EPS clarification

Male pelvic pain, prostatitis, IC
User avatar
carld
Retired Mod
Retired Mod
Posts: 1554
Joined: Mon Aug 21, 2006 11:49 pm
Location: Newbury Park

EPS clarification

Post by carld »

Image

I know this has been discussed but can't remember the link. When an EPS shows a WBC count, meaning white blood cells in the fluid. I understand that most CP/CPPS men do not have markers of inflammation. For men like myself that have an EPS with WBC in the fluid. What part of the prostate does the inflammation come from?

I wanted to bring this up because this can be very confusing, I know it is for me anyway. Example, there may not be a high level of wbc in the prostate but is that different from IL8? Prostate inflammation is a very vague statement and a thread for a clear explanation in layman's terms would be very valuable to all that read this forum. I know Mark has a great explanation... Perhaps Dr.Shoskes can explain.:smile:

Thank you for the clarification.
Last edited by carld on Tue Jan 22, 2008 12:04 am, edited 1 time in total.
I am not a medical doctor. Please fill out your signature (click here) ☼ ☼ My Starter List for new members
I encourage anxiety prone UCPPS people to consider L-Theanine
Age, 44 onset age 37 Feb 2006 Freq. need to urinate. Sensation of having to urinate soon after going. Perineum discomfort/burning/tightness, pubic area discomfort @ times,poor urine stream, post urine dripping/spray. All symptoms have improved with my protocol. At the worst I give it a 1 to 2 on irritation and discomfort and frequency. Helps: Elavil 5mg for anxiety and mast cell protection, (will only take it as needed) self internal PT as needed, stretching, walking, stairmaster cardio workout and light weights, reducing stress, moment to moment relaxation, deep breathing relaxation and using a Theracane. Makes worse: sitting for long periods, stress, over focusing on it. Currently 95%-98% recovered. Stay positive, relaxed and control your anxiety.
Rufus
Senior Veteran
Senior Veteran
Posts: 259
Joined: Tue Oct 24, 2006 9:14 pm

Re: EPS clarification

Post by Rufus »

I'm equally as curious.
I understand that inflammation may not be coming from the prostate but it is coming from somewhere in the GU tract.
Age:37 | Onset Age: 35 | Symptoms: pain in testicles that comes and goes that also switches sides-trying to find a pattern as to "why" this happens/Rectal Burn at the 6 O'clock position at my anus which tends to flare around the periphery of my anus typically after defication but no perineum pain-no "golf ball" pain. Pain in testicles worsens as I sit but not always...Pain is not always present but depresses me. Pain used to be at a very high level but has subsided in time to a low level but has not gone away. Pain used to flare after sex but not as much as before although it still like playing russian roulette./
/Lack of SleepHelped By: I haven't found anything that has helped to my knowledge. Tried many many sessions of PT, accupuncture and chiropractic care but still have not found steady relief that takes me back to a pre CPPS state.
User avatar
webslave
Maintenance
Maintenance
Posts: 11432
Joined: Wed Oct 30, 2002 3:18 pm
Location: Please give your location so we can help better

Re: EPS clarification

Post by webslave »

In simple terms, it's coming from the prostatic acini, ducts and prostatic urethra, but NOT from the stroma (interstitium), which is only mildly inflamed in about a third of CP/CPPS patients.

Image

Now if the prostate becomes infected, the stroma (interstitium) becomes very inflamed.
Good News! The great ProstaQ is BACK at last! You must try it.

HAS THIS SITE HELPED YOU?
Say Thanks by donating. Keep the
Forum alive on the Internet!
PayPal link at end of page ↓

Contact me at support at ucpps.men
User avatar
carld
Retired Mod
Retired Mod
Posts: 1554
Joined: Mon Aug 21, 2006 11:49 pm
Location: Newbury Park

Re: EPS clarification

Post by carld »

Thanks Mark... :smile:
I am not a medical doctor. Please fill out your signature (click here) ☼ ☼ My Starter List for new members
I encourage anxiety prone UCPPS people to consider L-Theanine
Age, 44 onset age 37 Feb 2006 Freq. need to urinate. Sensation of having to urinate soon after going. Perineum discomfort/burning/tightness, pubic area discomfort @ times,poor urine stream, post urine dripping/spray. All symptoms have improved with my protocol. At the worst I give it a 1 to 2 on irritation and discomfort and frequency. Helps: Elavil 5mg for anxiety and mast cell protection, (will only take it as needed) self internal PT as needed, stretching, walking, stairmaster cardio workout and light weights, reducing stress, moment to moment relaxation, deep breathing relaxation and using a Theracane. Makes worse: sitting for long periods, stress, over focusing on it. Currently 95%-98% recovered. Stay positive, relaxed and control your anxiety.
Rufus
Senior Veteran
Senior Veteran
Posts: 259
Joined: Tue Oct 24, 2006 9:14 pm

Re: EPS clarification

Post by Rufus »

webslave wrote:In simple terms, it's coming from the prostatic acini, ducts and prostatic urethra, but NOT from the stroma (interstitium), which is only mildly inflamed in about a third of CP/CPPS patients.

Image

Now if the prostate becomes infected, the stroma (interstitium) becomes very inflamed.
I'm curious but whats going in in the ducts/acini that could be causing this inflammation?

Thanks for your response, patience and understanding.
Age:37 | Onset Age: 35 | Symptoms: pain in testicles that comes and goes that also switches sides-trying to find a pattern as to "why" this happens/Rectal Burn at the 6 O'clock position at my anus which tends to flare around the periphery of my anus typically after defication but no perineum pain-no "golf ball" pain. Pain in testicles worsens as I sit but not always...Pain is not always present but depresses me. Pain used to be at a very high level but has subsided in time to a low level but has not gone away. Pain used to flare after sex but not as much as before although it still like playing russian roulette./
/Lack of SleepHelped By: I haven't found anything that has helped to my knowledge. Tried many many sessions of PT, accupuncture and chiropractic care but still have not found steady relief that takes me back to a pre CPPS state.
User avatar
webslave
Maintenance
Maintenance
Posts: 11432
Joined: Wed Oct 30, 2002 3:18 pm
Location: Please give your location so we can help better

Re: EPS clarification

Post by webslave »

The most believable theory is that at nerve-mast-cell connections, which are plentiful in the epithelia of the GU tract, neuropeptides are causing mast cell degranulation and therefore inflammation.
Good News! The great ProstaQ is BACK at last! You must try it.

HAS THIS SITE HELPED YOU?
Say Thanks by donating. Keep the
Forum alive on the Internet!
PayPal link at end of page ↓

Contact me at support at ucpps.men
Rufus
Senior Veteran
Senior Veteran
Posts: 259
Joined: Tue Oct 24, 2006 9:14 pm

Re: EPS clarification

Post by Rufus »

Age:37 | Onset Age: 35 | Symptoms: pain in testicles that comes and goes that also switches sides-trying to find a pattern as to "why" this happens/Rectal Burn at the 6 O'clock position at my anus which tends to flare around the periphery of my anus typically after defication but no perineum pain-no "golf ball" pain. Pain in testicles worsens as I sit but not always...Pain is not always present but depresses me. Pain used to be at a very high level but has subsided in time to a low level but has not gone away. Pain used to flare after sex but not as much as before although it still like playing russian roulette./
/Lack of SleepHelped By: I haven't found anything that has helped to my knowledge. Tried many many sessions of PT, accupuncture and chiropractic care but still have not found steady relief that takes me back to a pre CPPS state.
User avatar
carld
Retired Mod
Retired Mod
Posts: 1554
Joined: Mon Aug 21, 2006 11:49 pm
Location: Newbury Park

Re: EPS clarification

Post by carld »

Then would this mean that this can treat the degranulation(symptoms) but not the cause Stress/diet/injury... :?:
I am not a medical doctor. Please fill out your signature (click here) ☼ ☼ My Starter List for new members
I encourage anxiety prone UCPPS people to consider L-Theanine
Age, 44 onset age 37 Feb 2006 Freq. need to urinate. Sensation of having to urinate soon after going. Perineum discomfort/burning/tightness, pubic area discomfort @ times,poor urine stream, post urine dripping/spray. All symptoms have improved with my protocol. At the worst I give it a 1 to 2 on irritation and discomfort and frequency. Helps: Elavil 5mg for anxiety and mast cell protection, (will only take it as needed) self internal PT as needed, stretching, walking, stairmaster cardio workout and light weights, reducing stress, moment to moment relaxation, deep breathing relaxation and using a Theracane. Makes worse: sitting for long periods, stress, over focusing on it. Currently 95%-98% recovered. Stay positive, relaxed and control your anxiety.
Rufus
Senior Veteran
Senior Veteran
Posts: 259
Joined: Tue Oct 24, 2006 9:14 pm

Re: EPS clarification

Post by Rufus »

Age:37 | Onset Age: 35 | Symptoms: pain in testicles that comes and goes that also switches sides-trying to find a pattern as to "why" this happens/Rectal Burn at the 6 O'clock position at my anus which tends to flare around the periphery of my anus typically after defication but no perineum pain-no "golf ball" pain. Pain in testicles worsens as I sit but not always...Pain is not always present but depresses me. Pain used to be at a very high level but has subsided in time to a low level but has not gone away. Pain used to flare after sex but not as much as before although it still like playing russian roulette./
/Lack of SleepHelped By: I haven't found anything that has helped to my knowledge. Tried many many sessions of PT, accupuncture and chiropractic care but still have not found steady relief that takes me back to a pre CPPS state.
User avatar
webslave
Maintenance
Maintenance
Posts: 11432
Joined: Wed Oct 30, 2002 3:18 pm
Location: Please give your location so we can help better

Re: EPS clarification

Post by webslave »

"This provides the proof of concept that an inhibitor of the CRAC channel should be able to impact mast-cell related diseases, including asthma and allergic diseases."
That would be a breakthrough, but don't hold your breath...
Good News! The great ProstaQ is BACK at last! You must try it.

HAS THIS SITE HELPED YOU?
Say Thanks by donating. Keep the
Forum alive on the Internet!
PayPal link at end of page ↓

Contact me at support at ucpps.men
Rufus
Senior Veteran
Senior Veteran
Posts: 259
Joined: Tue Oct 24, 2006 9:14 pm

Re: EPS clarification

Post by Rufus »

Well, one can hope.
Age:37 | Onset Age: 35 | Symptoms: pain in testicles that comes and goes that also switches sides-trying to find a pattern as to "why" this happens/Rectal Burn at the 6 O'clock position at my anus which tends to flare around the periphery of my anus typically after defication but no perineum pain-no "golf ball" pain. Pain in testicles worsens as I sit but not always...Pain is not always present but depresses me. Pain used to be at a very high level but has subsided in time to a low level but has not gone away. Pain used to flare after sex but not as much as before although it still like playing russian roulette./
/Lack of SleepHelped By: I haven't found anything that has helped to my knowledge. Tried many many sessions of PT, accupuncture and chiropractic care but still have not found steady relief that takes me back to a pre CPPS state.
Rufus
Senior Veteran
Senior Veteran
Posts: 259
Joined: Tue Oct 24, 2006 9:14 pm

Re: EPS clarification

Post by Rufus »

Patent for a DEGRANULATION INHIBITOR
http://www.freepatentsonline.com/EP1876239.html
Age:37 | Onset Age: 35 | Symptoms: pain in testicles that comes and goes that also switches sides-trying to find a pattern as to "why" this happens/Rectal Burn at the 6 O'clock position at my anus which tends to flare around the periphery of my anus typically after defication but no perineum pain-no "golf ball" pain. Pain in testicles worsens as I sit but not always...Pain is not always present but depresses me. Pain used to be at a very high level but has subsided in time to a low level but has not gone away. Pain used to flare after sex but not as much as before although it still like playing russian roulette./
/Lack of SleepHelped By: I haven't found anything that has helped to my knowledge. Tried many many sessions of PT, accupuncture and chiropractic care but still have not found steady relief that takes me back to a pre CPPS state.