I am new here, and I have a question: I have been diagnosed recently with chronic prostatitis / chronic pelvic pain syndrome IIIa (by stamey test + TRUS) and my PSA level is high for my age PSA=3. 5 (I am 36). . . . does that mean that there is an infection even if nothing has been found in the EPS (using PCR, culture. . . etc)?
Can we have (CPPSIIIa) without infection, I mean only inflammatory condition. Please help I am completely confused!
Any comment is welcome.
PSA and prostatitis
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Jay
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Re: PSA and prostatitis
Hi there,
I would advise you to read through the main site as much as you can, as well as prior postings on the forum. You're just at the start of dealing with your condition, and as a result, this is no doubt a very overwhelming time for you. A lot of info is located here to help you get sorted.
I'm not a doctor, but I'll try to answer the main question you asked:
Bacterial prostatitis is actually the rarest form. If you had acute prostatitis, you'd know it, as it's extremely painful and requires hospitalization.
CPPS III is the most common type of prostatitis, and is not bacterial in origin. IIIa means that you have signs of inflammation in your prostatic fluid/semen. If you'd had IIIb, that would mean you'd had no inflammation. Either way, you still have CPPS.
A singular cause of chronic prostatitis / chronic pelvic pain syndrome is not known. However, on our forum, we are big proponents of a combination of muscular/psychological treatment. You can read about it on the page about 'pelvic myoneuropathy' on the site. Also, a great book to pick up is "A Headache In The Pelvis". You can buy it on Amazon if it's not at your local bookstore.
Best,
Jay
I would advise you to read through the main site as much as you can, as well as prior postings on the forum. You're just at the start of dealing with your condition, and as a result, this is no doubt a very overwhelming time for you. A lot of info is located here to help you get sorted.
I'm not a doctor, but I'll try to answer the main question you asked:
Bacterial prostatitis is actually the rarest form. If you had acute prostatitis, you'd know it, as it's extremely painful and requires hospitalization.
CPPS III is the most common type of prostatitis, and is not bacterial in origin. IIIa means that you have signs of inflammation in your prostatic fluid/semen. If you'd had IIIb, that would mean you'd had no inflammation. Either way, you still have CPPS.
A singular cause of chronic prostatitis / chronic pelvic pain syndrome is not known. However, on our forum, we are big proponents of a combination of muscular/psychological treatment. You can read about it on the page about 'pelvic myoneuropathy' on the site. Also, a great book to pick up is "A Headache In The Pelvis". You can buy it on Amazon if it's not at your local bookstore.
Best,
Jay
I am not a physician. This is not medical advice. Consult your doctor!
Age: 26 Onset Age: 17 Symptoms: Shooting, nerve-like pains throughout the penis, which abruptly hit and leave. Testicular pain, perineum pain, burning/irritative urination, extended pain after ejaculation. Occasionally, some allodynia or ache in the coccyx/sacrum/thigh/buttocks/legs. Diagnosis: Pelvic floor dysfunction, degenerated lumbar disk, and mildly herniated lumbar disk. Helped By: Physical therapy, pain management doctor, hot baths, therapy pool, stretching regimen, breathing exercises, relaxation, distraction. Worsened By: Arousal/ejaculation (worst), constipation, panicking/obsessing, other triggers depend upon current symptoms. Tests/Prior Treatments: Too many antibiotics to count, multiple urine tests (all normal), testicular ultrasound (normal), bladder and renal ultrasound (normal), lumbar and pelvic MRI with and w/o contrast (revealed disk problems), Elavil 25mg (caused retention), Flomax 0.4mg.
Age: 26 Onset Age: 17 Symptoms: Shooting, nerve-like pains throughout the penis, which abruptly hit and leave. Testicular pain, perineum pain, burning/irritative urination, extended pain after ejaculation. Occasionally, some allodynia or ache in the coccyx/sacrum/thigh/buttocks/legs. Diagnosis: Pelvic floor dysfunction, degenerated lumbar disk, and mildly herniated lumbar disk. Helped By: Physical therapy, pain management doctor, hot baths, therapy pool, stretching regimen, breathing exercises, relaxation, distraction. Worsened By: Arousal/ejaculation (worst), constipation, panicking/obsessing, other triggers depend upon current symptoms. Tests/Prior Treatments: Too many antibiotics to count, multiple urine tests (all normal), testicular ultrasound (normal), bladder and renal ultrasound (normal), lumbar and pelvic MRI with and w/o contrast (revealed disk problems), Elavil 25mg (caused retention), Flomax 0.4mg.
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jeffos
- New Member
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- Joined: Mon Nov 24, 2008 6:32 am
Re: PSA and prostatitis
Thanks for your answer. . .
I am confused because my doctor told me that I have an infection in my prostate even if he cannot find anything in the EPS, he said large amount of leucocytes in VB3 (stamey test) means infection. . . . so he prescribes me abx because according to him this is the only way to treat prostatitis. . . . I have eaten all the kind during weeks now: doxycycline, ofloxacin, Cipro and it is not getting better.
anyway I have read around in this forum, and it seems that my doctor explanation is a bit too simple. . . . but what about the PSA level, is there anybody here with high PSA and chronic prostatitis/CPPS?
I am confused because my doctor told me that I have an infection in my prostate even if he cannot find anything in the EPS, he said large amount of leucocytes in VB3 (stamey test) means infection. . . . so he prescribes me abx because according to him this is the only way to treat prostatitis. . . . I have eaten all the kind during weeks now: doxycycline, ofloxacin, Cipro and it is not getting better.
anyway I have read around in this forum, and it seems that my doctor explanation is a bit too simple. . . . but what about the PSA level, is there anybody here with high PSA and chronic prostatitis/CPPS?
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webslave
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Re: PSA and prostatitis
Large amounts of WBCs in the EPS means inflammation. Inflammation results from many things, not only infection. Find another uro, or better yet spend your money on the right treatment, and you won't get that from a uro.
Good News! The great ProstaQ is BACK at last! You must try it.
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jeffos
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Re: PSA and prostatitis
Thanks webslave
what you re saying is very interesting, could you develop a little bit more concerning the causes of inflammation other than infection?
what you re saying is very interesting, could you develop a little bit more concerning the causes of inflammation other than infection?
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webslave
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Re: PSA and prostatitis
Please read this whole page carefully
https://ucpps.men/chronic-prostatitis-is-a-psychoneuromuscular-condition
https://ucpps.men/chronic-prostatitis-is-a-psychoneuromuscular-condition
Good News! The great ProstaQ is BACK at last! You must try it.
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