Acute and chronic prostatitis discussion. Arnon Krongrad, MD, moderator.
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.
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?
In medical jargon "itis" means inflammation. For example, meningitis is inflammation of the meninges and hepatitis is inflammation of the liver.
We should be very careful to distinguish anatomical/histological inflammation from clinical "inflammation." Consider that prostatitis classifications take this into account. For example, type I is acute infectious prostatitis; type II is chronic infectious prostatitis; type III is not infectious but clinically symptomatic "prostatitis;" type IV is asymptomatic but anatomical true histological prostatitis.
With that intro ... back to your question. You are describing intra-scrotal tenderness that is presumably due to epididymal inflammation (infiltration of the epididymis with inflammatory cells). In other words, we are assuming clinical epididymitis.
You ask if the sensations you feel, which we assume are epididymitis, are affected by the prostate and what may or may not be histological prostatitis or clinical prostatitis. In other words, does prostatic disorder refer pain to the epididymis. Answer: I do not know.
Keep in mind that there are no studies of prostatectomy for prostatitis; there are no studies of prostatectomy for epididymitis. To the best of my knowledge there are at best case reports like those of Mr. Radford. So there is no science to back up an assertion that removing the prostate relieves men of scrotal pain. I am not saying it would not; I am saying we do not know one way or the other.
Dr. Krongrad it would be very interesting to screen people who apart from prostatitis have also epidydimits present and what happens to them post-operatively?
is the epidydimits gone after prostatectomy or due the bacteria trap in the testicles and cause further problems?
I am interested since i suffer from both prostatitis + epidydimitis and would like to know if a surgery would help this
moreover there are many cases of post-operative epidydimits, how is this treated today?