Thanks for your detailed reply. Sorry for the delay.
1. There has been no testing to see if the prostatitis is bacterial. Recent UTI's have been reported on via MSU to hospital lab. Appropriate anti-biotic therapy used at the time.
2. I requested a prostatectomy .in 2019. Went before the MDT panel 3x and refused on the basis that my incontinence issues were so significant that to remove the prostate would in the words of the MDT panel "catastrophic effect on the urinary incontinence of patient".
3. Recent PSA back to 6.4 having risen during the past four months to 7.8, 8.2, 10.1,7.8. New urologist indicated last week that it is, in his opinion, clear that the issue is one of infection rather than growth of tumour which is currently encapsulated within the prostate (classing it as Stage 1 - Gleeson 3+3).
4. Given the incontinence I have had in-dwelling catheter in past - causing real problems. I have self catheterised but this still doesn't empty the bladder sufficiently not to have to PU anything up to 10x during a 'bad night'. Urology team told me I mustn't be self-catheterising properly!!! I told them I "do not suffer fools" after being an in- and out-patient for over 15 years!
5. Due, yet again, a flexible cystoscopy on 1 September and Urodynamic study 4 September - for the fourth time!
6. I am wondering with TURP surgery would be the way forward or whether it is not appropriate.