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

Robert Patterson
  • Male
  • Caledon, Ontario
  • Canada
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Since I just joined the group today, I thought I had better give all of you a little background. I am 61 and was diagnosed with prostatitis over 30 years ago. Initially it was defined as acute but it kept repeating itself and by the time I was 35, I knew it was chronic. The urologists threw all sorts of antibiotics which helped for a short period of time and eventually started to make me sick. I suffered continually with the pressure, pain etc. and tried to keep it under control by using anti-imflammatories, anti-biotics and massages. I believe I have had over 1500 massages in my lifetime. The massages helped to make my life more comfortable but were only temporary solutions. 10 years ago I was told I had some BPH and had a bladder neck operation which did very little to help. 4 years ago I went to New York and tried direct injections which were extremely painful and worked for a very short time. I was in such pain, I called the Ford group in Detroit and they told me they would not do a radical prostatectomy until I could produce a biopsy which showed cancer-no compassion there. My urologist then agreed to do a TURP which did help for about a year as it seemed to allow the prostate to drain. However, this year things became much worse and I was in constant pain. The massages were no longer working. In fact, I think they made the pain worse. I could not sleep on my back and had to take strong pain killers so I could sleep. I am active in the business world but found myself basically tied to home working out of the house. I was becoming inactive and even golf became difficult as exercise either made the attack worse or started another one. Life was basically very tough and the quality of my life was at an all time low. My youngest son found Dr Krongrad's website and after doing all the necessary due diligence, I went to Miami and had a radical prostatecomy just over 3 weeks ago. Everything on the laprp.com website is 100% accurate. The service was second to none and the operation went exactly as planned. I am now relatively early in the recovery stage. Here is what I know at this point in time.

(1) The pathology report indicated that my prostate was cancerous-gleason 5. This was no surprise to me as I believe most of the chronic prostatitis sufferers will develop cancer eventually-sorry fellows.

(2) I am no longer taking any pain-killers. I still have some perineal pain but it is decreasing as I heal. The pain is localized and no longer going down my legs. I am hopeful that over time as I heal this will go away. With the exception of the annoyance of (2) below, I am more comfortable than when I went to Miami.

(3) I do have incontinence when I move around and am on my feet. I am completely dry at night and have reasonably good control when I am sitting around as long as I remember to hit the washroom as soon as I get up. Dr Krongrad has indicated that what I am experiencing is within the norm and should disappear over time leaving me with a good recovery in this area.

(4) I have already had some stirrings and am confident that over time I will be able to produce erections again. I am sure it will take patience. Dr Krongrad was able to save the 2 major nerve bundles that surround the prostate. If you have any questions re. these nerves ask Dr Korongrad.

I will be as open as possible, in answering any questions that may be directed my way.

Bob



Comment Wall (14 comments)

At 10:06pm on June 21, 2009, jeffos said…
Dear Robert

Thank you for posting your experience; I wish you sincerely a rapid recovery and I am sure you will be 100% pain free within weeks. We all need in this forum to hear such happy ending story as this disease is really a prison.
May I ask you a question: what sort of prostatitis have you suffered of: bacterial or non-bacterial? did the urologists find any bacteria in your EPS?
At 9:13pm on June 22, 2009, jeffos said…
Dear Robert

Thank you for your answer, In fact I have been diagnosed with chronic non bacterial prostatitis following the 3 glasses test in Paris...they have checked using advanced biological equipment...but never find anything. I am 37 years old french living in Malaysia and I started to be sick in september 2008...I have been prescribed already 32weeks of different sort of Abx without major improvement as i even got big flare up while under abx treatment...I would like to try like you the injections technique before thinking about surgery.
At 11:01pm on June 25, 2009, imnotcrazy said…
good luck to you bob! godspeed ! please keep us posted!
At 8:48am on July 22, 2009, Jake James said…
Dear Robert,

I just read your comment..It's great that you are on the road to recovery..
Just a question.."This was no surprise to me as I believe most of the chronic prostatitis sufferers will develop cancer eventually-sorry fellows." What is the source of your information ? Are there any sites that you can point me to? I would very much like to do some research on it..

Thanks in advance..

Regards,\
Jake
At 9:01pm on July 22, 2009, Smith said…
Dear Robert,
How is recovery from your LRP going at this point in time. Have your symptoms changed since your last post right after the surgery? Do you still have symptoms? Thanks!

Hope all is well!
Smith
At 4:20am on July 23, 2009, Nik said…
I send you my strongest positive thoughts for a speedy recovery. I hope you really enjoy sleeping on your back again-something I also have a problem with after an hour or so in that position! I totally agree that most prostatitis will turn to cancer eventually, although Im pleased it took 30 years in your case and was removed before reaching your nerve bundles.

We all look forward to hearing about your progress a few months in-Im sure it will be rapid with pain reduction & continence issue's.

God bless

Nik
At 9:28am on August 29, 2009, jeffos said…
Dear Robert

How is your recovery? I hope everything is going well for you!

regards
jef
At 10:40pm on October 16, 2009, jeffos said…
Hi Robert

I hope everything is fine for you now, do you mind to tell us how you re doing now?

regards

jef
At 5:08am on February 13, 2010, jeffos said…
Dear Robert

It is a long time we didn't get any news from you: how is your recovery, i guess that everything should be ok now?

sincere regards
At 8:20pm on February 13, 2010, Robert Patterson said…
Jef,

I am doing very well. I have no pain whatsoever and am working out aggressively 3-4 times per week. I had not been on a bike in over 25 years. Now I work out on a stationary bike every other day with no discomfort. The only issue I have is my bladder which is not 100%. It has improved on a fairly continual basis but very slowly. Will the bladder recover 100%. Who knows? However, I have learned to live with it and it is not slowing me down. As I have mentioned before, the bladder issues in my case are not unexpected. The two operations that I had before (bladder neck and turp) which proved to be useless, both traumatized my bladder. Therefore, the radical prostatectomy was the third time around for my bladder. From what I can tell my erectile dysfunction improvement is right on course. Unfortunately, this operation was not available 10-15 years ago which is in hindsight when I should have had it. However, looking back and wishing your life would have developed differently is not a productive exercise. I am very grateful that the opportunity to have Dr Krongrad operate on me presented itself. I have no regrets.

Bob

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