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Medical Forum / Diseases and Disorders / Prostate BPH / June 2006

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Does this feel like BPH?

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Bob - 09 Jun 2006 00:54 GMT
Hi to everybody. I am really glad I found this group.

I am 58 yo and for the past month have had pain on urination. Usually
it's only when I start the stream. I went to see my GP on Monday and
she suspects a UTI so she has me on septra DS for a week. Not much
change since I started. She had my urine cultured but that came out
negative (i.e. they couldn;t grow any bugs from it) and I have not had
any fever.

I am not going to try to daignose myself but my question is what would
be reasonable tests to take/ steps to do if there is no improvement by
next Monday after I have taken the complete course of antibiotic?

How do the docs quantify BPH, urine retention, etc? Are any methods
more accurate and/or easier on my system than others?

Bob
Pete - 09 Jun 2006 02:42 GMT
> Hi to everybody. I am really glad I found this group.
>
[quoted text clipped - 13 lines]
>
> Bob

Bob...your doctor will send you to a uro next.  I'm surprised she didn't do
a digital exam to check your prostate - I hope its not because she's a she,
and you're a guy :-) .  Be prepared for a bunch of crap with the uro if you
don't improve, and she sends you to him/her.  Let us know what pans
out...Pete
Ed - 09 Jun 2006 16:22 GMT
>> Hi to everybody. I am really glad I found this group.
>>
[quoted text clipped - 19 lines]
>don't improve, and she sends you to him/her.  Let us know what pans
>out...Pete

In my experience, a digital exam done by a woman is better than by a
man... because women generally have thinner fingers.

Ed
James Mullins - 09 Jun 2006 17:36 GMT
Except when you get a lady doc who is trying to use her male patients to
repay what her male colleagues did to her in Med School.  We had one
lady doc in an industrial situation we called the "one with the big
finger".  I swear she was still mad about something I had nothing to do
with.  Maybe I'm still annoyed because she was the first one who
referred me
to a urologist.  She called them "kidney doctors", so you can imagine
how old she was.  But I agree with Ed, usually the lady docs have
smaller fingers and are more gentle.  Jim.

> In my experience, a digital exam done by a woman is better than by a
> man... because women generally have thinner fingers.
>
> Ed
Pete - 09 Jun 2006 22:04 GMT
Good story Jim :-)

> Except when you get a lady doc who is trying to use her male patients
> to repay what her male colleagues did to her in Med School.  We had
[quoted text clipped - 10 lines]
>>
>> Ed
Derek F - 11 Jun 2006 19:00 GMT
>>> Hi to everybody. I am really glad I found this group.
>>>
[quoted text clipped - 27 lines]
>
> Ed
Yeah, but they wear more rings :-)
Derek.
Bob - 09 Jun 2006 18:26 GMT
Thanks for the information. I think my doc is somewhat squeamish. Yes,
I think the next step is to go to a urologist if this thing doesn't
clear up by next Monday when I have run the full course for the
anti-biotic.

Which brings up the question of how to choose one. I think I'll start
another thread on that.

Thanks again.

Bob
Rich256 - 09 Jun 2006 19:50 GMT
> Thanks for the information. I think my doc is somewhat squeamish. Yes,
> I think the next step is to go to a urologist if this thing doesn't
[quoted text clipped - 7 lines]
>
> Bob

For starters you might try the Laserscope site and see what PVP doctors
area available in your area. "Find a Greenlight Doctor":

http://www.laserscope.com/surgical/consumers/index.html

 If they are using PVP they may well be more up to date than others.
That is what I did and then searched for their resumes to pick out the
one I thought might be good.
Bob - 09 Jun 2006 21:12 GMT
> For starters you might try the Laserscope site and see what PVP doctors
> area available in your area. "Find a Greenlight Doctor":
[quoted text clipped - 4 lines]
> That is what I did and then searched for their resumes to pick out the
> one I thought might be good.

Good idea. I checked the Laserscope website and found two in the clinic
that I normally use. I may not have BPH but it makes sense that it is
an indicator of staying current. I will look into them further.

Bob
Rich256 - 09 Jun 2006 04:27 GMT
> Hi to everybody. I am really glad I found this group.
>
[quoted text clipped - 13 lines]
>
> Bob

Doesn't really sound like BPH to me but I'm no doctor.  Best to have it
checked by a urologist.  Try to find one that is up to date with the
latest techniques such as laser treatments.

Due to enlargement of the prostate the urinary tract is blocked.  Kind
of like peeing through a pinched straw.

Symptoms include frequent urination, especially at night.  Bladder not
emptying.  Weak stream.  Frequent need to urinate.

A doctor can usually detect enlarged prostates by doing a digital rectal
examination

http://www.webmd.com/hw/colorectal_cancer/hw4404.asp

A urologist will do an ultrasound to detect retention and then often go
in optically and take a look.
c palmer - 09 Jun 2006 07:28 GMT
How do the docs quantify BPH, urine retention, etc? Are any methods more
accurate and/or easier on my system than others?

======

hi bob - here's a quick way to give you some idea of what's going on
inside.

pinch off the urethra and hold it tight while building up some head
pressure.   then release and see if you can keep the stream going on the
same pace.  

you can stop and repeat this process over and over again to prove it to
yourself.   if there is a restriction in the line, much like a garden
hose that has the pressure just turned on.  

remember how you get that big gush of water and then, it drops back to a
small stream.  well, this will be similar is you have BPH.  of course,
it depends how bad the BPH is.

but if you can hold the flow of the stream the same, then you also have
the answer to your question.

hope this information helps.

~ curtis

knowledge is power - growing old is mandatory - growing wise is optional    
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
http://community.webtv.net/PALMER_ENT/doc
Temujin - 12 Jun 2006 14:53 GMT
Bob,

You could have prostatitis without an infection, so if the antibiotic
doesn't work, it doesn't mean that you have BPH.  I had prosatitis as a
result of irritation from passing a kidney stone, and I just had to
wait for it to go away.  Anti-inflammatories can help, and my GP at the
time said 4 ejaculations per day would help (as if ! ! ! ).  The BPH
came years later and never caused any pain.  My current GP is a woman
and it kills her to do a DRE, though it is true that the smaller
fingers help.  She just kept prescribing new medications for BPH until
I found my own urologist and got a PVP.
 
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