduled for a CT scan - MRI term was mistake.

[Batty]

On 11/5/2018 at 4:11 PM, lopburi3 said:

In that case probably they will want to check kidney - it could be stones are being passed and lodging in bladder before being passed out.  Had some of those when I had a bladder.  ????

 

Be sure you get the VDO of the CT scan as you doctor will likely what to review himself rather than taking report as gospel.  

Thanks Lopburi, I pick it up on Friday - will be sure to ask for VDO

[Batty]

On 11/6/2018 at 11:57 AM, Sheryl said:

PLEASE let the doctor, who is an expert in this field, prescribe the tests he feels will be helpful rather than trying to second guess him. He is working off a list of possible differential diagnoses.

 

If he thought a CT would be helpful he would certainly have said so.

 

I believe this same doctor can be seen at Khon Kaen Ram hospital, since you are getting impatient with the government hospital slowness. Will cost more there, of course.

 

http://www.khonkaenram.com/en/search_doctors

Spelt a little differently there (Kachit Pachirat)

 

Sheryll, you are right of course and I always take a doctors advice exactly as given.  Last Saturday when I seen Dr Catchit I had a few days of feeling well, so no further action was taken.  It came back a few days later and as DR Catchit isnt around again untill Saturday, I thought I should take a forward step and get a CT scan localy.  I pick up the results Friday and we are off to KK again to see Dr Catchit Saturday, just to report that it is back. Maybe the CT scan will be useful to him, maybe not.

 

Thats realy great knowing he works at another hospital I had no idea.  I will ask him if I can see him there also, to save waiting a whole week between visits.  Thanks again.

[Batty]

Picked up the CT results today. No cd just film and a brief 1 page bullet point report. Everything is normal they couldnt see anything. Wierd, as they didnt mention a 2cm gall bladder stone i have - not sure how that passed the examiners eyes.

 

Off to Kk to see doc tomorow.

 

So if its not prostatitus, or UTI or bladder stones it dosent leave much. Cystitus maybe. Im pretty sure the doc tomorow will just shrug and say 'who knows'

 

 

[xylophone]

1 hour ago, Batty said:

Picked up the CT results today. No cd just film and a brief 1 page bullet point report. Everything is normal they couldnt see anything. Wierd, as they didnt mention a 2cm gall bladder stone i have - not sure how that passed the examiners eyes.

 

Off to Kk to see doc tomorow.

 

So if its not prostatitus, or UTI or bladder stones it dosent leave much. Cystitus maybe. Im pretty sure the doc tomorow will just shrug and say 'who knows'

 

 

Hmmm...…….second opinion from the Doc tomorrow.

 

Still leaves cystoscopy as the final examination if you should decide to go ahead. By the way, the passing of stones from the bladder through the urethra is very painful; just a thought.

 

Please keep "us" informed of the outcome.

 

Good luck.

[faraday]

Bit surprised that the cd wasn't in there, I would ask them for it.

 

I had a Flexible Cystoscopy done in the UK about 6 years ago. It's not in anyway painful, just a little uncomfortable.

No anaesthesia is needed; I passed a little bit of blood immediately afterwards, which I was assured to be expected.

 

I didn't enjoy it, but medical procedures aren't for our entertainment.

 

 

 

[Nomad97]

I was diagnosed with bladder cancer in February 2015. The tumour was removed in a 2 hour operation. A few weeks after the operation I started a 6 week course of BCG immunotherapy where the vaccine is put directly into the bladder (as a liquid) through a catheter. For the past 4 years I have had numerous cystoscopies, one every 3 months for the first year, extending to 1 every 6 months this past year. The most recent cystoscopy was yesterday. I can assure anyone contemplating or needing this procedure that it is relatively painless apart from an unpleasant sensation when the camera (or catheter) passes through the urethral sphincter into the bladder. I am also pleased to say that nearly 4 years on I have no evidence of the disease.       

[xylophone]

11 hours ago, Nomad97 said:

I was diagnosed with bladder cancer in February 2015. The tumour was removed in a 2 hour operation. A few weeks after the operation I started a 6 week course of BCG immunotherapy where the vaccine is put directly into the bladder (as a liquid) through a catheter. For the past 4 years I have had numerous cystoscopies, one every 3 months for the first year, extending to 1 every 6 months this past year. The most recent cystoscopy was yesterday. I can assure anyone contemplating or needing this procedure that it is relatively painless apart from an unpleasant sensation when the camera (or catheter) passes through the urethral sphincter into the bladder. I am also pleased to say that nearly 4 years on I have no evidence of the disease.       

Well done for sharing that experience and great to hear that you are now over it and healthy again, and long may it continue.

 

Like you, I have had quite a few cystoscopies in recent years and had no problems or real pain with them. The only one which was a little different was when I was rushed into the emergency room at a Melbourne hospital to empty an almost bursting bladder...…….no numbing gel (I was in pain anyway), quick action by the Dr and a great feeling of relief when he emptied about 1.5 ltrs out of me!

 

So Batty, have no fear about the procedure if needed, and if it is then don't wait too long.

[Nomad97]

Thank you too, your little story brought a smile to my lips.  That's what started my adventure with catheters and cystoscopies.  I was admitted to A&E in the Government Hospital in Surin with a very full bladder that I could not pass. Like you, no numbing gel but who cared - the relief was immediate and very appreciated.  The rest is history as they say.

[mokwit]

Reading this thread, I'm really not looking forward to getting old.

[faraday]

7 minutes ago, mokwit said:

Reading this thread, I'm really not looking forward to getting old.

It happens so quickly....

 

????

 

[dallen52]

Jumping into the topic a little late, but thought it might be useful to offer my 2 Bob's worth. 

 

Had the condition a couple of times. 

Prostatitis,  BPH, benign prostate hyperplasia. 

 

Usual symptoms. 

Failure in certain areas. 

Pee is either impossible or up at night peeing all the time.

A feeling of fullness in that region between the bum and the other bits.

Erectile dysfunction can also be caused. 

 

It can be a UTI urinary tract infection. 

And I'm not an expert. 

And certainly not taking away from anyone with medical training. 

 

I'm talking about me.

 

I know uti.

I know kidney problems and the waterworks issues.

 

Prostate for me has been treated as follows. 

Blood tests. PSA.

Then depending upon the tests, a digital examination. 

And no it's not a camera they use. 

The trained can relieve the pressure by stripping the prostate. 

The swelling can obviously be felt.

Next, medication. 

Doudart has worked for me well.

Recently in the UK and a flare up of the condition. 

The above process was followed. 

The tablet given was Faramsil.

It started to work within 24 hours. 

Could actually stand and pee.

And a pleasant surprise one morning too.

 

Not sure why a urologist would think infection/prostate relationship?

Infection is normally UTI, not prostate. 

 

I'm just the patient. 

 

Couple of snaps attached.