I have been experiencing continuously one and only symptom in the last 1.5 years; i. e. a burning urethra tip. I have received multiple medical diagnoses (i. e. chronic urethritis, chronic bacterial prostatitis, chronic non-bacterial prostatitis, chronic pelvic pain syndrome) from multiple doctors (i. e. 4 urologists, 1 neurologist, 1 CPPS expert) based on various tests (i. e. urethral swab cultures, uroflowmetry, pelvic ultrasound, transrectal ultrasound, MRI of the pelvic region, MRI of the prostate, MRI of the lumbar spine) and I have tried different therapies (i. e. antibiotics, alpha blockers, vitamin B complex for nerve healing, pelvic floor exercises) with no improvement.
From a pathological point of view the most characteristic results include (1) four cultures positive to intestinal bacteria, (2) white discharge collected twice from the interior of the urethra, (3) an MRI scan showing signs of chronic inflammation in the peripheral zone of the gland and mild bleeding elements on the right lateral edge of the gland and (4) red blood cells (10 per optical field) always appearing in my afternoon urine tests (not in the morning tests!).
As mentioned above, I had 3 urethral swab cultures and 1 semen culture during the past 18 months and all of them showed intestinal bacteria every single time.
- 1st urethral swab: Enterococcus Faecalis
- 2nd urethral swab: Enterobacter Cloacae & Coagulase-negative Staphyloccoci
- 3rd urethral swab: Staphylococcus haemolyticus, Corynebacterium glucuronolyticum, Aerococcus Urinae & Enterobacter Cloacae
- Semen culture: Pseudomonas Aeruginosa
- Sample contamination all 4 times?
- Natural flora of the urethra and semen?
- Chronic bacterial infection of the urinary tract and/or prostate?
- Chronic non-bacterial inflammation of the prostate?
- Neuromuscular dysfunction?
- A combination of the above?
