Hi,Dear,Thanks for your query to HCM.
Dear I read facts of your query and reviewed it in context to your query health issues.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query, you seem to suffer from-
CPPS-(Chronic
Pelvic Pain Syndrome) with CBP currently from incompletely treated UTI/Prostatitis/ Orchitis/
Epididymitis with STD .
Other causes need to be ruled out and verified with your doctors.
Following are the replies to your questions-
#1 is my condition now chronic due to the failure of the first treatment,-
Ans-YES. You are going in to or /are a case of CPPS-
Chronic Pelvic Pain Syndrome.
#2 if it was caused by a sti bacteria could I still have given it to someone else after the first course of antibiotics failed,
-Ans-It's possible but not necessarily true-!!- as much info would be needed in that case, but many variables make it very hypothetical question.
-#3 are there any conditions the ultrasound would have missed???
Ans-USG at experts hand is enough to plan full treatments.But a expert
Urologist and experienced one too, is needed.
CT pelvis / Prostate/ testes would be more useful in long term treatment planning and followup for a long time.
Treatment with antibiotics with long courses -1 - 3-6 mths,with watch on mulitple prostatic massage smear studies / Urine Cultures.
Intra-prostatic Injections of Antibioitcs /
Hyaluronic acid infusion in prostate to facilitate more antibiotic effectivity by better antibiotic access in fibrotic tissue of Chronic Bacterial Prostatitis(CBP)
Not to miss on Good Diet / Exercises / Plenty of fluids,for a long term good results.
-4-Any help you can give me is much appreciated, I m so scared this will rule the rest of my life or cost me tons of money I don t have in second guesses and tests, then finally surgery.
Ans-Perpetual Meticulous treatment as above at hands of expert Urologist
TUNA -Trans Urethral Needle Ablation by Radiofrequency -for the non-bacterial fibrotic Prostate with inflamed tissue- could relieve and resolve this for a long time.
Are the hopes options suggested for you.
TUMT-Trans-Urtethral Microwave Thermotherapy
Advanced Optional treatment with Green light
Laser Ablation (PVP-Photoselectiv-Vapourization of Prostate)can also be used if need be.
-5-Also one more question, how long should I wait if I don t see any improvement in the swelling this time to go see a urologist?
Its 5 mths now.
You should not wait.
Check with Good Urological Center and plan for better options as above.
Treatment-
As suggested above
-Other causes need to be verified as the facts may be different what you submitted.
-For this
Second opinion from UroSurgeon is needed who would do proper investigation after proper physical assessment to resolve your health issues.
-for early recovery-please follow above do's which would resolve your issues.
Hope this would help you to treat your health issues in the best way possible.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS