Friend with frequent prostate infections

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PV
Veteran Member


Date Joined May 2006
Total Posts : 1177
   Posted 4/5/2009 8:57 PM (GMT -6)   
Hi, my friend does not have prostate cancer, but has been suffering for years from frequent and debilitating prostate infections. He takes antibiotics, they go away for a while,and then they return. Also, like a lot of people with prostate infections, he also suffers from major clinical depression.

He's usually been put on cipro for the infections, and they can't find anything anatomically wrong with him, or anything in the bladder, testes or kidneys. But the infections come back, and even sometimes 3 weeks on cipro doesn't fix him up. He drinks quite a bit of water everyday, and empties his bladder frequently. He married his high school sweetheart and only has had 1 sexual partner in his life, so no vector for STDs. Any ideas of how he can be helped?

Thanks for any advice.
PV

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 4/6/2009 7:15 AM (GMT -6)   
Define and quantify your statement, "He drinks quite a bit of water everyday". It's possible he is drinking way too much water, and a potentially dangerous chemical imbalance could be making this problem worse.

Also, perhaps he's gotten immune from being on antibiotics for so long.

He may need to try a higher level of experience urologist for advice. I wish him well.

David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05, 6 month on 5/9
 
 


alex1
Regular Member


Date Joined May 2008
Total Posts : 29
   Posted 4/6/2009 3:51 PM (GMT -6)   
PV:

Your friend sounds very familiar to me. I had a problem prostate infection from 1987 that stayed with me through my prostatectomy in 2008 for PCa. I took antibiotics for it for years, mostly cipro, which somewhat controlled it, but never cured it. Only when they got the prostate out could they determine what it was, and it turned out to be an exotic form of EColi. If I hadn't been diagnosed with PCa, I'm certain I would still be putting up with it. Since the RPP, not only do I have a "0" PSA, I also no longer have a chronic prostate infection. There's a little bit of light in every tunnel. Ii found that doctors, for the most part, either don't understand what such an infection does to you, don't care, or just have no idea how to deal with it. I will admit that it made for any easy decision on treatment method for the PCa; I was really ready to get rid of the thing.
58-year old attorney, no family history of PCa
Biopsy 12/29/2007 with 1 of thirteen samples positive; estimated 5% involvement
3+3=6 Gleason
TR2C Stage
RRLP on 2/21/2008 with excellent prognosis (no evidence;margins and other tissue clear) on cancer clearance and sparing of both nerve bundles
Post-OP:Actual involvement 15%, one lobe only; PCa fully contained in prostate-no involvement with other tissues and margins clear
Catheter out on 3/2/2008; fully continent by 3/31/2008
Undetectable PSA on 3/31/2008
Working on ED: 20MG Levitra every other day; Vacuum pump almost daily; some improvement, but not there yet. Started using MUSE with some success, 11/1/2008
2d undectable PSA on 7/21/2008
3d undectable PSA on 10/30/2008


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 4/7/2009 12:51 PM (GMT -6)   
If the friend doens't have a regular internist and urologist he should get one. And if they can't figure out what's happening to him maybe it's time to consult others. You, and we, don't know the whole picture here - so the friend should be concentrating on asking the questions, himself, of the medical professionals. Sometimes - many times - the doctors don't have all the answers and it takes some time to sort things out.

Age:  59 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (getting better, though)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0; 12/08: 0.0

 

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