pain after bowel movement

[londoner]

Doesn't this point to there being something tender in the prostate rather than a myofascial muscular problem?

[scotsman]

No, since you use your muscles for the bowel movement.

[Northernspy]

Doesn't this point to there being something tender in the prostate rather than a myofascial muscular problem?

DUH, yes!

But why leave that a mystery? If the knee-jerk antibiotics that you probably got aren't helping, a DRE or (better) transrectal sonogram ("TRUS") can tell you for sure.

I don't mean to disparage the Stanford/Wise-Anderson Protocol which many seem to find very helpful.

But the best minds in this area (a short list with Dr. Shoskes on the top) recognize that CPP symptoms may have more than one cause, and what cures one person doesn't cure everyone. And certainly sometimes pain in the prostate occurs when the prostate is inflamed or swollen (neither of which may necesssarily signify infection).

The traditional thing to do is to put all the possible causes in a list, and then muck through the list starting with the most likely causes, and the least invasive treatments. The guidelines below probably reflect the mainstream version of the list.

I have no doubt that the Stanford/Wise-Anderson Protocol belongs on the list, but to suggest it is always or even usually the answer before other things have been tried is... well not traditional. Whether "not traditional" medicine is a good or bad thing depends on your disposition.

In the end of the day, traditional medicine often goes through the entire list and finds no cause it understands... but that's no reason not to go through the list, IMO.

- Carlos

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CDC GUIDELINES FOR EPIDIDYMITIS
http://www.epididymitisfoundation.org/cdcguidelines.php

MORE GUIDELINES
http://herkules.oulu.fi/isbn9514265068/html/x552.html
The usefulness of transrectal ultrasound (TRUS) lies in determining the volume of prostate gland, changes in the volume being related to inflammation, and in finding possible ejaculatory duct cysts and ruling out possible hypoechoic lesions in the periphery of the gland

ANOTHER THING TO BE RULED OUT
http://maelstrom.stjohns.edu/CGI/wa.exe ... S=&P=18968
In a young men a good reason to ask a CT scan of the lumbar and sacral spine, is to watch about a spinal hernia. It can give the same symptoms as prostatitis or a perineal muscles spasm.

AND THIS
http://maelstrom.stjohns.edu/CGI/wa.exe ... S=&P=18968
In a young men a good reason to ask a CT scan of the lumbar and sacral spine, is to watch about a spinal hernia. It can give the same symptoms as prostatitis or a perineal muscles spasm.
Federico Guercini MD PhD http://www.prostatitis2000.org