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Potential prostatitis

User
Posted 22 Feb 2021 at 20:45

Hi All

Hope you can give me some advice?  Had some testicle pain and pain with ejaculation for most of last year then after Xmas the frequent urge to go to the toilet with Penis pain hit me.  Straining when on toilet and feeling of not emptying bladder.

Been to GP who did urine sample which is was clear.  Had STD test carried out which was clear.  GP prescribed Ciprofloxacin for 1 month.  2 weeks in and that didn't agree with me now have 2 weeks ofloxacin.

Frequency has died down a little and pain is manageable but flares up every now and again.  Got a week if meds left but not sure on next steps if this does not clear up.

Does this sound like prostatitis?  Spoke to do specialist nurse from prostate cancer UK who said it sounds like it.

GP has said it's all he can do as from his tests no infection is found.

Anxiety and stress as been through the roof which I know does not help.

 

Thanks

 

 

 

 

 

User
Posted 23 Feb 2021 at 01:33
I would be a bit cross with the GP - if he has exhausted whatever tests are available to him, he should darned well refer you to a urologist!

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

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 23 Feb 2021 at 01:39
Yes, as Matron says, in my opinion too, you should already be on the list for a consultation with your hospital urology department. Please ask your GP for a referral.

Best of luck for a time-scale in the new National Covid Health Service!

Cheers, John.

User
Posted 23 Feb 2021 at 09:25

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

User
Posted 25 Feb 2021 at 17:31

Thanks for the replies.  I have another appointment with GP next week.

One query in had was can you have a std infection in your prostate that would not show up on a standard test?  And can this be passed on?

I've had many STD test which has come back negative but got me thinking

 
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