All Discussions Tagged 'prostate' - Prostatitis Forum & Social Network2024-03-29T08:03:13Zhttp://prostatitis.ning.com/forum/topic/listForTag?tag=prostate&feed=yes&xn_auth=noErections post LRPtag:prostatitis.ning.com,2014-06-08:2201951:Topic:453642014-06-08T19:03:49.434ZPeter Hunthttp://prostatitis.ning.com/profile/PeterHunt
<p>I just wanted to give an update for all who are concerned about erections after LRP. I had mine with Dr Krongrad in 2010. It has been almost 4 years now since the surgery. Early on I was unable to achieve an erection that could be used for intercourse but was able to have an orgasm. Actually my orgasms are better now that before surgery. I had lost almost all sensation of orgasms because of my chronic prostatitis. Little by little my erections have gotten better since surgery and now I am…</p>
<p>I just wanted to give an update for all who are concerned about erections after LRP. I had mine with Dr Krongrad in 2010. It has been almost 4 years now since the surgery. Early on I was unable to achieve an erection that could be used for intercourse but was able to have an orgasm. Actually my orgasms are better now that before surgery. I had lost almost all sensation of orgasms because of my chronic prostatitis. Little by little my erections have gotten better since surgery and now I am able to achieve a good erection without drugs I can use for intercourse. It seems there was a noticeable difference after the 3 year mark so if you've had surgery and cant achieve a good erection just be patient. Also be careful of things that could damage your penis such as pumps because if its not ready its only going to make things worse. I am 53 years old. Hope this helps someone :)</p> My Experience with Dr Bahn and injection treatment.tag:prostatitis.ning.com,2014-01-24:2201951:Topic:446622014-01-24T16:58:42.422ZMaluhttp://prostatitis.ning.com/profile/Malu
<p><em> </em></p>
<p class="p1"><em>So, after a full calendar year of trying to manage my symptoms with antibiotics and natural supplements, and constantly reaching a wall with various tests and not finding much, I took some drastic measures this year.</em></p>
<p class="p2"></p>
<p class="p2"><span style="text-decoration: underline;"><strong>THE HISTORY:</strong></span></p>
<p class="p1">After 6 months of speculation I finally managed to get a transrectal ultrasound. I’ve had chronic…</p>
<p><em> </em></p>
<p class="p1"><em>So, after a full calendar year of trying to manage my symptoms with antibiotics and natural supplements, and constantly reaching a wall with various tests and not finding much, I took some drastic measures this year.</em></p>
<p class="p2"></p>
<p class="p2"><span style="text-decoration: underline;"><strong>THE HISTORY:</strong></span></p>
<p class="p1">After 6 months of speculation I finally managed to get a transrectal ultrasound. I’ve had chronic prostatitis for almost 5 years, and I’m surprised to say that this is the first time I’ve ever gotten a transrectal ultrasound.</p>
<p class="p1"></p>
<p class="p1"><span style="text-decoration: underline;"><strong>*THIS SHOULD BE A PRIORITY*. </strong></span><em><strong>Urine tests and even bladder ultrasounds aren't very useful most of the time. Only the most OBVIOUS of prostatitis sufferers (those over 40 suffering from BPH enlarged prostate) will notice anything. Those of us who are younger and inherited some or all of our issues from a sexual episode, this will not help you at all. Your likely problem is the vesicles, and you can only see that via transrectal!!</strong></em></p>
<p class="p1"></p>
<p class="p1"> And thankfully, they finally found my issue. Seminal vesicle inflammation. So with that information I decided I needed to finally do what I’d been considering doing all year long and get antibiotic injections directly into the prostate/seminal vesicles.</p>
<p class="p2"></p>
<p class="p1">I’ had actually gone to see Dr Toth in New York but he didn’t treat me. he time I was on numerous antibiotics and the swelling went down to a level where he could not actively see a problem. Therefore he didn’t subject me to the treatment and even warned me of drawbacks. — I’ll be honest, this was a very honest move on his part, he didn’t take my money so I’m thankful for that. </p>
<p class="p2"></p>
<p class="p1">So, upon meeting Dr Bahn, he was very nice, mild mannered, kinda straight to the point. He doesn’t spend a lot of time speculating on issues in relation to lab work and bacterial findings. He is there to eradicate whatever it is that may be residing in your prostate and vesicles. </p>
<p class="p1"></p>
<p class="p1"><span style="text-decoration: underline;"><strong>THE PROGNOSIS:</strong></span></p>
<p class="p1">He said it was a very difficult condition to treat, in my case. </p>
<p class="p1"></p>
<p class="p1">Ultrasounds very thorough . your able to see so much detail in the ultrasound. this is a key reason for going. you’re not going to get a better diagnostic on this side of the world as far as what is going on with your seminal vesicles and prostate. </p>
<p class="p1"></p>
<p class="p1">BAHN: BOTH right and left seminal vesicle is all infected. The reason is that yeah, the seminal vesicle is a little distended about twice the size. This all white stuff is all infected material within the LUMEN of the seminal vesicle.</p>
<p class="p1"></p>
<p class="p1"><span style="text-decoration: underline;"><strong>THE PROCEDURE: ( see attached for full report)</strong></span></p>
<p class="p1"></p>
<p class="p1">He cleaned out the rectum with bentadine swabs, and then injected the antibiotics. </p>
<p class="p1"></p>
<p class="p1">His medications have changed over the past 12 months. As of this writing (January 23rd 2014) he currently injects patients with:</p>
<p class="p2"></p>
<p class="p1">Gentamicin, Morapenem (a carbapenem antibiotic which is used to destroy beta-lactamace biofilm in very resistant bugs) Flagyl, and a few painkillers. Overall this is a pretty wide-spectrum antibiotic treatment as far as covering anaerobes, gram positives and negatives.</p>
<p class="p1"></p>
<p class="p1">Overall I would say it wasn't too uncomofrtable. You obviously do feel a slight pinch when he injects (and he doesn't inject softly - this was more startling than painful anyway to be honest so just be prepared). </p>
<p class="p1"></p>
<p class="p1">Pain afterwards on the first injection was a bit intense at first, but easily managed by 2 extra strength NSAIDs (Advil/Ibuprofen, Tylenol/Acetaminophen, both work well). If I could describe it , its that the pelvic floor kind of goes into a shock because you have a needle basically pushed up in your body. So to me, it was more of a systemic and somewhat natural response, than anything I would describe to be attributed to "needle trauma" proper.</p>
<p class="p1"></p>
<p class="p1">Now, of course he does advise his patients to ejaculate about 48 hours after the procedure. Semen at that point is almost 100 percent blood. iv'e heard patients say that it goes away after a few months. Ejaculation itself isn't any more or less painful, but in my case the vesicles were changing shape and expanding from the injections, so swelling after the fact is a little painful.</p>
<p class="p1"></p>
<p class="p1">But again overall it was easily managed by over the counter NSAIDs. I would advise also for those doing this procedure eating a high amount of bran / fiber cereal before and after the ultrasound to help clear out the colon.</p>
<p class="p1"></p>
<p class="p1"><span style="text-decoration: underline;"><strong>FINAL RESULT:</strong></span></p>
<p class="p1">I continued to get injections every 3 days. Each time I saw him, he noticed a marked improvement on the size of the vesicles, and the apperance of them. I dont currently have an ultrasound scan of the later images.</p>
<p class="p1"></p>
<p class="p1">Each injection became easier to tolerate. I was bedridden the first day from the pelvic floor tension, but by the 3rd one I was driving around and shopping later in the evening.</p>
<p class="p1"></p>
<p class="p1"><strong>My symptom score went from a 28 to 17 over the course of that week and a half. </strong>The most noted improvement was urinary frequency. I dont have excessive urinary frequency -- usually once an hour to two hours at the most. (During a proper "flare up", usually from coffee or alcohol, I will have to pee every 10-20 minutes) but i find lately i'm able to go about 3 hours without having to urinate. </p>
<p class="p1"></p>
<p class="p1">As far as teh vesicles are concerned, I'll only really know how well its worked when the side effects like the blood and swelling subside. Only time will tell. I have also decided to take it upon myself to get a prescription for Doxycycline to kind of manage whatever bacteria that could be leftover in my genitourinary tract.</p>
<p class="p1"></p>
<p class="p1">Just from a diagnostic perspective, this is exciting stuff. I can only hope that doctors and urologists will continue to explore and expand the treatment of prostatitis/seminal vesiculitis. Were still in the stone age as far as I'm concerned. </p> Prostate Biopsy, Fever, Burning, and Cancertag:prostatitis.ning.com,2011-12-23:2201951:Topic:303902011-12-23T19:36:33.126ZJay Seehttp://prostatitis.ning.com/profile/JimChiodo
<p>I am 66 yrs old with prostate cancer and prostatitis. Regarding the cancer, I have come to terms with it and comfortable with my plan:</p>
<p><strong>Cancer:</strong></p>
<p>My Gleason is 3+3=6. After getting the "news", talking to others, researching alternative options, my plan is to have Davinci robotic surgery performed by Dr. Menon at the Vattikuti Institute of Henry Ford Hospital in Detroit. Before the operation I need need to be completely free of the infection and to lose more…</p>
<p>I am 66 yrs old with prostate cancer and prostatitis. Regarding the cancer, I have come to terms with it and comfortable with my plan:</p>
<p><strong>Cancer:</strong></p>
<p>My Gleason is 3+3=6. After getting the "news", talking to others, researching alternative options, my plan is to have Davinci robotic surgery performed by Dr. Menon at the Vattikuti Institute of Henry Ford Hospital in Detroit. Before the operation I need need to be completely free of the infection and to lose more weight. I lost 65# since January but a little more will reduce risks/breathing, etc. Since killing the infection and losing weight can't happen overnight, and my Gleason score did not call for urgency, Dr. felt waiting till March/April would not be a problem. (but I shouldn't do a long term "watchful waiting") </p>
<p>Following years of PSA in 2.5 to 3 range, it rose to 6.0 last year. Digital exams by family doc over the past 10 yrs yielded a gradually but normally enlarged (age related) prostate but I had minimal BPH symptoms. I can't write my name in the snow or hold it all day like when I was 18 but no getting up at night or other problems. I was sent to a urologist who did a more thorough digital exam (an more uncomfortable) yielding a greater enlargement on one side and recommendation of a biopsy. </p>
<p>I chose a different urologist not because I was unhappy with the first, but wanted a provider with color doppler ultrasound equipment. This was advised by a friend because the color better identifies areas for biopsy over a "shotgun" method using black and white. This urologist wanted me to repeat the PSA test again after taking Cipro for 2 weeks, to rule out any infection causing high PSA#. The number was in the same range and a biopsy was scheduled. I refilled the Cipro to take through the biopsy along with another antibiotic, (can't remember name) Both meds were continued for 5 days after the biopsy.</p>
<p>I used a fleet enema prior to the biopsy. I was apprehensive and uncomfortable, I survived. Before leaving his office, I was able to urinate. Blood in urine and feces were evident for several weeks. I didn't discover blood in ejaculate for several more weeks as I wasn't in the mood or curious. This eventually did happen and yes, it was bloody but eventually disappeared.</p>
<p><strong>Post-biopsy fever and symptoms</strong></p>
<p>After blood in urine subsided I began to notice an increase in frequently and urgently with discomfort (burning). I developed a fever (101.5) and felt lousy (headache overall achy). I was put on the Cipro again. Symptoms (fever, etc) decreased in a couple days and I continued the RX for 15 days. A week after stopping Cipro, symptoms returned. (temp, etc). Septra was prescribed to be taken over 3 months ending Nov 20th. </p>
<p>Frequency and some burning began to increase about Dec 1. I called the urologist who called in an RX and told me to go back on Septra until the operation. (This was all related via his office people) During my consultation with Dr. Menon's assistant, he asked if there were any urine tests prior to starting antibiotics. This wasn't done. Because of this, I did not start the Septra immediately. I felt uncomfortable calling and "second guessing" the doctor and instead called Vattikuti where I spoke with Folushio (one of Menon's team). He faxed an order to a lab local to me. Once i gave a sample, I was to start the Septra which even if it isn't the right one for the infection, has proven to reduce symptoms which by then had increased. I'm still awaiting the results of the urine test and whether I need to be on a different antibiotic.</p>
<p>Taking the Septra has reduced my fever, aches, etc to normal and the frequency of urination somewhat. However, I do have an urge to move bowels more frequently. I "feel" as if there is something up my rectum. I am drinking lots of water with the idea of trying to flush the infection out. Water, of course does not flush our the seminal fluid in the prostate and "flushing" is a different process.</p>
<p>After my temperature came down, I did attempt that process to flush my prostate. Since there is some discomfort in my pelvic area, my partner offered to satisfy me orally. This proved easier because I could also not achieve full erection. I have always been able to achieve an erection in the past, except for occasions where we tried for a second (or third) attempt at intercourse without enough time for me to revive. In these situations, although unable to become completely firm, oral stimulation always brought me to climax, even where there was next to no ejaculate yet resulting in the same pleasurable sensation.</p>
<p><strong>Pain ejaculating</strong></p>
<p>As I began to build towards an orgasm, there was pain in my prostate; so much so that I asked her to stop. I also lost my less than firm erection and discomfort continued for several hours. That was a couple days ago and I'm not sure when there will be another opportunity. (It's complicated). </p>
<p>I have read an article about "why doctors don't want to treat prostatitis" and wondering. Other than normal slowing down, loss of fire hydrant like pressure and increased frequency, I never had these symptoms before the biopsy. I'm almost wishing it never happened. As is evident by the detail I included, I hope for many more years of active sex. I have accepted the cancer and have chosen the best alternative that I think will let me continue an active sex life. This does not preclude that regaining capability after the surgery will take effort. My partner is considerably younger and willing to help me with this effort even though our situations preclude daily or even regular contact. (as mentioned, it's complicated) </p>
<p><strong>Suggestions / Advice?</strong></p>
<p>Right now the prostatitis is my primary concern but that doesn't reduce the number of worms in this can. </p> Question for Dr Krongradtag:prostatitis.ning.com,2009-05-09:2201951:Topic:47412009-05-09T09:28:23.000ZNikhttp://prostatitis.ning.com/profile/NikolasBartley
<p><a target="_blank" href="http://arnonkrongrad.com">Dr. Krongrad</a>, is there a difference in bi lateral nerve sparing with no cancer (ie prostatitis) and those who have cancer? What I mean is, can you leave a larger prostate facia behind when cancer is not a risk, meaning less heat damage to nerves as more space between cautery and nerves, ie less thermal transfer?<br/><br/>Please correct me if my question doesnt make sense.</p>
<p><a target="_blank" href="http://arnonkrongrad.com">Dr. Krongrad</a>, is there a difference in bi lateral nerve sparing with no cancer (ie prostatitis) and those who have cancer? What I mean is, can you leave a larger prostate facia behind when cancer is not a risk, meaning less heat damage to nerves as more space between cautery and nerves, ie less thermal transfer?<br/><br/>Please correct me if my question doesnt make sense.</p> Will surgeries performed in Trinidad be part of the study?tag:prostatitis.ning.com,2009-03-08:2201951:Topic:42012009-03-08T18:37:27.000ZMarkhttp://prostatitis.ning.com/profile/Mark
<p>Hello <a target="_blank" href="https://plus.google.com/110559831748313045695/about">Dr. Krongrad</a>,<br/> <br/>
Since Trinidad is a foreign nation, I suppose that any surgery performed in this country could not be use as a part of the trial?<br/>
<br/>
When will you start operating there?<br/>
<br/>
Thank You</p>
<p>Hello <a target="_blank" href="https://plus.google.com/110559831748313045695/about">Dr. Krongrad</a>,<br/> <br/>
Since Trinidad is a foreign nation, I suppose that any surgery performed in this country could not be use as a part of the trial?<br/>
<br/>
When will you start operating there?<br/>
<br/>
Thank You</p> Epididymitis and Prostate Removaltag:prostatitis.ning.com,2008-07-29:2201951:Topic:3452008-07-29T08:52:15.000ZChrishttp://prostatitis.ning.com/profile/Chris
<p>Dr Krongrad,<br/> <br/> Epididymitis has long been associated with chronic prostatitis; in fact, most urologist I have seen down the years have said epididymitis in itself is a symptom of chronic prostatitis.<br/> <br/> As a last resort, if I opt to have my c.p. treated by radical prostate removal, would that also cure the epidymitis? Or would I be left in the unenviable position of having no prostate gland after surgery, yet still suffering the severe testicle pain which I suffer now?</p>
<p>Dr Krongrad,<br/> <br/> Epididymitis has long been associated with chronic prostatitis; in fact, most urologist I have seen down the years have said epididymitis in itself is a symptom of chronic prostatitis.<br/> <br/> As a last resort, if I opt to have my c.p. treated by radical prostate removal, would that also cure the epidymitis? Or would I be left in the unenviable position of having no prostate gland after surgery, yet still suffering the severe testicle pain which I suffer now?</p>