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

soso
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soso left a comment for CHARLES
"Hello Ike, Call these guy's if you have time. http://www.bostonmedicalgroup.com/ Maybe they can help.. I heard they have a good outcome. soso"
Jun 4, 2009

Comment Wall (7 comments)

At 12:00am on July 16, 2008, soso said…
Sorry I meant to say what other urologists have you seen.
At 9:11am on July 16, 2008, Bob said…
Soso

Urologists I have seen are;

Dr. Levine Rush Hosp. Chicago
Dr. Shoskes Cleveland Clinic
Dr. Brown Mt. carmel Hosp. Ohio
Dr. Bahn Radiologist CA
At 12:20pm on July 16, 2008, soso said…
Thanks for the reply, I hope Dr.Krongrad can help you. Keep us posted.
At 6:36pm on July 25, 2008, Arnon Krongrad, MD said…
Thank you for the questions.

1) What are the downfalls of taking the prostate out?

The risks of minimally invasive radical prostatectomy include cardiovascular complications, conversion to open surgery, infection such as urinary tract infection, infertility, injury to adjacent organs, erectile dysfunction, urinary incontinence, peri-operative pain, scarring at the bladder neck, and treatment failure.

2) And what are the pro's of taking the prostate out if it's always inflamed?

Most prostates are "always inflamed." What I mean is that it is very very common to find inflammatory cells on prostates removed for other reasons. Yet most prostates are not symptomatic as are prostatitis prostates. So we're not really looking to resolve histological (pathological) inflammation so much as to resolve clinical symptoms associated with what we call prostatitis. The pros are simple: resolution of symptoms.

3) After everything you've seen if you had prostatitis would you take your prostate out?

Maybe I would. The decision would depend upon the severity of symptoms. Seeing what I've seen with now two patients, one whose story I posted and now a new one who is reporting resolution, and knowing I can have myself out of the hospital in 24 hours on an average of two Tylenols, I would consider it yes. I will go into the decision knowing that the literature on this is meager and there are risks but that some have had tremendous relief.
At 10:29am on July 26, 2008, soso said…
Thank you for your time and answering these Questions..

Quote:

1) What are the downfalls of taking the prostate out?

The risks of minimally invasive radical prostatectomy include cardiovascular complications, conversion to open surgery, infection such as urinary tract infection, infertility, injury to adjacent organs, erectile dysfunction, urinary incontinence, peri-operative pain, scarring at the bladder neck, and treatment failure.

Wow, That's scarry (Risks)..what percent would you say of getting these down falls if the person is fit that goes through the minimally invasive radical prostatectomy and does all post treatment to the tee?

The pros are simple: resolution of symptoms.>>

I did like that answer. :)
At 5:41am on August 14, 2008, Nik said…
Hi Soso

I was reading your questions on erection recovery etc. Just wanted to let you know that I asked exactly the same questions to Christopher Eden in the UK, and he told me at age 37 assuming normal erectile function & healthy lifestyle pre-surgery, that I would have a more than 90% chance of regaining erectile function with or without pills-meaning a 45% chance of needing Viagra or similar and a 45% chance of not needing any help at all.
Permanent incontinence was even less to worry about, with an above 99% of being fully continent.
I was thinking even if Viagra was needed it would be a small price to pay for being permanently pain free, not needing painkillers & prostatitis treatments anymore along with the knowledge that you would never suffer from BPH or cancer later on. Obviously if you already have children, or never plan to have any then infertility from no ejaculate wont be an issue.

All the best

Nik
At 9:38am on August 14, 2008, soso said…
Thanks Nik,

That helps add to everything on this topic.

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