Frequent Urnation, Dribbling (Narrow Bladder Neck)

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K3PIO - 10 Dec 2003 17:09 GMT

I am 34 years old. I started getting pain in the groin while running
and doing almost any physical , sexual activity about 2 years ago. To
make the long story short, after going thru 5 Urologists I finally
decided to settle on a uro that I was comfortable with in July 2003.
Semen culture indicated enteroccocus bacteria in July 2003. The uro
did prostate massages for 3 weeks ( twice a week, August 2003) since
my prostate was mildly boggy and put me on Cipro while doing the
massage. Pain the the groin subsided a lot after the massage. The
last 2 prostate massages did not bring out any fluid so we stopped and
finished with Cipro about 10 days later (in early September 2003)
after the final prostate massage.

I started getting frequent urination and dribbling after I went for
the prostate massage. I did not have dribbling before the prostate
massage. I started getting a lot of itching sensation in the urinary
tract after completing the Cipro and prostate massage treatment.

I went to another Uro in November 2003. I went thru another semen
culture about a month ago. I was prescribed Geocillin for 50 days for
enteroccocus bacteria found in my semen culture. I am on Geocillin
now. It seems like although the prior prostate drainages helped a
lot, Cipro was not able to penetrate to get rid of the bacteria
completely. While on geocillin I went for prostate massages again for
about 2 weeks. I also went thru UroDynamics, Cystoscopy, Prostate
Ultrasound and was told yesterday that I had a narrow bladder neck.
He also mentioned that I had a small prostate. My only options
according to the uro was to either take Uroxatral for the rest of my
life or invasive surgical procedure (which he advised against cuz of
me being young).

I went back to the Uro who had done prostate massages in August 2003.
He said, he would have to do cystoscopy again with a hard scope and
that he could dilate the bladder neck during the cystoscopy that could
relieve my frequent urination and dribbling symptoms. I have
researched dilation on the net and people who have their bladder neck
dilated seem to be happy with it.

My groin pain has significantly subsided to almost zero and I can run
and have sex again without pain but I will be on geocillin for another
20 days.

Do you think that the prostate massages could have caused the narrow
bladder neck (due to trauma from the the massages)? What do you think
about dilation of the bladder neck?

Can you please help and advise?

Thanks

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avocet - 10 Dec 2003 20:04 GMT

K3PIO;

It sounds to me that you have two unrelated issues - the narrow bladder neck
and recurrent bacterial infection.

Enteroccocus bacteria are most often introduced to the body through a
contaminated water source, either drinking water or water we swim in. If
you get rid of it this time using Geocillin, change your drinking water
source (bottled?) and be careful about where you swim, if you do swim.
These bacteria originate in the intestines of birds and animals and enter
reservoirs when their feces come into contact with the water.

Dilating the bladder neck might well give you relief from the narrow-neck
problem but others here, who have had the proceedure, can speak to that.

Jim

> I am 34 years old. I started getting pain in the groin while running
> and doing almost any physical , sexual activity about 2 years ago. To
[quoted text clipped - 44 lines]
>
> Thanks

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K3PIO - 11 Dec 2003 03:31 GMT

> K3PIO;
>
[quoted text clipped - 12 lines]
>
> Jim

Thanks for responding Jim. I live in manhattan. I have been drinking
bottled water for the last 6 years since I am skeptical of tap water
in NYC.

Did you mean that I should change from bottled water to another source
or stick with the bottled water?

If enteroccocus was in the bottled or tap water how could it get into
my prostate? If it did then it would be in my urine (urinary tract)
too and the cytology report was negative for bacteria in the urine.

On another note, frequent urination, dribbling and weak stream started
a week after I completed the first bout of prostate massages when I
was on Cipro. Frequent urinary symptoms were worse in the week it
started and gradually got better. While I was on Cipro at the end of
the prostate massages, I was still feeling itchy sensation in my
urinary tract.

Being on geocillin now I dont have that itchy sensation and things
seem to be close to normal except for weak stream, frequent urination,
dribbling. I get up one time at night and drink 1 gallon of water
every day.

Please respond since I am still trying to understand.

Thanks

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