Why is CBP so difficult to cure

[eugene]

I have CBP for 4.5 years and a bowel movement still leaves me in chronic pain for about 6/7 hours before it fades. My wife sometimes does a DRE/Massage and when she massages the left hand side it is very painful and she says it feels like it is in a state of spasm/contracture.
My symptoms also include sitting pain, weak flow, no pressure on ejaculation, simetimes yellow semen, simetimes very cloudly urine.
Last culture showed Staph, using broth culture technology.
Can CBP turn into chronic prostatitis / chronic pelvic pain syndrome over time, re damaged nerves etc ?

Any comments

[webslave]

Broth cultures pick up contaminants very easily, and the #1 contaminant is Staph, a ubiquitous skin microbe that lives in the distal urethra.

Your symptoms are classic of what I call pelvic myoneuropathy. Not much to suggest other than to follow all the advice on this board.

[eugene]

Thanks Mark for your reply, but what about the yellow semen and cloudy urine, I mean very cloudy, when it settles in a glass it is like half a inch tick on the bottom of the glass, looks like small bits of dead skin.
Would this not suggest a major infection.
I do know that this problem started with a major infection.

[webslave]

Yellow semen indicates pus cells, probably from inflammation, not infection.

Visual Appearance of Urine

The color and turbidity of urine can provide clues as to evidence of pathology.

Color: Normal urine will vary from light straw to amber color. The color of normal urine is due to a pigment called urochrome, which is the end product of hemoglobin breakdown: hemoglobin -> hematin -> bilirubin -> urochromogen -> urochrome.

The following are deviations from normal color that have pathological implications:

a. Milky: presence of pus, bacteria, fat, or chyle.

b. Reddish amber: presence of urobilinogen or porphyrin. Urobilinogen is produced in the intestine by the action of bacteria on bile pigments. Porphyrin may be evidence of liver cirrhosis, jaundice, Addison's disease, and other conditions.

c. Brownish yellow or green: presence of bile pigments. Yellow foam is definite evidence of bile pigments.

d. Red to smoky brown: presence of blood and blood pigments.

Carrots may cause increased yellow color due to carotene, while beets cause reddening and rhubarb may cause the urine to become brown. These food items and certain drugs may color the urine, yet have no pathological significance.

Transparency (cloudiness): A fresh sample of normal urine should be clear, but may become cloudy after standing for a while. Cloudy urine maybe evidence of phosphates, urates, pus, mucus, bacteria, epithelial cells, fat, and chyle. Phosphates disappear with the addition of dilute acetic acid and urates will dissipate with heat. Other causes of turbidity can by analyzed by microscopic examination.

[MastCells]

Thanks Mark for your reply, but what about the yellow semen and cloudy urine, I mean very cloudy, when it settles in a glass it is like half a inch tick on the bottom of the glass, looks like small bits of dead skin.
Would this not suggest a major infection.
I do know that this problem started with a major infection.

I realize that yellow semen is disturbing, but trust me, it is a very common symptom of nonbacterial prostatitis. Concerning the cloudy urine, I would think that if it were caused by infection, the bacteria would be detected by a simple urinalysis.

[eugene]

Thanks guys for your replies, again this is why I think that CBP over time can develop into non-bacterial prostatitis. In my case prostatitis did begin with a major bacterical. A very breif history ( uro,s beware ) A tiny cut in my foreskin after having intercourse with my wife, caused "Balanitis" infection in foreskin. I left it for about a year ( Big Mistake ) it then caused a bad blabber infection, I went to my doc who referred me to uro, who gave me a uroflow test, he then suggested I have a circumcision and while I was under he would do a cystoscopy, a few days after the operation I started to get unbearable pains, uro put me on all the usual antibiotics, nothing worked, he referred me to another uro who said I had prostatitis and it would last for about 4/5 years. When the stitches from the circumcision finally dissolved,6/8 weeks after the operation, and I could finally ejaculate a Brown/ yellow very smelly substance came out, never seen anything like it, It was the blood from the cystoscopy procedure that lodged in the prostate for weeks and cause a major infection. Thats when my life ended, 4.5 years ago with chronic pain every day, pain even now 8 every day on a scale of ten, I am on Prozac, valium. sorry for being so long winded.
Best wishes to all.

[webslave]

Eugene, here's my take on your history: I don't think the balanitis has anything to do with it. I think during the cystoscopy you may have had a small injury (brown discharge = blood) and this could be the trigger or precipitating event needed to start the neuronal windup and central sensitizaton.

It's also possible that you now have a stricture from the instrumentation, and treating that possible stricture could help you. Perhaps you should see another uro.
https://ucpps.men/prostatitis-cystoscopies-and-urethral-strictures

[alprost]

I also think the fact that your pelvic muscles appear to be in spasm on the left hand side are a major clue to your condition. I would get myself checked out for pelvic floor muscle spasm. Here are a couplke of mny previous post which you might find useful:
viewtopic.php?t=457&sid=d83397c45a41e08 ... b2a0f2db6f
viewtopic.php?t=449&sid=d83397c45a41e08 ... b2a0f2db6f

[eugene]

Thanks for all your help and advice, what you all say makes more sense now, I have noticed that when I take Valium before I go to bed, when I have a bowel movement the next morning that pain is reduced by 30 to 40%, I have tried sometimes not taking the valium and the next bowel movement pain is back at 100% and I know valium is a powerful muscle relaxent. I know valium is addictive ?
I will contact a physiotherpist for a pelvic floor evaluation.

Thanks again to you all, this is a excellent forum.