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Medical Forum / Diseases and Disorders / Prostatitis / October 2004rectal abscess misdiagnosed as prostatitis
hello, I'm having trouble finding info for this anywhere. Its theoretically my problem - a rectal abscess in a rare location which causes prostatitis symptoms. Severe burning in my penis, aching left testicle, yellow semen are my symptoms Went through 3 eurologists who said i had abacterial chronic prostatitis. Then, a rectal surgeon found an abscess which he says is in a rare location which emulated prostatitis. I had surgery two weeks ago and symptoms have gotten better, but are far from gone. Still severe enough that i'm unable to work. Anybody in the world had this before , or have any experience with it? My biggest question is how long does it take for the symptoms to die down after the abscess is removed? thanks, gary >hello, > [quoted text clipped - 21 lines] >thanks, >gary I don't have an answer for your question, but it's not suprising as many who have prostate problems also have lower GI/colon problems as well.(I've had IBS and colitis most of my adult life and colon cancer/polyps are a family condition.) I've tried in the past to get my uro to have tests run to see if somehow my lower GI problems weren't a factor with my prostate/bladder infections as the Colitis flareups always preceded my prostate pains.(I've read that a perforated or leaky bowel can cause chronic infections in the urinary tract/prostate.) He insisted that it was apples and oranges and refused to explore that avenue though even when I showed him that there was a family history of polyps and colo-rectal abcesses/legions.( I also have severe pyle problems. Two external and 3 internal that are a constant battle to keep under control.) I'd be interested in hearing from ohters here as well on the topic of lower GI/Colon problems and their corelation to their prostateurinary tract problems. It's an issue that doesn't get alot of examination. Well, I have no question about this abscess location can cause prostatitis symptoms because my rectal surgeon says he's seen it several times. Quote from him " ...so i bet you went through a bunch of eurologists who all say you have prostatitis. Well, you don't...."... The part i'm having concern with is his experience shows symptoms relief in a week...and i'm taking much longer....which again is my main question.. gary > >hello, > > [quoted text clipped - 40 lines] > tract problems. > It's an issue that doesn't get alot of examination. > hello, > [quoted text clipped - 21 lines] > thanks, > gary Perirectal abscess, most likely, is what you refer to. My opinion is that a knowledgable physician, such as a urologist, who does rectal exams rather routinely should probably be able to distinguish a prostatitis from a perirectal abscess with relative ease. I have heard of this misdiagnosis only 1 time, and it was in a friend of my family's back out in the 'sticks' where the docs either weren't doing rectals, or weren't adept... He had such a bad perirectal (he was diabetic) that he wound up with a permanent colostomy, etc... It's NOT a common process, and generally will 'point' and drain pus on the perineum or around the anus... SG >> hello, >> I'm having trouble finding info for this anywhere. >> Its theoretically my problem - a rectal abscess in a rare >> location which causes prostatitis symptoms. >> Severe burning in my penis, aching left testicle, yellow >> semen are my symptoms >> Went through 3 eurologists who said i had abacterial chronic >> prostatitis. >> Then, a rectal surgeon found an abscess which he says is >> in a rare location which emulated prostatitis. >> I had surgery two weeks ago and symptoms have gotten better, >> but are far from gone. Still severe enough that i'm unable to >> work. >> Anybody in the world had this before , or have any >> experience with it? >> My biggest question is how long does it take for the symptoms >> to die down after the abscess is removed? >> thanks, >> gary > Perirectal abscess, most likely, is what you refer to. My opinion is > that a knowledgable physician, such as a urologist, who does rectal > exams rather routinely should probably be able to distinguish a > prostatitis from a perirectal abscess with relative ease. Are post sphincter abscess easy to detect? > I have heard of this misdiagnosis only 1 time, and it was in a friend > of my family's back out in the 'sticks' where the docs either weren't > doing rectals, or weren't adept... He had such a bad perirectal (he > was diabetic) that he wound up with a permanent colostomy, etc... > It's NOT a common process, and generally will 'point' and drain pus on > the perineum or around the anus... Would a fungal abscess drain pus? jrh > >> hello, > [quoted text clipped - 28 lines] > > Are post sphincter abscess easy to detect? Not sure what you mean by "post sphincter abscess"... I assume you mean one distal to the sphincter? I would think this would be easier than a 'pre-sphincter one'... > > I have heard of this misdiagnosis only 1 time, and it was in a friend > > of my family's back out in the 'sticks' where the docs either weren't [quoted text clipped - 5 lines] > > Would a fungal abscess drain pus? Yes. Pus is the body's reaction to infection. Pus consists of tremendous numbers of white cells and other exudative fluids in response to foreign invasion, or a perceived one (i.e. 'sterile abscess' refers to pus from essentially an autoimmune process). > jrh >>>> hello, >>>> I'm having trouble finding info for this anywhere. >>>> Its theoretically my problem - a rectal abscess in a rare >>>> location which causes prostatitis symptoms. >>>> Severe burning in my penis, aching left testicle, yellow >>>> semen are my symptoms >>>> Went through 3 eurologists who said i had abacterial chronic >>>> prostatitis. >>>> Then, a rectal surgeon found an abscess which he says is >>>> in a rare location which emulated prostatitis. >>>> I had surgery two weeks ago and symptoms have gotten better, >>>> but are far from gone. Still severe enough that i'm unable to >>>> work. >>>> Anybody in the world had this before , or have any >>>> experience with it? >>>> My biggest question is how long does it take for the symptoms >>>> to die down after the abscess is removed? >>>> thanks, >>>> gary >>> Perirectal abscess, most likely, is what you refer to. My opinion is >>> that a knowledgable physician, such as a urologist, who does rectal >>> exams rather routinely should probably be able to distinguish a >>> prostatitis from a perirectal abscess with relative ease. >> Are post sphincter abscess easy to detect? > Not sure what you mean by "post sphincter abscess"... I assume you > mean one distal to the sphincter? I would think this would be easier > than a 'pre-sphincter one'... >>> I have heard of this misdiagnosis only 1 time, and it was in a friend >>> of my family's back out in the 'sticks' where the docs either weren't >>> doing rectals, or weren't adept... He had such a bad perirectal (he >>> was diabetic) that he wound up with a permanent colostomy, etc... >>> It's NOT a common process, and generally will 'point' and drain pus on >>> the perineum or around the anus... >> Would a fungal abscess drain pus? > Yes. Pus is the body's reaction to infection. Pus consists of > tremendous numbers of white cells and other exudative fluids in > response to foreign invasion, or a perceived one (i.e. 'sterile > abscess' refers to pus from essentially an autoimmune process). I do not believe it would. Fungal infections of the skin do not drain pus. A dandruf infection can penetrate the scalp, without a detectable immune response. The same is true for the fungus that causes jock itch. Fungal infections can be extremely difficult to detect and treat, in most cases they are not life threating so they have not had a great deal of study and very little is known about them. An extensive search of the web failed to find the name of one fungi common to the digestive tract. let alone it's purpose, or what effect it would have on a persons health if it escaped containment. jrh > >>>> hello, > >>>> I'm having trouble finding info for this anywhere. [quoted text clipped - 59 lines] > > jrh Most types of yeast can be found in the GIT in various numbers. Skin infections progressing to systemic blood infections are common with indwelling catheters by Candida. Many types of systemic mycosis are common in the west from C. immitis to H. capsulatum in the east. Cryptococcus is common nation wide. Eosinophils are white cells commonly found in association with fungal infections and some form granulomas or sulfur granules in tissue ie Actinomycetes which drains pus as well. They are easily seen in tissue and easily grown in culture compared to other bacteria and viruses. There isn't any mystery there as to if a fungus is present or not. >>> no@spam.com (jrh) wrote in message > news:<egbQc.2950$yh.1072@fed1read05>... >>>>>> hello, >>>>>> I'm having trouble finding info for this anywhere. >>>>>> Its theoretically my problem - a rectal abscess in a rare >>>>>> location which causes prostatitis symptoms. >>>>>> Severe burning in my penis, aching left testicle, yellow >>>>>> semen are my symptoms >>>>>> Went through 3 eurologists who said i had abacterial chronic >>>>>> prostatitis. >>>>>> Then, a rectal surgeon found an abscess which he says is >>>>>> in a rare location which emulated prostatitis. >>>>>> I had surgery two weeks ago and symptoms have gotten better, >>>>>> but are far from gone. Still severe enough that i'm unable to >>>>>> work. >>>>>> Anybody in the world had this before , or have any >>>>>> experience with it? >>>>>> My biggest question is how long does it take for the symptoms >>>>>> to die down after the abscess is removed? >>>>>> thanks, >>>>>> gary >>>>> Perirectal abscess, most likely, is what you refer to. My opinion is >>>>> that a knowledgable physician, such as a urologist, who does rectal >>>>> exams rather routinely should probably be able to distinguish a >>>>> prostatitis from a perirectal abscess with relative ease. >>>> Are post sphincter abscess easy to detect? >>> Not sure what you mean by "post sphincter abscess"... I assume you >>> mean one distal to the sphincter? I would think this would be easier >>> than a 'pre-sphincter one'... >>>>> I have heard of this misdiagnosis only 1 time, and it was in a friend >>>>> of my family's back out in the 'sticks' where the docs either weren't >>>>> doing rectals, or weren't adept... He had such a bad perirectal (he >>>>> was diabetic) that he wound up with a permanent colostomy, etc... >>>>> It's NOT a common process, and generally will 'point' and drain pus on >>>>> the perineum or around the anus... >>>> Would a fungal abscess drain pus? >>> Yes. Pus is the body's reaction to infection. Pus consists of >>> tremendous numbers of white cells and other exudative fluids in >>> response to foreign invasion, or a perceived one (i.e. 'sterile >>> abscess' refers to pus from essentially an autoimmune process). >> I do not believe it would. Fungal infections of the skin do not >> drain pus. A dandruf infection can penetrate the scalp, without [quoted text clipped - 6 lines] >> or what effect it would have on a persons health if it escaped >> containment. >> jrh > Most types of yeast can be found in the GIT in various numbers. Skin > infections progressing to systemic blood infections are common with [quoted text clipped - 4 lines] > infections and some form granulomas or sulfur granules in tissue ie > Actinomycetes which drains pus as well. not all fungal infections drain pus. > They are easily seen in tissue and easily grown in culture compared to other > bacteria and viruses. not all fungi are easy to grow in culture, and they can take a long time to grow. > There isn't any mystery there as to if a fungus is present or not. That a fungi common to the GIT is causing a problem can not be detected by determining it is present. Unfortunately what is believed can mask what is. Only fools look for things where they are not. How would an anorectal fungal abscess be diagnosed if the only symptom was pain while sitting and the discharge of an occasional red-orange streek of mucus? A fungal infection may not be accompanied by pus. Which fungi causes dandruff is still uncertain, there is no "pus" it can be extremely difficult to cure, it can penetrate the scalp, intefere with circulation and cause hair to die. Malassezia globosa on the scalp digest sebaceous triglycerides, releasing irritating oleic acid. The oleic acid penetrates the stratum corneum, breaking down skin barrier function. The resultant attempt at barrier repair causes the hyperproliferation seen in dandruff scalp, as well as inducing the secretion of more sebum, thereby feeding the Malassezia population. The role of the immune system remains to be elucidated from: http://www.ehrs.org/conferenceabstracts/2002brussels/researchabstracts/P-59-da wson.htm |
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