Definitive way to know you are dealing with BPH vs CPPS before a procedure
Posted , 2 users are following.
How do you know if BPH/BOO or CPPS?
Many of you have had the same symptoms as me and have been fixed by a procedure. Many of the younger crowd on Reddit for /prostatitis (which is really about CPPS) have very similar symptoms. Overlap I see between both conditions with my specific symptoms:
frequency (from 10 min after peeing to 1 hour or every 2 hours now at night) - BPH (yes), CPPS (yes) [perhaps BPH would not produce this type of frequency?]
hesitation (for me it takes a minute or a couple of minutes to get the spincther to open up) BPH (yes), CPPS (yes)
dribbling and double or triple voiding BPH (yes), CPPS (yes)
nocturia BPH (yes), CPPS (yes)
over 50 years old, prostate size >70cc ; BPH (yes), CPPS (could this be due to inflammation only on top of some BPH?) (most younger people with CPPS have normal size prostates)
not emptying bladder feeling (BPH- Yes, CPPS - Yes)
anxiety/fixation (BPH - Yes, CPPS -Yes)
weak stream (BPH - yes, CPPS - yes)
induced OAB / storage issues (BPH -yes, CPPS-yes)
So I would ask, what are some symptoms that separate CPPS from BPH?
from what I've read here: golf ball feeling, pelvic pain of several types, urethral burning (although some places indicate advanced BPH can do this, probably not as bad), ejaculatory burning (during or after)
What diagnostic would you run to make sure before electing a BPH procedure? a cystoscopy? if that showed urethral narrowing and potentially bladder outlet obstruction, couldn't that still be due to inflammation from CPPS? Urodynamics testing? Seems like the weak stream of CPPS could cause that. Perhaps only a PVR is a definitive test for BPH / BOO?
What diagnostics would make you make you think your problem is primarily CPPS: pelvic floor rehab, what else?
Maybe it doesn't matter. CPPS is the new word for a specific type of chronic prostatitis. And there is a high overlap of BPH with prostatitis co-morbidity.
0 likes, 2 replies
cali-mike1970
Posted
I want to bring this post back to the top and ask the question more simply. There are a lot of people on this forum with confirmed BPH. Did you ever have a constant urge to pee on some days? There have been some posts like that on this board but more associated with prostatitis and CPPS.
I want to know if someone that got a successful procedure actually cured a frequency that presented as a constant need to pee and enough of a flow that got to an empty bladder throughout the day. like an OAB type symptomology.
I always thought BPH frequency was due to retention and a full bladder that kept making people go back to pee again to keep working the level down. But i'm learning from a colleague that had a TURP that at times they also had a bother that is a constant urge to pee and their bladder would void to near empty or empty, just going often. Is it possible BPH causes that too?
cali-mike1970
Edited
I'm going to answer my own question since I've got more clarity. My OAB symptomology can abolutely be being caused by BPH and I will even say by flomax and supplements that weaken my walls --so indirectly too. This has been my experience. Another reason for me not to live on alpha blockers. Had another cysto and could see on the monitor that I am very close to fully obstructed and even saw the bump in my bladder from the median lobe that is pushing up on it. some trebeculation starting for me. that decides it for me. It's a procedure for me as much as I'm going to hate the recovery.