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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Painful Prostatitis Be Treated?

Hello. I have been suffering from prostatitis with many symptoms (painful urination and after urination, sometimes painful ejaculation, right testicle pain, genital tenderness...). I have done many exams such as urine test, blood tests, semen tests, prostatic fluids exam after prostatitc massage. I have been on various antibiotics for various duration, but condition never gets really better. I did last week new prostatic fluid exam and the results are presence of pseudomonas fluorescens. My doctor here in Japan says that it is present is all people and therefore not the cause of my pain. He doesnt prescribe me antibiotics but since I have bacteria which has been cultured, I wonder why I dont get antibiotics medication. I read that this bacteria is mild and not very harmful but also quite resistant to antibiotics. Every urine test comes back negative with no infection and semen testing doesnt show bacteria either, only the expressed prostatic fluids come to the conclusion of this Pseudomonas Fluorescens. Your advice would be really helpful, thank you !
Sat, 15 Dec 2018
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General Surgeon 's  Response
Hello,

Consult a urologist and get evaluated.

You can start on a short course of antibiotics preferably ciprofloxacin.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Shinas Hussain,
General & Family Physician
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How Can Painful Prostatitis Be Treated?

Hello, Consult a urologist and get evaluated. You can start on a short course of antibiotics preferably ciprofloxacin. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician