Prostatitis Urgency to Urinate
Posted , 8 users are following.
Hi I am 25 year old diagnosed with bacterial prostatitis after the doctor took a semen culture. I have no pain in the pelvis, no pain during ejaculation. However, I have this issue of frequent urination that is really troubling. Sometimes I would be there on the toiler constantly peeing and dribbling for 10 minutes. During good times I have to pee every 1 hour. I does not let me sleep either. It waking me up every 2 hours.
I also have weak and split stream. Doctor said all of my symptoms can be explained through prostatitis. I have been on ciprofloxacin for 10 days now. It has helped a bit with the irritation that i used to have in the bladder and also around the rectum, but my frequency has only gone worse.
Any advice on how to deal with this would be much appreciated. Is there hope that this go away?
1 like, 19 replies
lester90053 simroo50315
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simroo50315 lester90053
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lester90053 simroo50315
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Your doctor should know which is best for you.
simroo50315 lester90053
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gbhall simroo50315
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Why I am suggesting this for you as a temporary measure is because it would enable you to completely empty your bladder every time you wanted to, all in one go, over a few seconds.
Because your prostate is inflamed, CIC might be a little painful at first, but that should quickly subside. You might also find a simple painkiller, such as paracetemol might help.
simroo50315 gbhall
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simroo50315
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philip1950 simroo50315
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I have prostatitis. My symptoms, pain in the pubic area and lower back sometimes in the shaft of my penis disapear for a couple of weeks and then slowly return for several days. As daft as it may sound going for a walk seems to help apart from the frequent need to pee. My worst day 14 times in 10 hours.
My Gp says it will certainly clear up for good , had this problem for several months and to be honest each episode is less of a problem.
Hope you soon feel better.
stewarta simroo50315
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However, in preparation for a PAE, I had a MRI. This showed a one inch calcification in the base of the bladder. My urologist says this is what is causing Stinging, urgency etc. I am soon to have that blasted with ultrasound.
Where my GP's anal probe told him I had a 'moderately' enlarged prostate, the MRI showed only a mildly enlarged prostate of some 45 CC.
There is more, but the point I am making is that GPs do not have specialised knowledge. Specialists do, and it is wise to compare the vlinicians' views.
PhysicsGuy simroo50315
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Was it your urologist or primary care doctor that took the semen culture? Did he do an antibiotic sensitivity analysis on it and talk to you about what different antibiotics are available to treat your disease? If not, I would push the issue hard to have it done, even if you have to give another sample. Here's why:
The prostate unfortunately is not easily penetrated by most antibiotics. Additionally, the prostate will attempt to preserve healthy tissue by calcifying the area that is infected leaving a very large calcium seal around the enlarged infected part of the prostate. Cipro has been the drug of choice in the past because it does penetrate the prostate well and it used to be very effective against most bacteria that tended to infect the prostate. Unfortunately, with the growing resistance of many pathogens, it is not nearly as effective as it used to be. So getting the right antibiotic for what you have is essential. Cipro is so overused in other countries that it is partially to fully resistant to 50% of the bacteria it could fully treat when it first came out.
Another fact. It could take weeks to months to even years to clear out a really bad prostate infection, even under perfect conditions.. Sorry for the bad news. That is from experience and talking with dozens of people that had bacterial prostatitis. But the best thing you can do is (1) make sure the antibiotic they are giving you is effective against the bacteria...and (2) Make sure that antibiotic has good penetration into the prostate. For example Doctors can be lazy and just play Russian roulette by giving you antibiotics that you have no way of knowing if they will be effective.
There are some things you can try before starting something like self catherization. If you can find a doctor that specifies in prostate diseases, or at least a knowledgeable urologist, he may give a prostate massage, and if you have a significant other, they can be taught to do it. If you are in shape and limber you can even do it yourself. I did when I was 29 and it made all the difference in my treatment. I could both feel and hear the calcium breaking apart and after 6 months of antibiotics with little luck, in a little more that 2 weeks, the entire left side of my prostate had returned to normal and the right side had decreased by 10 to 15% and my urine flow still wasn't normal, but it was WAY increased.
Did the doctor give you a reason for your prostatitis? You don't have to go into details, but the reason I ask is because I had urethral strictures. The strictures increased the pressure of urine and allowed it to overwhelm the check valves that prevent urine from backing back into the prostate. I would definitely have a look for structural issues if you are having these symptoms,
If you do decide to self catheterize yourself. Have a doctor or a nurse show you how. It is not difficult, but a urologist showed me how to do it and it is much less painful. Also, realize that using a larger catheter (20fr) is much easier to get through the prostate than a small one like a 16Fr, 14Fr, or smaller. It has to do with how the urethra and prostate meet and how it is pushed open by the urethra. A larger catheter will open that area fairly easily. I used a very small 8Fr and it actually tore some prostate tissue up requiring repair.
I have had 7 surgeries because of urinary issues. IF you have an questions, go ahead and ask.
simroo50315 PhysicsGuy
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Anyhow, yes the doctor who carried the semen test was a urologist and yes he did both culture and senstivity. The semen culture showed moderate growth of some sort of staph infection and the senstitivity to antibiotics was also carried out. The urologist said almost the same thing regarding cipro as you did that it has the best prostate penetration. He also said if the symptoms do not start to feel better in about a month then we will do the semen culture and sensitivity test again because apparently the bacteria can grow resistance over time to a certain antibiotic.
I am going to see the doctor this friday or saturday and I will ask him about the cause with specifically mentioning three things as you pointed out: calcification, urethral strictures and prostate massage.
The idea of self catheterization really scares but I will try to bring it up with my doctor. I am not sure why I would need it? Why did you catheterize yourself? I mean what condition lead you to do it?
Can you also tell me why you had go through 7 surgeries? was it due to prostatitis? You said you HAD suffered for 20 years from this problem, so I take it that you are now cured, can you tell me what healed you? Any breakthrough or did you just let antibiotics run their course? Is there anything else you can tell me for the frequency of urination that I have. What were your major symptoms?
I really really appreciate your detailed feedback and it would really help if you can guide be through this debilitating condition. Having to deal with prostate issues in this young age is literally like living a nightmare.
PhysicsGuy simroo50315
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I went through the 7 surgeries due to urethral strictures. The very first urethral stricture developed due to being kicked in the groin playing soccer. I knew I had been hurt more than the standard kick to the junk because I was peeing blood after the game. I was a stupid kid in puberty so I waited a day or so to tell my parents. Then I noticed the blood going away, but my stream was reduced. I decided to tell my parents, but the morning I made the decision, I went downstairs to find them crying as my grandfather had just passed away and they were already making flight plans to leave that night. I hoped that maybe it would just get better, and in a way it did. After a week or so, my stream started to return, not to the level it was before but enough that I wasn't worried like I should have been. Because once you get one, you open yourself up to getting more very easily..
To see the strictures the doc does a cytoscopy. Basically it's just a small fiberoptic cable that goes in and can go all the way to your bladder to check for problems. A stricture looks just like a little ring of skin like a really thin doughnut that reduces the size, and they can very in how much they close the tube as well as how long the restriction is for. It's just scar tissue. My first one closed the tube down almost completely, but it was like 0.1 mm in length.
The surgery is outpatient, and doesn't take very long. The doctor usually gives you an option for the type of anesthetic they use. I chose to have an epidural and then another IV drug to put me to sleep. On my complete urethral reconstruction I had to have general anesthesia as the operation takes like 8 hours. The doctor goes in and removes the scarred tissue with a endoscopic blade (as in my first couple) and later with a laser. I was awake for part of the 6th surgery (not intentional) but it looked almost like an old video game where he would move the crosshairs and set a radius for the laser and hit a button and poof there was a small hole there. He continued around until he got as much of the stricture as he wanted. They also do some other tricks to try to prevent regrowth, like cutting channels and stuff, but I don't remember it well enough.
Anyway, the reason I had so many surgeries is multiple reasons. (1) Once you get one, the pressure behind the first stricture builds up higher than the urethra was designed for and it stretches far enough for a small tear and then scar tissue starts to form around it. (2) I was a fighter pilot. I was routinely pulling 9g's and having to strain my lower abdomen to remain conscious during hard turns. It was the funnest job in the world but your body pays for it over a career. (3) I didn't know at the time, but I had a genetic abnormality passed down on my mother's side. It's called CVID, or Common Variable Immune Deficiency. Mine has to do with antibody production. Today I make absolutely zero antibodies (or should I say correct antibodies) and have to get infusions of blood plasma with a mixture of antibodies from healthy people to stay alive. Back then, my immune system was still functioning, but was weakening every year. It caused a lot of urinary tract infections that would often reinfect my prostate after spending months on antibiotics to get rid of it.
Anyway, back to your post and some other questions:
- Did your urologist do a bladder emptying check? It takes like 2 minutes after you go to the bathroom and tells you how much urine you retain after you think you've emptied it. Simple ultrasound device.
Also, I would talk about a uroflowmeter test. It too is quite simple. Just pee into a special toilet that is really nothing more than a beaker on a scale. But they can see how long it takes to get up to full flow, what your peak flow rate is, etc. If they haven't done this, and you've discussed your flow issues I would look for a second opinion. Usually when someone is in pain for this long, they do these tests as they can all be done in one visit and give a lot of diagnostic info.
As far as how I'm doing now, well fantastic... relatively. This last year my prostate began swelling with symptoms of prostatitis around June. I couldn't feel it, just went to bed one night and could not urinate at all. I had catheters because after a urethral stricture surgery depending on where and the size of the stricture, the doc may want you to self catheterize yourself simply to keep scar tissue from accumulating. Anyway, I was familiar enough and knew that this would happen one day as my flow had been weak again since my last surgery 5 years ago which was the complete reconstruction. It went terribly wrong and really messed me up.
I used the catheters, but my prostate swelling wouldn't go down, even after it seems we got the bacteria. So on the 31st of Dec had a Urolift procedure and I can go better than I have since I was 16. I'm still having to retrain my bladder and have some incontinence issues, but they all seem to be improving.
As far as my prostatitis, non-surgical solutions, I would say the best improvement came with the combination of the right antibiotic, frequent ejaculation, and I had to do prostate massages. My doctor did a few and actually taught my wife how to do them. With just the right antibiotic, I seemed to just stabilize. The massage did the trick. You can search for prostate massage devices online as I got to where I would do it myself at times. (You just pray the credit card receipt and the box are discreet!) Just add medical to the search terms and you can find what they have nowadays.
kenneth1955 simroo50315
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simroo50315 kenneth1955
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My uro also told me to ejaculate very often. He asked me not to let the semen accumulate for than 2 days, i believe thats when the bacteria starts to incubate. So I have been ejaculating everyday almost. I have also read that it is best to ejaculate within half an hour to an hour after taking the antibiotic dose because thats when the level of antibiotics is highest in the blood. And when you excite yourself, thats the time when blood rushes to the prostate region, thus supplying it with antibiotic rich blood to clear the bacteria. There is no medical evidence behind this theory though.
I hope you get well soon. Do you have pain just during orgasm or also during urination? How long have you been taking cipro for and has it helped thus far. Today is my day 11 on cipro, I feel that the irritation in my bladder area is a notch better, but I am far from feeling alrite. Btw do you also get fatigued? keep in touch!
Thanks man
kenneth1955 simroo50315
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simroo50315 kenneth1955
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kenneth1955 simroo50315
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philip1950 kenneth1955
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