Chronic nonbacterial prostatitis is otherwise called chronic pelvic pain syndrome, which is a common genitourinary condition affecting males. There are episodes of pain and discomfort in the pelvis, perineum, or genitalia of males for more than three months. It presents with inflammation and difficulty in urination. It can also cause pain in the abdomen, scrotum, rectum, and lower back. The other symptoms are myalgia, arthralgia, and unexplained fatigue. Taking antibiotics, anti-inflammatory medications, and alpha-blockers helps a lot.
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I have prostatitis, and its symptoms are worsening. Why?
Query: Hello doctor, I am a 29 year old male, who has prostatitis. My prostatitis symptoms flared up four months ago, after eight months of partial remission. Last week, my pain got worse with cramping over my pubic bone. Now, the discomfort and cramping comes in multiple places simultaneously (perineum, p... Read Full »
Answer: Hi, Welcome to icliniq.com. I am really sorry to know about your problems. I have gone through your MRI (magnetic resonance imaging) images and other reports (attachment removed to protect patient identity), and all reports are normal. Your clinical features and investigation results fit into chro... Read Full »
What is the reason for burning sensation and pain in penis?
Query: Hi doctor, I have had a burning in the urethra now for over 11 months not resolved. The burning feeling is constant and is coming from the urethra part along the penis. The pain is worse after urination or ejaculation. I have had an ultrasound, DRE, urine tests, STD tests, PSA which are all normal. ... Read Full »
Answer: Hi, Welcome to icliniq.com. Your treatment has happened on the right line, as diagnosed by the urologist you have CPPS (chronic pelvic pain syndrome). This has many components like pain frequency dribbling lower back, buttocks pain which improved but still burning in the penis is persistent. This ... Read Full »
What could be the reason for sensitive penis, rectal or prostate pressure after I ejaculate?
Query: Hello doctor, I am 35 years old male, with a long history of prostatitis, 3 to 4 years, no symptoms. Now a myriad of symptoms including all the following that come and go. Urgency, sensitive penis, rectal or prostate pressure, no pain but happens after ejaculation sometimes and from a bowel movement... Read Full »
Answer: Hi, Welcome to icliniq.com. From history and test report (attachment removed to protect patient identity), it appears as CPPS (chronic pelvic pain syndrome) and not to localize prostate as the source of the problem. You can take capsule Roliflo OD 2 mg (Tamsulosin with Tolterodine 2 mg), Psyllium ... Read Full »
What could be the reason for testicle pain with swollen glans and abdominal pain?
Query: Hello doctor, I have a symptom similar to gonorrhea and chlamydia with chronic testicles pain and swelling at the tip. Glans has a weird color, and pain under the abdomen sometimes. The urine test reveasl negative for STD. I am waiting to see a urologist and it has been for a year, now symptoms see... Read Full »
Answer: Hi, Welcome to icliniq.com. From history, it seems you have pain in testicle and at the tip of glans. I need to know about frequency of urine at night, urgency to pass urine, sense of incomplete voiding? How is the flow of urine? Any straining to pass urine? Unprotected sexual exposure? Constipat... Read Full »
I have chronic pelvic pain syndrome. How to cure this?
Query: Hello doctor,My question is regarding chronic testicular pain and the possible treatment options. For the past six months, I have experienced on and off bilateral discomfort in my testicles. It was uncomfortable but not too painful. It would go away for a couple of weeks before returning for a few d... Read Full »
Answer: Hello, Welcome to icliniq.com. Relax and do not worry. Yes, you are suffering from chronic orchialgia. It is a part of chronic pelvic pain syndrome. Now regarding the pelvic exercises, if you are feeling better and your pain remains only 2 or 3, then I feel you should continue it at present along ... Read Full »
What is the cause for frequent urination issue?
Query: Hello doctor,Three years back, I had frequent urination problem. I underwent several tests, scans, TRUS and also underwent cystoscopy twice. They found classification in prostate and termed it as prostatitis. I had consulted close to five doctors and some of them said it is not prostatitis. So, stil... Read Full »
Answer: Hello,Welcome to icliniq.com.I am sorry to know about your persistent problem. Prostatic calcification is a common finding and more frequently seen in elderly. It is associated with chronic prostatitis in which infection leads to calcification. However, it is not diagnostic of chronic prostatitis. C... Read Full »
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