Chronic Prostatic Pain Syndrome

Chronic prostatitis is inflammation of the prostate that lasts for months or years. The possible causes of chronic prostatitis are urinary tract infections, stress, and damage to the urinary tract from surgery. The primary symptoms of chronic prostatitis include pelvic or genital pain, frequent urination, pain during urination, and difficulty urinating. People with chronic prostatitis often need a long-term course of antibiotics.

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Can chronic constipation cause prostatitis?

Query: Hi doctor, I am 27 years old. I have been suffering from bladder and lower back pain for about six months now. I have been to the doctor several times and each time the test was negative for infection. I used to get relief from symptoms once I take the antibiotics, but the pain will recur. I do no...  Read Full »


Dr. Gopinath

Answer: Hi, Welcome to icliniq.com. As you suspect the symptoms might be due to chronic prostatitis or a similar entity chronic prostatic pain syndrome. It needs a per rectal examination. Per rectal examination is not that painful as you suspect. Urine culture after a per rectal examination will turn to ...  Read Full »

What can cause the penis to tingle?

Query: Hi doctor, I am a 27 year old sexually active male. I have been with the same girl for the past 10 years and we are loyal in the relationship. I am having a ton of issues and pain in my lower region. The symptoms are lower back pain, pain in my pubic region, pain and tingling in my testicles, burnin...  Read Full »


Dr. Raman Tanwar

Answer: Hi, Welcome to icliniq.com. Your symptoms do point towards chronic prostatitis. With negative culture and positive pus cells, it is likely that you are suffering from CPPS IIIA, which is non-bacterial inflammatory chronic prostatitis. Now, this is a difficult condition to manage and requires long-...  Read Full »

Is anejaculation a side effect of Silodal?

Query: Hello doctor, I have enlarged prostate and some lesion on the prostate. The report has been attached. For the past four years, I have been suffering from urinary tract infections and kidney stones and my life is very much disturbed. I am attaching the files of my reports and the medicines which I a...  Read Full »


Dr. Gopinath

Answer: Hi, Welcome to icliniq.com. You need to be examined clinically with per rectal examination. If clinical findings suggest a chronic prostatitis you need a prolonged treatment for it. Did you undergo uroflow test as suggested? It shows whether your urine flow is obstructed or not. Your PSA (prostate-...  Read Full »

Is surgery necessary for a mild benign prostatic hyperplasia?

Query: Hello doctor, I am a 58 year old male. Except for low blood pressure, I am in generally perfect health with mild benign prostatic hyperplasia (BPH) that has not been getting noticeably worse lately but, has been present for years. While my stream is certainly not like when I was younger, I have no...  Read Full »


Dr. Shahil Khant

Answer: Hello,Welcome to icliniq.com.I have gone through your history.If possible, send me a graph of your bladder pressure study and flow. If the bladder pressure is high, then it is better to get operated for the prostate enlargement.A high power or pressure in the detrusor suggests a bladder outflow obs...  Read Full »

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