Potential prostatitis

But yes, it sounds like possible prostatitis - sometimes this is very difficult to diagnose and treat so you really need to see a specialist.

It does sound like prostatitis. Infection often doesn't show in urine or semen because it's got itself blocked off in an area of the prostate.

You need to be referred to urology, and hope you get a urologist who knows how to treat it.

This will start by obtaining expressed prostatic fluid, which goes off to be cultured for a few days, to find what the bacteria is, and which antibiotics it's sensitive too (i.e. kill it), and you then get prescribed exactly the right antibiotic. You may need some prostate massage (by the urologist) while on the antibiotic, to get the antibiotic into the ducts where the infection is.

Even if the antibiotic you are on now doesn't work, it might give some temporary relief because they are also anti-inflammatory. It might not be the right antibiotic or it might not get to the infection, hence referral to urology if the current course of antibiotics doesn't work. Don't accept more antibiotics without getting prostatic fluid cultured first, so the that next antibiotic is the right one, and not another guess.

One other thing, since you've been on Ciprofloxacin, avoid stressing your tendons for a while, as it makes them weaker and liable to damage (and ofloxacin might be the same - not sure).

Edited by member 23 Feb 2021 at 09:26  | Reason: Not specified

I couldn't get a proper diagnosis from the NHS and had to pay for this. I am disgruntled about this, but at least now I know what is causing my repeated UTI's and have a range of options to consider. Too much treatment with very damaging antibiotics on the basis of ' try this and see if it works ' , is causing a lot of long term damage to people. Their use should be much more closely targeted, and their widespread use is in my view lazy medical practice.

Ian hi. Good to hear you have nothing untoward in the bladder. Not so good to hear you had a biopsy as I hear they are indeed uncomfortable. I wonder if you had a PSA test which encouraged the urologist to perform the biopsy. I have too a slightly enlarged prostate gland, but that can very easily be a result of inflammation rather than anything malignant. I’m glad to hear you can see someone at the hospital ...I’ve been shabbily treated by the NHS here in Wales....I’d still be waiting well into next year for any of this diagnostic work if I hadn’t gone private. I do hope you get a proper forensic diagnosis of what’s causing your problems and don’t settle for ‘ try this and see ‘. Have the UTIs stopped while you’ve been on the medication? All the best. 

Dave .

Ring the Urology direct 

I did and got in straight away. 

Local surgery drs don't understand and most are not qualified in urology  only the basics. 

I had infection and got fobbed off by my GP so phoned urology  and ended up with a kidney stone and had to have a operation. 

Now im going through the prostate problems .

Good luck 

If you have urinary symptoms such as poor flow / frequency / up at night / post pee dribble something like tamsulosin may help . A general urology investigation will usually include a flow test and a scan to see if you empty properly , an examination of abdo , mens bits and prostate through tail end . Dependent on your age you may get blood tests . You may also need scans such as mri and a bladder exam .

It may and i stress may be worth trying to see a Urologist in the private sector . You can look this up on web and ask how much a consultation is . If you can pick a urologist whose bio says interest in prostatitis or chronic pelvic pain syndrome you will move on quicker .