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I Have Some Urinary Symptoms And Was Diagnosed With Bacterial

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Posted on Thu, 2 Jul 2020
Question: I have some urinary symptoms and was diagnosed with bacterial prostatitis by my family care physician. I have a lot of questions. The physician did a physical exam and said my prostate is normal in size and tested my urine and blood. My symptoms are that I urinate slowly and it's difficult to finish. It stops and I have to try again a few times and it dribbles. I didn't mention the time frame to the doctor but that has been happening for a long time though it became more significant in the past 2 weeks (approximately). I also noticed that my urine stream usually goes to the right instead of straight. I forgot to mention that too. He diagnosed me with acute bacterial prostatitis though I'm wondering if it is actually chronic. I feel my symptoms are fairly mild. I don't have pain, sexual dysfunction, a fever, or other symptoms. Here are my questions.
1 - He prescribed me 10 days of Doxycycline and 30 days of Celebrex. Is 10 days of Doxycycline the standard treatment? He said it was but I was reading that a longer prescription is usually given.
2 - Does it sound like I have acute or chronic prostatitis?
3 - How often is bacterial prostatitis sexually transmitted? I'm seeing conflicting information. I have a girlfriend who I really don't think is cheating on me. I do use a sex toy also and put lubricant in it. I'm wondering if bacteria causing an infection could have entered from this. I always clean it afterward but maybe I didn't do a good enough job. Also, I've been reading about caffeine causing prostatitis and I do have a lot of coffee and tea. Is there any way to know the cause? I really think my girlfriend is faithful and wouldn't want to have to think about the possibility she isn't.
4 - Occasionally when I am sexually aroused and going to climax, I have a sensation of slightly needing to pee and it once felt like pee might have come out with the orgasm. Is that possible or was it just a strange feeling and I'm overthinking this?
5 - Do I need to avoid sex until all this resolves?
Thank you for your help.
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Follow up: Dr. Manuel C See IV (0 minute later)
I have some urinary symptoms and was diagnosed with bacterial prostatitis by my family care physician. I have a lot of questions. The physician did a physical exam and said my prostate is normal in size and tested my urine and blood. My symptoms are that I urinate slowly and it's difficult to finish. It stops and I have to try again a few times and it dribbles. I didn't mention the time frame to the doctor but that has been happening for a long time though it became more significant in the past 2 weeks (approximately). I also noticed that my urine stream usually goes to the right instead of straight. I forgot to mention that too. He diagnosed me with acute bacterial prostatitis though I'm wondering if it is actually chronic. I feel my symptoms are fairly mild. I don't have pain, sexual dysfunction, a fever, or other symptoms. Here are my questions.
1 - He prescribed me 10 days of Doxycycline and 30 days of Celebrex. Is 10 days of Doxycycline the standard treatment? He said it was but I was reading that a longer prescription is usually given.
2 - Does it sound like I have acute or chronic prostatitis?
3 - How often is bacterial prostatitis sexually transmitted? I'm seeing conflicting information. I have a girlfriend who I really don't think is cheating on me. I do use a sex toy also and put lubricant in it. I'm wondering if bacteria causing an infection could have entered from this. I always clean it afterward but maybe I didn't do a good enough job. Also, I've been reading about caffeine causing prostatitis and I do have a lot of coffee and tea. Is there any way to know the cause? I really think my girlfriend is faithful and wouldn't want to have to think about the possibility she isn't.
4 - Occasionally when I am sexually aroused and going to climax, I have a sensation of slightly needing to pee and it once felt like pee might have come out with the orgasm. Is that possible or was it just a strange feeling and I'm overthinking this?
5 - Do I need to avoid sex until all this resolves?
Thank you for your help.
doctor
Answered by Dr. Manuel C See IV (5 hours later)
Brief Answer:
Urine culture prostatic fluid culture is needed to determine prostatitis

Detailed Answer:
Good day and thank you for being with 'Ask A Doctor' service!

First of all i would like to say i understand how difficult your situation would be and i hope that i can make you feel better.

I think your primary doctor would be treating you as an acute prostatitis first and then if it doesn't resolve them as a time he will they value as chronic prostatitis. technically chronic prostatitis is when we have the symptoms for more than one month and this may last for several months to years.

For acute prostatitis and infection, doxycycline is usually given for a short period like but you have one to two weeks and then it is it doesn't resolve then the time that you were given treatment for chronic prostatitis which is basically one-month antibiotics.

For my patients, I also give alpha-blockers like tamsulosin e.g flomax because this would immediately help with the voiding symptoms and would be a great deal in treating prostatitis patients.

Whether its a sexually transmitted or not it's really hard to say and still a majority of prostatitis patients do not have any evidence of bacterial infection. what is the reason why we get prostate culture and urine culture and express prostate secretions, culture the differentiate between bacterial and nonbacterial prostatitis...

Chronic prostatitis that is non-bacterial is common and patients with a history of allergies skin asthma eczema and another dermatitis. It would be prudent to avoid sexual encounters until cultures come out negative because bacteria in the prostate then be asymptomatic and female partners and they may act as silent carriers.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Manuel C See IV (0 minute later)
Brief Answer:
Urine culture prostatic fluid culture is needed to determine prostatitis

Detailed Answer:
Good day and thank you for being with 'Ask A Doctor' service!

First of all i would like to say i understand how difficult your situation would be and i hope that i can make you feel better.

I think your primary doctor would be treating you as an acute prostatitis first and then if it doesn't resolve them as a time he will they value as chronic prostatitis. technically chronic prostatitis is when we have the symptoms for more than one month and this may last for several months to years.

For acute prostatitis and infection, doxycycline is usually given for a short period like but you have one to two weeks and then it is it doesn't resolve then the time that you were given treatment for chronic prostatitis which is basically one-month antibiotics.

For my patients, I also give alpha-blockers like tamsulosin e.g flomax because this would immediately help with the voiding symptoms and would be a great deal in treating prostatitis patients.

Whether its a sexually transmitted or not it's really hard to say and still a majority of prostatitis patients do not have any evidence of bacterial infection. what is the reason why we get prostate culture and urine culture and express prostate secretions, culture the differentiate between bacterial and nonbacterial prostatitis...

Chronic prostatitis that is non-bacterial is common and patients with a history of allergies skin asthma eczema and another dermatitis. It would be prudent to avoid sexual encounters until cultures come out negative because bacteria in the prostate then be asymptomatic and female partners and they may act as silent carriers.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Manuel C See IV (15 hours later)
Thank you for the reply. I called the doctor's office. They said I didn't have any bacteria in my urine and I don't have a UTI. They said my prostate is infected though. Does that clarify anything on whether it was sexually transmitted to me? I'm a little unclear about what causes a prostate infection without a UTI since there are so many different kinds of prostatitis.
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Follow up: Dr. Manuel C See IV (0 minute later)
Thank you for the reply. I called the doctor's office. They said I didn't have any bacteria in my urine and I don't have a UTI. They said my prostate is infected though. Does that clarify anything on whether it was sexually transmitted to me? I'm a little unclear about what causes a prostate infection without a UTI since there are so many different kinds of prostatitis.
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Follow up: Dr. Manuel C See IV (3 minutes later)
I don't think they expressed prostate secretions though. They did check the size of my prostate during exam but I don't think they took any secretions to test.
One other question: They said to avoid sexual activity until I finish the antibiotics. Does that mean I need to avoid masturbation too or just sex with a partner?
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Follow up: Dr. Manuel C See IV (0 minute later)
I don't think they expressed prostate secretions though. They did check the size of my prostate during exam but I don't think they took any secretions to test.
One other question: They said to avoid sexual activity until I finish the antibiotics. Does that mean I need to avoid masturbation too or just sex with a partner?
doctor
Answered by Dr. Manuel C See IV (7 hours later)
Brief Answer:
Need a culture of prostate fluid to check prostate infection.

Detailed Answer:
Thank you for clarifying things.

Without testing expressed prostate fluid or semen fluid culture, we can't say if you have bacterial prostatitis or non-bacterial prostatitis. I think their plan is to treat you as bacterial prostatitis first. I don't think it is sexually transmitted because if it is there will be urethral discharge and other acute symptoms.

Masturbation is okay but no sexual intercourse. Some studies have shown that ejaculation may have some therapies effect on prostatitis.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Manuel C See IV (0 minute later)
Brief Answer:
Need a culture of prostate fluid to check prostate infection.

Detailed Answer:
Thank you for clarifying things.

Without testing expressed prostate fluid or semen fluid culture, we can't say if you have bacterial prostatitis or non-bacterial prostatitis. I think their plan is to treat you as bacterial prostatitis first. I don't think it is sexually transmitted because if it is there will be urethral discharge and other acute symptoms.

Masturbation is okay but no sexual intercourse. Some studies have shown that ejaculation may have some therapies effect on prostatitis.

Note: Have more questions and need to talk to a doctor

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Manuel C See IV

Urologist

Practicing since :2005

Answered : 909 Questions

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I Have Some Urinary Symptoms And Was Diagnosed With Bacterial

I have some urinary symptoms and was diagnosed with bacterial prostatitis by my family care physician. I have a lot of questions. The physician did a physical exam and said my prostate is normal in size and tested my urine and blood. My symptoms are that I urinate slowly and it's difficult to finish. It stops and I have to try again a few times and it dribbles. I didn't mention the time frame to the doctor but that has been happening for a long time though it became more significant in the past 2 weeks (approximately). I also noticed that my urine stream usually goes to the right instead of straight. I forgot to mention that too. He diagnosed me with acute bacterial prostatitis though I'm wondering if it is actually chronic. I feel my symptoms are fairly mild. I don't have pain, sexual dysfunction, a fever, or other symptoms. Here are my questions. 1 - He prescribed me 10 days of Doxycycline and 30 days of Celebrex. Is 10 days of Doxycycline the standard treatment? He said it was but I was reading that a longer prescription is usually given. 2 - Does it sound like I have acute or chronic prostatitis? 3 - How often is bacterial prostatitis sexually transmitted? I'm seeing conflicting information. I have a girlfriend who I really don't think is cheating on me. I do use a sex toy also and put lubricant in it. I'm wondering if bacteria causing an infection could have entered from this. I always clean it afterward but maybe I didn't do a good enough job. Also, I've been reading about caffeine causing prostatitis and I do have a lot of coffee and tea. Is there any way to know the cause? I really think my girlfriend is faithful and wouldn't want to have to think about the possibility she isn't. 4 - Occasionally when I am sexually aroused and going to climax, I have a sensation of slightly needing to pee and it once felt like pee might have come out with the orgasm. Is that possible or was it just a strange feeling and I'm overthinking this? 5 - Do I need to avoid sex until all this resolves? Thank you for your help.