Prostatitis Forum & Social Network

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

Ofir L.
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What is your score on the Chronic Prostatitis Symptom Index (posted on home page)?
21
If you have been diagnosed with prostatitis, please tell us your story: age, duration of symptoms, treatments, results, and the like.
Age: 33

Duration of symptoms: 5 years

symptoms: Frequent urination, very weak ejaculation, premature ejaculation. no pain or burning.

Tests: Urine and blood tests, four glasses, ultrasound, cystoscopy, urodynamic, uretherocystography. Nothing was ever found.

Treatments: Cephalexine, Ciprofloxacin, Detrol, Elavil, Permixon, Chlordiazepoxide, Urgenin, Betaren (Diclofenac), prostate massage, acupuncture.

DRE: Two doctors performed DRE and said I have prostatitis. Two others performed it and said I don't have prostatitis. The others don't believe prostatitis exist in this world.

Results: Nothing helped. Still have the constant feeling of needing to pee all the time. I don't even know if what I have is prostatitis, but since my disease affects both the urination and the ejaculation, I believe there is a good chance the problem is in the prostate.
Which is your favorite prostatitis web site, forum, or blog?
http://prostate-forum.org/index.php

Comment Wall (2 comments)

At 9:53pm on September 14, 2009, Arnon Krongrad, MD said…
Hi Ofir,

Welcome to the prostatitis social network. Are you by any chance a merchant marine? I was contacted recently by a urologist in Haifa about a patient in his 30s with chronic prostatitis and I gave him this URL.

I am sorry to hear about the course of your symptoms, which is certainly familiar to the members of this network.

Chronic prostatitis is a diagnosis of exclusion, very much like headache. There is no X-ray or biopsy or physical finding that establishes prostatitis. So assuming you don't have a bladder infection, spine injury, or any other diagnosis that can explain such symptoms as frequency, then your symptoms (and CPSI = 21) are consistent with chronic prostatitis.

Mike Peckham, whose story is linked from the front page of this site (upper left), has nicely summarized that our conception of chronic prostatitis as an infectious and/or nervous disease has led to no operational value and/or functional progress: Men go on suffering despite antibiotics, alpha blockers, massage, and more. The operationally meaningful observation seems to be, based upon early experience, that removing the prostate for men who have such symptoms that you are describing, durably relieves the symptoms. This certainly suggests that the problem is in the prostate and that we have yet to find a specific diagnostic test that proves it (just like with headache).

Please look around and feel free look around and ask questions. Please note that my office actually has a direct number from Tel Aviv and that Ruthie in my office speaks Hebrew. Feel free to call. The number is 03 721 3331.

Arnon
At 9:42am on September 15, 2009, Arnon Krongrad, MD said…
Ofir

I cannot give you medical advice on a public site. The discussion we had yesterday put things into broad medical context only.

To move into your specific situation really requires a private discussion. Yes, we have a Hebrew site and we have an entire Israeli urologist network that supports our Israeli patients before and after surgery. It is headed by Dr. Ilan Gruenwald, who is in Haifa and who directs the Israeli Center on Incontinence. If necessary, we will involve him.

The best step is to talk by telephone. Please call us at your convenience and we will examine how best to help you. 03 721 3331

Thank you.

Arnon

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