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I had recently started having trouble urinating. I went to my Urologist who really didn't find anything wrong. I was on Cipro for two weeks for Prostatitis and there was little change, however when she took a sample of prostate fluid durring a DRE I yelled in pain. I startled my doctor and frankly myself as well. A few months later I went in for a colonoscopy and it showed that I had Mild Pancolitis with moderate colitis of the rectum. So that explains the severe pain durring the DRE. So the whole time I have had prostate symptoms I was having a IBD flare in my rectum. So my question is one that no one including my doctor can seem to answer. Can a flare up of Inflammitory Bowel disease of the rectum cause enough pressure in the Prostate to cause symptoms of BPH. I don't know if that is possible, but my doctor wants me to have a PSA test and I am reluctant to do so as my bowel is inflammed and it is difficult to urinate. I don't want to go down biopsy road if my only issue is IBD. Things are so bad in there at this time I doubt I could handle a TRUS biopsy. It would probably cause me to develope a Fistula. I asked my doctor about a PCA3 test and they had never heard of this test. I had to explain to the nurse what it was and I told her that this test has been out since 2004 and that it looks for PC specifically. Here we are in 2017 and they havn't heard of it. My doctor hates informed patients like me asking for fancy tests that they think are a myth. I told them that I would have a PSA test, but I said I don't care if it comes back high or not, I will not have a biopsy based soley on PSA. I said that I would insist upon a PCA3 test before we even talk about a biopsy. I don't understand how a doctor in a major city, at a major clinic has never heard of PCA3. They still use only PSA and they push it. It is a requirement for me as my doctor will not keep giving me Testosterone replacement without it. If it comes back high then the burden of proof lies with me trying to convince my doctor that I don't have PC. I really believe that it is an inflammitory response from my bowel disease. So is there any other men out there in my predicament? Did you have Prostate issues with an IBD flare up? If so please respond so I can get an idea if it is possible.
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