Anybody have an opinion about my situation?
sar...@template.com
Since I was a child I've had problems with burning after urination. I
had a procedure when I was five where they widened the urethra. This
ended the kidney infections they said I was having, but I still
had frequent burning after urination, particularly when urinating after
sex (when I got older, of course). Until recently, no doctor ever
suggested anything but a bladder infection or a hypersensitivity to
urine (whatever that means). Three year's ago, I started to have
dribbling after urination and had reduced "pressure"
during ejaculation. My doctor said this was normal for a 30 year-
old.
In March, I had a vasectomy. I experienced quite a bit
of pain in the months following, particularly in the lower
abdomen on the left side. This area would hurt the most after frequent
ejaculation. I was told this was not atypical and that it sometimes
happens.
Last month however, I started experiencing cramping
just before, and a short period after, ejaculation. The sensations vary
from being very much like having gas, to outright pain. The
pain is usually located mostly on the left side, but the overall
cramping pain goes all over, including to my anus.
Of course I went to my primary care physician. He is the one who
performed the vasectomy. He did a digital rectal exam, proclaimed my
prostate "boggy, but not cancerous", and looked at a urine
sample after the exam and said he saw "a few organisms". He said he
thought I had prostatitis. He prescribed Doxycyllin (sic) for
21 days and said if that didn't work it's off to a Urologist.
Well, it didn't work. My symptoms are as severe as ever. After
reading the FAQ, I feel like I know what's what about prostatitis,
but I can't help wondering if the vasectomy caused this somehow.
Has anyone else experienced such problems from a vasectomy?
Sorry this is so long but the history seemed important.
Thanks.
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Ken Smith
Sorry to hear about your long history ...and especially sorry to hear it
is becoming more a problem.
1.) Do you know about the website http://www.prostate.org?
2.) At the website there is a complete archive of all prostatitis
newsgroup postings since June, 1995 (see
http://www.prostate.org/textarchive.html).
3.) There have been several newsgroup strings about vasectomy. The
general conclusion of these strings is there is no reason vasectomy should
cause a problem, all other things being equal.
4.) All other things are not equal in your case. You have had organisms
present in your urinary tract since childhood. The vasectomy may very
well have aggravated those problems, introduced pathogens into new areas,
affected your immune system so that inflammation resulted, or caused other
complications. That's too bad.
5.) If pathogens (probably bacteria) are the continuing cause of your
problems, eliminating the bacteria with antibiotics would be desireable.
Unfortunately this is easier desired than done.
6.) You shouldn't take antibiotics for prostatitis, in my (non-doctor)
opinion until you have had a culture of your EPS (fluid from prostate
gland pushed out by doctor's gloved finger) . This culture should be
retained and studied for antibiotic resistance/sensitivity. The choice of
antibiotic should be based on this lab work, not guess work.
7.) There is a great deal of credible anecdotal evidence to suggest that
recieving 3-times-a-week digital drainage (very firm prostate massage)
will help antibiotics be more effective. However,
8.) Drainage-plus-antibiotics is not a guaranteed cure-all, especially in
complicated long-term cases, and yours certainly sounds like a complicated
long term case.
But why not use as much science and lab work as possible to guide your
treatment for this problem?
By the way, don't let anybody tell you it's all in your head. Don't feel
alone. You can always come to this newsgroup and find others who are
sympathetic and have been through their own, similar struggles.
ron
sar...@template.com wrote:
>Well, it didn't work. My symptoms are as severe as ever. After
>reading the FAQ, I feel like I know what's what about prostatitis,
>but I can't help wondering if the vasectomy caused this somehow.
>Has anyone else experienced such problems from a vasectomy?
>
>Sorry this is so long but the history seemed important.
>
There have been several reports of prostatitis after vasectomies or other
operations in that area.
Read up on Dr. Feliciano's theories and treatment on the website at:
Ron (non-doc)