Bacterial Prostatitis

[tickyy]

tl;dr - when I make peepee hurts, I went to the doc, bacteria found

It probably all started in my teen years (27 now), me and my ex did a lot of unprotected anal sex. My theory is that my bladder was infected for a long time, but was probably asymptomatic, later on the infected urine probably slipped into the prostate while having intercourse (all theory)

I noticed small little burns here and there, but nothing to major and I thought it is probably normal. One day I went jogging (I used to do marathons till I took levofloxacin) then I peed blood. I went straight to an urologist, though no bacteria found in the urine, therapy: Nitrofurantoin, twice daily, for 5 days

Then I was relatively symptom-free for a few weeks but it still hurt sometimes while peeing or stomach ache here and there. When I came, the semen amount was very low, and it felt very strange so I decided to go to a normal doc and she wanted me to do a urine test, after finding white blood cells she decided to send my urine to a lab, the results:

Less than 10⁵:
Pantoea spp (small amount)
Staph hominis (more)
Lactobacillus (more)

Therapy: 7 days ciprofloxacin. the symptoms remained so I decided to go to a urologist. He did an Urine test and found bacteria again?! I was surprised. when I mentioned the ED issues he immediately wanted me to make a Semen test, so I did.... the results:

Beta Hemolytic Streptococcus
"ganz vereinzelt Nachweis" = very isolated evidence

First he prescribed me Amox-clav for 10 days. Strangely though, my symptoms got worse?



My symptoms:

• White discharge
• frequent need to pee
• delayed peeing (takes like 3-10 seconds till it starts)
• burning/pain while peeing
• very week pee stream
• unable to empty the bladder
• Pain in the lower abdomen and lower back

So I started reading about prostatitis and found out that the go-to therapy are fluoroquinolones. Since I experienced almost no sides from ciprofloxacin I decided to recommend levofloxacin to my urologist, that was probably my biggest mistake in this journey. I took 1 pill, just 1 pill of levofloxacin and it fucking crippled me... idiopathic intracranial hypertension (tinnitus, headaches, blurred vision etc), joints ruined (used to run marathons I can probably forget that)

I did another semen test, came out negative.

Which led me to this spiral of research and I analysed everything there is out there. I came to the conclusion that clindamycin is probably the best option for a gram positive infection. And since I am already taking the poison I am considering doxycycline.

Today is my first day taking Clindamycin, no side-effects so far.

Thoughts?

[webslave]

You don't have bacterial prostatitis. None of your tests indicate infection. The Pantoea, staph hominis and Lactobac. are commensals (normally found), and the strep. was found in small numbers, not at infection levels. It amazes me that you were prescribed antibiotics at all.

Your discharge looks like normal ejaculate.

Delayed urination is a sure sign of pelvic floor spasm and hypertonicity.

[tickyy]

Your discharge looks like normal ejaculate.

Umm, no? Every time I discharge, I get feel a strong pain, lower abdomen, 2 hours before

The discharge smells horrible, not that normal urine odor, it just smells like a dead dog or something

I get that 95% of the cases are usually NOT bacterial, but this is almost a "proven" case, isn't it?

Edit: Why were the lab tests removed?

[webslave]

You don't seem to understand what's going on here. I will try again to explain.
(Lab tests removed because we don't need megabytes of images to tell us some simple lab findings)

Your "discharge" is probably just leakage after ejaculation, which happens to men with UCPPS because of swelling and inflammation of the prostate/urethra not allowing all ejaculate to be expelled during ejaculation. Some will leak out afterwards. And pain after ejaculation is typical of UCPPS.

None of your lab findings is significant. The small quantities of bugs found are commensals (normal inhabitants of the GU tract) or contaminants, and all are at levels below concern. Odor is not a way to diagnose anything, unless fresh urine has a strong unpleasant odor (in which case suspect UTI). Eating certain foods — like asparagus, meats, and garlic — or drinking a lot of caffeine or alcohol can make your semen smell pungent.

[tickyy]

Hmm, ok, thanks for your opinion. I will take antibiotics for a few more days and watch if anything changes

Can you recommend me some links what I can do to therapy a CPPS case? Thanks in advance

[webslave]

Start with stretches (do a search of this forum for "stretch" and "stretches"). Also use all the Tips.

The antibiotics may help you for a short while, but make sure you know why!

[tickyy]

Start with stretches (do a search of this forum for "stretch" and "stretches"). Also use all the Tips.

The antibiotics may help you for a short while, but make sure you know why!

That's the thing though, I did try stretches for multiple weeks and did not notice a any improvement whatsoever. I would not take the antibiotics if it wasn't for the really bad smell... After I took the levofloxacin, on some days the smell was so bad that I could literally smell it with my clothes on, while sitting. That's what makes me believe that my case might be bacterial.

Discharge isn't typical for CPPS as far as I know?

[webslave]

If your discharge was bacterial, the tests would have picked it up, and the extensive antibiotics you've taken (nitrofurantoin, ciprofloxacin, amoxiclav and now clindamycin) would have fixed it.

[tickyy]

Maybe you're right... But, the maximum that I took was 10 days with amoxicillin, that might be enough for acute prostatitis but not for chronic. Prostate tissue is known to have poor penetration with antibiotics, that's why I've chosen Clindamycin. Data suggests that It has strong penetration. There's also something known as a biofilm, which is very hard to get rid of (which you probably already know)

I discharged again today(smell still there), though I did masturbate yesterday right after taking the pill (to clear the prostate). I will keep an eye on it and watch if I discharge even without masturbating

[webslave]

Update us a few weeks after stopping the clindamycin. You'll either be cured, or, if I am right, back where you started.

[tickyy]

small update, before taking clindamycin I've taken a probe and sent it to georgia, the results:

[tickyy]

Update: Had white discharge again yesterday(it is NOT SPERM, I didn't masturbate for 3-4 days) so I contacted my doc, he said:

Mein ehrlicher und gut gemeinter Rat ist:

- KEINE Antibiotika mehr
- Beckenbodengymnastik und für die ganz schlimen Tage Ibuprofen
- aushalten für 6 Monate
- KEINE Studien mehr lesen, die haben bereits in den letzten 100 Jahren keine Lösung für Prostatitiden gebracht!
- psychotherapeutische Begleitung!!!!
- Verzicht auf Geschlechtsverkehr für mindestens 6 Wochen, danach für 6 Monate nur mit Kondom
- Verzicht auf zuckerreiche Ernährung und Darmsanierung zusammen mit Ernährungsberater und oder gerne auch Homöopath


- NO more antibiotics
- Pelvic floor exercises and ibuprofen for those really bad days
- endure for 6 months
- DO NOT read any more studies that have not found a solution to prostatitis in the last 100 years!
- psychotherapeutic support !!!!
- Refraining from sexual intercourse for at least 6 weeks, then for 6 months only with a condom
- Refraining from a high-sugar diet and intestinal rehabilitation together with a nutritionist and, if you like, a homeopath

[Dylan_36]

Ticky,

I see your doctor said "Endure for 6 months"

What did they mean by that?

Also I should say that if you do have UCPPS, physiotherapy is just 50% of the cure. You need to be honest with yourself. Are you a high strung guy? do you stress a lot? do you have strong emotions? anxiety? If so then that is the root of your issue. Physiotherapy will loosen the hypertonic pelvic muscles but your mental state will re-tighten them soon after. I was doing great all of July, then my fiance was hospitalized and the stress brought me back to square one. It's not woo-woo quackery, your mind is very powerful and if you don't sort out your head this will keep coming back.

Regards,
Dylan

[tickyy]

Yes, my father died of cancer few months ago, I am already taking anti depressants. But it's the discharge man, the white discharge and the smell that comes with it... It can't be UCCPS, that's just not the ordinary UCPPS

And honestly I have no clue what exactly he means with 6 months without abx, I already went 6 months without it. January took levo, almost died from it, got scared to death to ever take another abx and now it's been around 6 months and I've taken clindamycin for 16 days, was meant to take it for 30 days, he literally gave me the receipt for it, apparently he changed his mind

Update us a few weeks after stopping the clindamycin. You'll either be cured, or, if I am right, back where you started.

Thoughts?

[Dylan_36]

All I know is that if any infection, regardless of where it is in your body, if left untreated for as long as most men suffer from UCPPS, it would turn into sepsis and you’d die. That’s why I don’t believe in the infection hypothesis. I believe your hypertonic pelvic muscles are squeezing your prostate and forcing out prostate fluid. The fact that your father recently passed must have been extremely emotionally troubling for you, from my perspective it still seems like UCPPS, but alas I am not the expert. I trust webslave with the final say, him and Doctor Wise from California are the worlds two leading experts on the subject.