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User
Posted 01 Aug 2024 at 16:47

Hi everyone, 

I’m a 48 year old male with a history (approx 7 years) of recurrent prostatitis. Around four months ago I started going to spin class again but unfortunately developed symptoms that align with previous episodes of prostatitis. 

Fast forward to the present where I’ve been on countless antibiotics (currently Tamsulosin) for the last 8 weeks with variable results. I’m okay if I don’t sit on hard surfaces but if I do it’s back to the discomfort in the perineum and lower back. All my urinalysis samples have been free of bacteria which my GP believes signals ‘chronic non bacterial prostatitis’ However, a urine sample from 2 weeks ago showed haematuria visible on dip.

At the time I was experiencing kidney stone like symptoms and wonder if it’s that. Has anyone else had a similar experience. My PSA was fine around 3 months ago. I’ve a long standing history of issues with my water works (Flexible cystoscopy done 8 years ago with nothing found) 

User
Posted 01 Aug 2024 at 17:59

I think that if your GP hasn't managed to resolve persistant prostatitis for 7 years (or even 1 year), you need to be referred to hospital urology department to take over the investigation/treatment.

In any case, haematuria (unless the cause is known to be benign) requires an urgent referral to urology, because they have to rule out kidney, bladder, and prostate cancer.

User
Posted 07 Aug 2024 at 16:25

I’ve no idea unfortunately. I was told it was more than satisfactory a number of months ago. 

User
Posted 11 Nov 2024 at 20:04

I didn’t / don’t have a specific plan of recovery. I walk to work and back and it’s around 12,000 steps which helps with the having to sit quite a bit at work. I’m a mental health nurse but have to do a lot of admin. Speaking of which my mood has been impacted when experiencing episodes of acute flair ups where I think that stress exacerbates symptoms. 

I used to do spin classes but now can’t think of anything worse as I know that after two or three classes I’d be feeling like someone has booted me in the backside 

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User
Posted 01 Aug 2024 at 17:59

I think that if your GP hasn't managed to resolve persistant prostatitis for 7 years (or even 1 year), you need to be referred to hospital urology department to take over the investigation/treatment.

In any case, haematuria (unless the cause is known to be benign) requires an urgent referral to urology, because they have to rule out kidney, bladder, and prostate cancer.

User
Posted 07 Aug 2024 at 10:25

Thanks for the replies. I’ve got an appointment next week to discuss ongoing issues with my GP. Recent urine screen returned normal. My current issue is not being able to sit on certain surfaces for too long. One example being a garden bench the other day which I am now feeling the after effects of in the perineum area. 

I’m almost finished my Tamsulosin with no change. Also been on Trimethoprim for a number of weeks prior. 

User
Posted 07 Aug 2024 at 16:24

Just curious, what's your PSA level?

Thanks,

Omar

User
Posted 07 Aug 2024 at 16:25

I’ve no idea unfortunately. I was told it was more than satisfactory a number of months ago. 

User
Posted 11 Nov 2024 at 19:43

How did you get on mate?

User
Posted 11 Nov 2024 at 19:49

Hi fella, 

Thankfully my PSA returned as normal and my prostate / prostatitis settled for a while until about 4 days ago when I started feeling that all too familiar niggle in the perineum area. I’ve been back at the gym doing running and weights and wonder if that has been a trigger or if sitting for long periods at work has done it. I was told it is chronic non-bacterial prostatitis which means I could have this going on for a good while

User
Posted 11 Nov 2024 at 19:57

That's great news. I wish my cpps would flare down enough to do exercise. The best I got was basic weights, very basic yoga and stair master but even then it wasn't particularly comfortable. I feel like I've got the pelvis of an 80 year old man.

What helps you recover to the point you can exercise? I mean running seems like a pipedream at the mo.

Edited by member 11 Nov 2024 at 19:57  | Reason: Not specified

User
Posted 11 Nov 2024 at 20:04

I didn’t / don’t have a specific plan of recovery. I walk to work and back and it’s around 12,000 steps which helps with the having to sit quite a bit at work. I’m a mental health nurse but have to do a lot of admin. Speaking of which my mood has been impacted when experiencing episodes of acute flair ups where I think that stress exacerbates symptoms. 

I used to do spin classes but now can’t think of anything worse as I know that after two or three classes I’d be feeling like someone has booted me in the backside 

User
Posted 12 Nov 2024 at 22:15

Stress definitely makes things worse. Whenever I'm nervous, anxious, angry it gets noticeably worse. I can legit bring it on from stress levels. Then awareness of that also doesn't help.

If the urinary feelings weren't there I reckon I'd be much better at coping and managing to exercise. But feeling like something is either going to drop out of your perineal area or you're having to hold the low to medium urges of a needing to piss kind of puts me off anything like running.

 
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