Prostatitis (Chronic Pelvic Pain) in Lake Mary, Florida (FL)
Depending on the type of prostatitis you have and the severity of your symptoms, your doctor will select a treatment plan that's right for you. Antibiotic treatment is often indicted if you have bacterial prostatitis. Different treatments are indicated for non-bacterial prostatitis or asymptomatic prostatitis (no symptoms).
Treating Bacterial Prostatitis
Acute bacterial prostatitis is most commonly treated with antibiotics over the course of several weeks to several months. Escherichia coli (E. coli) are the most common culprit for bacterial prostatitis accounting for up to 80% of all cases. Your doctor will look out for severe symptoms such as blockage of the urethra, which may require hospitalization and an additional antibiotic regiment.Sometimes antibiotics have a hard time getting into all parts of the prostate, and E.coli will linger in about 5% of bacterial prostatitis cases. If E.coli linger, or if the bacteria Corynebacterium is present, you may experience chronic bacterial prostatitis. With chronic prostatitis, you may experience urinary tract infections and your doctor may prescribe different types of antibiotics such as levofloxacin, ofloxacin, and ciprofloxacin over longer periods of time.
Very rarely surgery may be used to drain an abscess (a collection of pus) caused by bacterial prostatitis. In very extreme cases infected prostate tissue will be removed via laparoscopic prostatectomy, in which the infected prostate or a portion of the infected prostate is removed through small incisions in the abdomen with a laparoscope (tiny, hollow tube with a lighted tip). Laparoscopic procedures are minimally invasive and you may return from the hospital the next day with a catheter in place to help urine flow.
Treating Non-Bacterial or Asymptomatic Prostatitis
Chronic non-bacterial prostatitis, also known as chronic pelvic pain syndrome (CPPS), is a condition in which the prostate is inflamed with no detectable infection. Pain associated with CPPS may be alleviated with over the counter medications such as ibuprofen or naproxen, or with medications which alleviate urgent or painful urination such as phenazopyridine (Pyridium), oxybutynin, or tolterodine. Soaking in a hot bath may also alleviate discomfort.Men with asymptomatic prostatitis don't feel pain or discomfort, but an elevated PSA level in their bloodwork indicates an infection of the prostate. Doctors will sometimes give antibiotics to men with asymptomatic prostatitis. PSA levels should return to normal within 4-6 weeks of treatment.
Discuss treatment options for prostatitis with your doctor.
About Charles N. Witten, MD
Dr. Witten
received his B.A. in Biology from the University of Pennsylvania in
Philadelphia, Pennsylvania in 1980. He subsequently completed his
medical education at the University of Pittsburgh School of Medicine in
1984. He returned to Philadelphia to complete his General Surgical and
Urological Surgery Residencies at the Hospital of the University of
Pennsylvania from 1984 - 1990. The University of Pennsylvania's
Urological Surgery Residency is considered on of the top training
programs in the country. He served as chief resident his final year.
Dr. Witten joined Central Florida Urology Associates after completing
his residency in 1990. He has been board-certified by The American
Board of Urology since 1992.
Dr. Witten
has served on numerous hospital committees including chairmanships of
surgical peer review and credentials committees. He has served on the
Education Committee for the Seminole County Medical Society. From
2002-2005, he served as Chairman of the Department of Urology at
Florida. During his tenure, the hospital procured the DaVinci Robot to
perform robotic assisted laparoscopic surgery.
Dr.
Witten's particular areas of interest include prostate, bladder and
renal cancers; urinary incontinence; erectile dysfunction with emphasis
on penile implant surgery; male infertility; microscopic surgery
including vasectomy reversal; DaVinci robotic radical prostatectomy;
laparoscopic urological surgery, and management of Benign Prostatic
Hyperplasia with minimally invasive techniques including microwave
thermotherapy and green light laser Photo-vaporization (PVP) of the
prostate.
Dr. Witten
is an active member of The American Urological Society, The American
Association of Clinical Urologist, The American Fertility Society, The
Florida Urological Society and The Seminole County Medical Society. He
is married with four children and resides in Lake Mary, Florida.
Featured Specialist for Prostatitis (Chronic Pelvic Pain) in Lake Mary, FL
Call Now: (407) 287-5443 210 Rinehart RoadSuite 1000Lake Mary, FL 32746
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More Services from Charles N. Witten, MD
- Female Incontinence
- Peyronie's Disease Treatment
- Vasectomy Reversal
- Male Infertility
- Urologic Oncology
- Erectile Dysfunction
- Urinary Incontinence
- Kidney Stones
- Benign Prostatic Hyperlasia
- da Vinci for Prostatectomy
- Impotence
- Incontinence Treatment
- Kidney Cancer Treatment
- Kidney Stones Treatment
- Laparoscopy
- Penile Procedures
- Prostate Cancer Screening
- Prostate Ultrasound and Biopsy
- Urinary Tract Infection
- Vasectomy
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