What could cause an increased frequency of urination?

Question

Hello doctor,

I am 42 years old. I have been referred to see a urologist after an irregular DRE (digital rectal examination). My PSA (prostate-specific antigen) score was 0.6 ng/ml. My symptoms are the need to urinate all the time and urgency. I have been given three or four antibiotics for what was thought to be prostatitis but have not gained any relief. This has been on and off for 12 months. Urine analysis was also normal. Please help.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

PSA (prostate-specific antigen) is normal. The enlarged prostate can be benign and chronic prostatitis last in prostate cancer. Since PSA is normal, then we need to investigate chronic prostatitis. Burning urination or frequency and difficulty passing urine in the long term indicate chronic prostate inflammation. For proper diagnosis, we need semen for culture and choose the appropriate antibiotic, which is about six weeks for the long term, as antibiotics penetrate the prostatic capsule slowly and require time to treat prostatitis. Please follow up with semen culture results to give you a proper antibiotic. Note that chronic prostatitis can be bacterial or without bacteria. If the culture is negative, I will start you on different medications. Therefore follow-up is essential. For enlarged prostate, we need to confirm it with an ultrasound. If you have an enlarged prostate, you will start on the tablet Tamsulosin 0.4 mg once at night for the long term. Please follow up with the investigations requested.

I hope this information will help you.

Thanks.