Can Someone Please answer this Question

[treynor33]

I recently was diagnosed with Prostatitis. Of course I am only 10 days in and have been taking Bactrim. After about 4 days I saw near total relief for 2 days, then the symptoms started back. I now am waiting for my urologist to call me back for something stronger I hope.

I guess my question is this. Trying to figure out which type I have. I have read a lot on this site and the one thing that kind of stands out to me is that everybody with chronic prostatitis / chronic pelvic pain syndrome has some kind of testicle, penis, pain after ejaculating or back pain, sinus problems.

I do not have that. I only have a slight pain in the area between my scrotum and anus, a slight burn at the end of my penis and the most bothersum urgency/frequency to urinate. I do not have a slow flow rate when there is something to urinate, it is strong.

The urologisty said my prostrate is normal size.

Does this lean more towards the Chronic infectious type or CPPS.

[webslave]

Please read the FAQ section. This forum is for men with long-standing conditions (6 months minimum).

[darwin]

You have similar symptoms to me, except I've had it for months.
I had the discomfort initially (where you described, and sometimes in the testicals), and it went away after a few weeks. Months later, it came back and hasn't left for months. Although the "discomfort" is much better now, I can still feel it. I still have frequency issues, but not pain when urinating or ejaculating, although my prostate does not seem to have the same force in either activity as it did before this.
Its still a bit soon for a chronic prostatitis / chronic pelvic pain syndrome diagnosis though, as Webslave pointed out.

Did the doctor get any positive test result of bacteria?
Did you see a uroligist or a general practitioner? If not, go see one. General practitioners have this reflex of giving pills and pushing you out the door. The uroligist will be better able to analyze your situation and tell you if you do have bacterial prostititis, or the more common (90%) non-bacterial form, which we here call CPPS.
If you ask for stronger anti bacterials, they'll probably put you on Cipro or a similar one like flouroquinine (sp?). Thses are powerful and the side effects might be worse than what you feel know. (Dizziness, nausea, skin dries up, etc.) This is why you want a good uroligist. 1st thing mine did was to tell me to stop taking the pills.

My advice to you is this:
1) don't worry about it. This discomfort is common and not really dangerous. The #1 remedy for pelvic discomfort is to reduce stress.

2) Stop drinking pop and caffeine. This was key for me personally. I had a major pop addiction and now I only have a cup of coffee in the morning. Once you get over the withdrawal headaches, you'll be suprised at how well you feel without caffeine.

3) Limit the time you spend sitting and maximize the comfort when you do. I switched to the ugly tighty whities and got a special cushion to take pressure off the pelvis where you feel the discomfort. It's the only way I can sit a desk for 8 hours a day.

My Uro also told me to reduce alcohol and tobacco, and to increase ejaculation. This helps too, but the stress and pop, I think might be key for you.

[hodologica]

I am not nearly knowledgable enough to say anything remotely definite about the cause of your symptoms. I can say they could reflect noninfectious "prostatitis," and that does make a difference to how you might proceed. This is not medical advice and I am no doctor, but I'll tell you what I would do. Fairly soon, if my other treatments didn't work, I'd get a qualified (ie, experienced) person to do an internal/external pelvic floor exam to check for pelvic floor muscle dysfunction (PFD) and trigger points. Many doctors are unaware that muscle tension can be behind these symptoms, tho it has recently been demonstrated by strong anecdotal evidence (coming primarily from Stanford University's Urology Dept). If my doctor could not be convinced that a pelvic floor exam was necessary, I would find one that could be.

Definitely try to relax, because if it is muscle tension pelvic pain, stress feeds it.

I would read about any new antibiotics you might take, before taking them. Some (eg quinolones) can rarely but regularly cause some very serious lasting or permanent adverse effects.

Looks like the mods are calling forum rules on your qualifications to post here (see above), but you can email me (see button).

P.S., I take it you dont have a positive bacterial culture?

[hodologica]

My Uro also told me to [...] increase ejaculation.

The consensus around here seems to be that this advice is not always right... that an increase in ejac frequency may be theraputic in some cases, counter-theraputic in others... that people need to experiement to find out what suits them individually.

[RodB]

My advice to you is this:
1) don't worry about it. This discomfort is common and not really dangerous. The #1 remedy for pelvic discomfort is to reduce stress.

I have had this condition for about 7mths, and believe stress is the number one influence to CPPS, I have had no treatment from the medical profession apart from an initial visit to the doctors right at the start and a course of antibiotics which done nothing, for the last 2mths I have systematicly removed as mush stress from my life as possible and my symptoms have reduced to about 10% of what they were with some days totally pain free, a stark contrast from what they were with many sleepless nights feeling like a mule has walked all over my pelvis from groin to hip.

You can't lie to yourself as far as stress goes , you can tell yourself that such and such dont bother you but your inner subconcious mind knows it does , your stressers need to be truely put to rest and when you do you lift a big weight of your mind and your pelvis to .

Stress is held deep within and is accumulative and kind of sneaks up on you , it is such a big influence in so much illness .

Rod

[MS]

My advice to you is this:
1) don't worry about it. This discomfort is common and not really dangerous. The #1 remedy for pelvic discomfort is to reduce stress.

I have had this condition for about 7mths, and believe stress is the number one influence to CPPS...

I agree, RodB. Stress really perpetuates itself and CPPS. "A Headache in the Pelvis" addesses this issue well, and discusses paradoxical relaxation as a technique to manage stress associated with CPPS/PM.

Also, some people may be interested in "The Mind/Body Prescription" by John Sarno http://www.amazon.com/exec/obidos/ASIN/ ... I'm/cp58-20

It does not address chronic prostatitis / chronic pelvic pain syndrome directly, but a lot of the concepts from the book can be applied.