What is Enlarged Prostate

Benign prostatic hyperplasia (BPH) also known as Benign prostatic hypertrophy or Benign enlargement of the prostate (BEP) refers to the increase in size of the prostate in middle-a...

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Discussion:
Prostatitis & PSA
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I am 48 and have recently had a 2 month battle with prostatitis.


Background leading up to the prostatitus:

The protatitis condition started 3 days after I was release from the hospital.
Previous to the hospitalization I had a deviated septum and turbinate reduction surgery performed.
I was on antibiotics for 14 days which is required for me due to my mechanical heart valve.
While I was in the hospital I was given a different antibiotic for the 3 days I was there.

I was in the hospital for a severe post-op nose bleed(scab let loose).


Prostatitis: 5/18/09

The 1st round was acute prostatitis, which require me to be catheterized for a day, put on Levequin for 14 days, and Flowmax for a

few days. After 14 days my urine culture was clean. About 7-10 following the clean culture I started burning again. This time

I drank tons of water and it looked like it was working, all the way up to the point where my left kidney started hurting. I knew

at that point I had to go back to the doctor. Culture confirmed that I was infected with e-coli again. I was put on amoxicillan

for 14 days followed by some other antibiotic(Cepro) for 14 days.... 28 days total.
I have been clean for about a month now.

I recently had my PSA taken and the results were 4.13, the blood was drawn on 8/28/09.

My past PSA's: Dec 2006 = .76
Dec 2007 = .88
Dec 2008 = .93

The digital exam results: 1st round inflamed and tender
2nd round slightly inflamed on left side

Every since my Prostatitis experience, I have noticed when I start a stream or if I haven't drank enough water, that my urine

feels hot flowing thru the urethra. It doesn't burn, but feels hot, like a hose that's been sitting in the sun. At 1st the water

is hot but, as it flows thru the hose it eventually cools down.

Is this(hot) an indication that I may still be experiencing prostatius, but without the infection?
Would this or the protatitis episode cause my PSA to rise so high in a short period of time?

Previous to the Prosatitis my urine never felt hot or burning.

My family has no history of prostate cancer.
Up till Jan. of 2009 I was very physically fit/active.
My cholesterol has risen somewhat since Dec 2008.
I am finally getting back to exercizing.
I am not overweight and eat healthy.


Does the elevated PSA sound like something to be concerned about at this time?
or should I continue get PSA tests every couple months to see where this thing is going?

I am thinking wait and see.
I'm not too keen on a biopsy, since I have to go off my Coumadin and I have to get on another antibiotic.
Posted on 09/06/09, 04:09 pm
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