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Acute and chronic prostatitis discussion. Arnon Krongrad, MD, moderator.

Was wondering if anyone has been to the Cleveland clinic.

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I went to the Cleveland Clinic. Dr. Schokes is nice but the billing at the Cleveland Clind is a disaster. I would only suggest going to the clinic if you have exhausted local resources.

I went to the Cleveland Clinic and was examined by Dr. Shoskes. After doing a culture of my urine, no bacteria was found and so he diagnosed me with "chronic pelvic pain symptoms", as opposed to "prostatitis". He recommended that I find a good physical therapist specialized in the pelvic floor. I strongly recommend reading his edited volume, ""Chronic Prostatitis/Chronic Pelvic Pain Syndrome (2008)" by Daniel A Shoskes as well as "A Headache in the Pelvis: A New Understanding and Treatment for Prostatitis and Chronic Pelvic Pain Syndromes (2012)" by David Wise.

These books are very important in terms of understanding the difference between bacterial and non-bacterial prostatitis.

Dr. Shoskes is one of the best urologists in the country in terms of doing a proper diagnosis, so if you can afford going to the Cleveland Clinic, I definitely recommend doing so.

saw Dr. Shoskes about 12 yrs ago in Ft. Lauderdale Cleveland Clinic. I think it was my first flare up and it seemed to finally fade after he suggested prostate massages with antibiotics. The method helped me get by for several yrs with just minor flares that faded away within a month or two. But I have since had flares that didn't seem to react to massage of the prostate. My most recent flare was one of my worst. What was really strange though, was how the first massage for that flare made the symptom pain drop from a 6 to about a 2 in just a couple of hours. I couple of weeks later, though, my symptoms ramped back up. Added new symptoms like nausea, malaise, and a feeling like my whole nervous system is stuck in a higher gear is why I'm at the point of seriously considering prostate removal at age 53.

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