Finally found the cause of my Prostatitis

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After my 2nd test of just providing a semen sample, Staphylococcus was found to be my problem causing prostatitis.  This is good news to me since I have been dealing with this for 7 months and on and off for years.  I was on 2 weeks of Cipro and since it did not work and I am allergic to shell fish so Bactrim will not work, the doctor would like to administer the antibiotics via poss IV ABX, every day for 28 days.  The clinic is close by me thank God and will be in an out in an hour each day.  Does anyone have experience with this procedure for Bacterial Prostatitis?

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  • Posted

    Does anyone here experience fatigue without fever? My symptoms are fatigue, little pain in the prostate area (not bad most of the time), thicker semen and an inflamed prostate. My fatigue goes away with antibiotics
    • Posted

      A few people in our group have fatigue, it could also be due to the side effect from a Quinolone class antibiotic i.e. Cipro Or Levo
    • Posted

      Yes, that class of antibiotics can pretty much wipe you out.

      I took Levaquin years ago for a case of pneumonia.  Knocked out the pneumonia but I was left exhausted and weak.

  • Posted

    Two more questions. Michael, when you took your DNA test were you on antibiotics or do you have to have them out of your system for accuracy? Also, what will make infection show up in this test if it won't show up when I per for urologist?

    • Posted

      You should be off antibiotics for two weeks or more. The technology is called next gen sequencing. Look into the technology when you get a moment.
    • Posted

      Michael,

      I spoke with an interventional radiologist who told me I need to see a Uro who will do prostate massage to draw out prostatic fluid to be swabbed, collected and sent for DNA sequencing. 

      Problem is, my current and former urologists will not do this. 

      I have to get a new Uro to see me, order the test kit and do prostate massage. 

      Does NextGen sequencing also test prostatic fluid or does the test work on a semen sample?

      It's easier - although embarrassing - to collect and ship a semen sample to a lab than to find a Uro who will do the test for me. 

      Also, have you researched antibiotic injections directly into the prostate?

      I've read that could be effective.  I also read that is usually a last resort when other treatments have failed.  

      I have BPH confirmed by MRI. Also, a negative biopsy and large prostate (120 cc).   My condition has worsened since my biopsy two years ago. 

      Leads me to wonder if I have CBP to go along with enlargement. 

      I appreciate any advice you can offer.  

      Thanks 

      Michael 

  • Posted

    my cbp is due to klebsiella prostatitis,  a persistant and stubborn germ, that does not respond to cipro or usual antibiotics, however i am still fighting it with basic antibiotics such as clarithomycin or cefixime. The way it works in prostate infections is, you have to saturate/accumulate the prostate with antibotics so that antibiotics reach all parts of the prostate. while on antibiotics abstrain from sex for a week this will ensure antibiotics stays in prostate for a while. The germs would die off due to congestion and the antibiotics, i am taking 250 mg clarithomycin twice daily for couple of weeks,  planning to finish the  antibiotics episode with couple of days of fruit fasting..reg the numbers my psa is .85 and creatinine is .8.  I stay away from sugary/starchy foods, consume lots of alkaline fruits such as watermelon and drink lots of water as well, mostly have vegetarian food, and eat chicken or fish once or twice in a week, and do intermittent fasting as well.
  • Posted

    Hi Michael82149, not sure if you are still on here I tried PMing you. Have some thoughts to run by you as I think we have similar conditions. Shoot me a PM if you can.
  • Posted

    Hi Michael,

    I remember reading what you had said earlier in this forum. I too received treatment from usf. They found streptococcus pneumonia, staphylococcus epidermidis, and e coli. No treatments they gave me worked. They've asked I see an infectious disease doctor as well. Just wanted to see how you're doing as our ordeal seems to have been very similar.

    • Posted

      Hi Marco: I too was diagnosed with chronic prostititus at USF. Semen and urine cultures were negative but a DNA genetic sequencing urine screen produced the presence of anaerobic Enteroccus fascialis, and sensitivity was found to be Levofloxin, nitrofurantoin Lizenolid, Vancomyacin, Penicillian, Augmentin, and IV Amikacin. I was having daily level 7-8 pelvic/perineal pain and a great deal of discomfort on ejaculation that had been 5 months in duration. My PSA was at 5.1, where normal level was 3.0.  After 1 month of doxy, 6 weeks of keflex, 5 days of macrolid and 9 days levofloxin,  I was advised by my GP to quit the Levo due to heart PVC's. Because I'm allergic to Augmenten and Sulfa, they advised me to see an infectious disease doctor. They also suggested physical therapy with a specialist in chronic pelvic pain. After 4 visits to the PT, I'm nearly pain free. Only discomfort is sometimes after ejaculation, or after sitting for long periods. I may be getting well after the PT and ABX. The Infectious disease Dr. recommended 15 doses of Fosfomyacin, due to my allergies. To date, I haven't started the fosfo or other treatment other than hot tub and sitz baths, and quercitin/bromeline.                  

        My question is: Is this condition due to inflammation from CPPS or a bacteria. An MRI was inconclusive of prostate cancer, but did show inflammation. How often do prostititus patients fail in ABX treatment but respond well to PT. I may take a few doses of the Fosfo, but not sure about 15 doses over 30 days       

    • Posted

      The EPS was in the urine test. The culture was through Quest and results were reported in less than 24 hours. Prtetty quick for a culture. Semen culture took 8 days. Both had "normal urinary tract flora". The Microgen test first showed 1.5 X 10/3 colony when I was very symptomatic. After levoquin and 1 month test revealed 9.5 X 10/4 colony. strange how a larger infection apparently exists but symptoms are almost gone. Dr. at USF basically said to wait before taking ABX. Is it possible to have E fascalis infection and be asymptomatic? Will I pass it to my partner and get it again?

    • Posted

      Did they give you a colony count? What and how long was your treatment? Did you use phage therapy , ABX, or both? Did you try and PT. I was led to understand mycoplasma is treated with Doxy. Is any of that considered "normal flora"

    • Posted

      Yes, they gave colony counts. 2-3 week stay, used abx and phage therapy both. I have done PT for 2-3 days in the past. Prostate massage helps me the most with relieving the symptoms. Nothing is normal flora in the prostate, one should attempt to eradicate them all. It may be normal flora in the gut. Testing in the US for Mycoplasma/Ureaplasma is still evolving and is not a 100% accurate.
    • Posted

      What was the colony count number for Mycoplasma? This thing from quest reports "normal urinary tract flora" has me stumped. Is it skin flora? It was my understanding urine was sterile. When the semen and urine test is reported, they don't specify what is the normal flora species. I do know that E. Fascalis is normal flora in the vagina, so how can it be cured if you have a partner with that as normal flora? I met with an infectious disease doctor BC of numerous allergies and intolerance of levoquin. He recommended fosfomyacin. I am planning on taking it if my symptoms return. So far, it seems to be going away with conservative therapy. If anyone is in the central Florida area, I know a good ID doctor

  • Posted

    Has anyone successfully treated Mycoplasma/Ureaplasma, worked with an Infectious Disease specialist? What was your antibiotic regimen? Doxy alone, or Doxy + Azithro or some fluoroquinolones like Moxifloxacin?
    • Posted

      CDC recommends treating Mycoplasma genitalium with Azithromycin (Z-Pak). If infection remains then treating with Moxifloxacin is recommended.

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