CPPS or bacterial?

If your semen and urine were tested by your doctor and showed no signs of pathogens then most likely you have CPPS.  CPPS can have many symptoms, some of which you have described, and can come and go with no regularity.  I have been dealing with similar symptoms for the past 9 months and have just recently found some relief with a physical therapist and a stretching routine. There is no easy fix and many men find relief through different modalities such as therapy, special diet, acupuncture and other alternative measures.  Good luck on your journey and try to keep your stress level in check as this is very important in your recovery,

Hi Shane ,

We have discussed this on another thread I think . I understand that you are worried . I’ve had all three types of prostatitis. Bacterial is easily sorted with 6-8 weeks of strong anti biotics. The more common non bacterial or CPPS is difficult to treat. For me stress/ anxiety make things so much worse. The feeling you have in your anus is the prostate inflamed and throbbing .and yes it feels like you need to defecate.I can relate to all your symptoms. For me diazplan calmed my anxiety and the prostatitis then disappeared as quick as it came when I had a flair up recently Other people have had relief from yoga or a more holistic approach . It’s not life threatening but is uncomfortable and can be painful . You can get pills to help with urinary problems . It’s almost impossible for CPPS to be officially diagnosed so urologists tend to send you for test after test to rule out other conditions before accepting that it’s CPPS. For me bacterial prostatitis was found after high PSA led to MRI and biopsy. It didn’t show up on any urine or blood test.It was officially diagnosed on the biopsy . 8 weeks of Antibiotics cleared it . It came back 3 years later as non bacterial and lasted 5 months. 

All your symptoms are typical of prostatitis but no one on this forum will be able to tell you if it’s bacterial or non bacterial.

I hope that is of some help. I wish you speedy relief . It usually just disappears on its own. 

Some doctors are very keen to prescribe antibiotics for this 'just in case', and the official guidelines do say to give 4 - 6 weeks of Ciprofloxacin "without waiting for culture results".

The downside is, as dcooper says, they are very strong antibiotics indeed and if you look at the fluoroquinolone antibiotic discussions on this forum you will see that they are definitely not to be taken lightly.  Actually the guidelines, as well as recommending them, also say that the latest evidence suggest the antibiotics were found to be no more effective than placebo - so make of that what you will!

I'm never going to be in your situation(!) but if I were I'd try all the relaxation and anti stress techniques before risking the antibiotic route.  Another study showed that just six days of pelvic relaxation exercises was much more effective than medication for CPPS. (These studies can be found by searching, can't give links on these pages.