Male Urologic Chronic Pelvic Pain Syndrome
https://ucpps.men/
http://www.al.com/sports/index.ssf/2011 ... coach.htmlWhen the condition was at its worst, Crain said he would go to the morning practice, then head to his office, close the door, turn out the lights, try to relax and hope the pain would go away. Following afternoon meetings and practices, he went home and went straight to bed.
After a few weeks of antibiotic treatments that didn't alleviate the pain, he visited urologist Dr. Lorie Fleck, who diagnosed his problem and handled his treatment. Dr. Brian Bettencourt, one of the team's physicians, has also assisted in Crain's treatment and recovery.
"I get on the cell phone with one of the coaches during the game, and that lasted probably about five minutes because the more stress you have the worse this thing is," he said. "When you're talking on the phone and something happens and you're not there to fix it or try and fix it, it's stressful. So my wife took my cell phone away. They wouldn't even let me listen to the game in the hospital. I'd never missed a practice as a coach or as a player in my life."
Most of his prostate has been removed, Crain said, and all of the infection. Originally, doctors feared he might have prostate cancer, which his father had. "Thank God it wasn't cancer," he said.
Medscape wrote: Normal Erection After Prostatectomy Is 'Rare'
Do Urologists Overestimate Return of Function?
Nick Mulcahy
April 14, 2015
After a radical prostatectomy, it is highly uncommon for a man to have erections like the ones he normally had before surgery, according to a study presented at the European Association of Urology 30th Annual Congress in Madrid.
The researchers reached that conclusion because only 14 patients in the 210-men study (6.7%) reported that their erections were the same before and after surgery.
"What this work shows is that having an erection as good as before surgery is a rare event," lead researcher Mikkel Fode, MD, PhD, from the Herlev Hospital in Copenhagen, Denmark, said in a meeting press statement.
There is "controversy" about the incidence of erectile dysfunction after surgery for prostate cancer, the researchers write in their abstract.
The controversy stems, in part, from the fact that the "most commonly used" questionnaire in this setting, the International Index of Erectile Function (IIEF), has not been validated in prostate cancer patients and is vague, the team notes.
To clarify this issue, Dr Fode and colleagues added their own question to the IIEF-5, which is an abbreviated version of the longer questionnaire: "Is your erectile function as good as before the surgery (yes/no)."
The questionnaire was mailed about 23 months after surgery. For men who completed the IIEF-5 questionnaire before surgery, the mean score was 21.7. After treatment, the mean score dropped to 9.9, with a lower score indicating more dysfunction.
I've never seen this theory before. He's completely pulled this out of his fundament."Most experts believe this is caused by scar tissue left after a bacterial infection has resolved — this can stimulate nerves which continue to send signals to the brain that there is inflammation,’ says Professor Eden.
This guy needs to be stopped.For some men, surgical removal of the prostate is worth considering as a last resort,’ adds Professor Eden.
This guy should be arrested and locked up. He's a disgrace to the medical profession.Eden wrote:However, getting the right antibiotic is key: ‘The problem with repeatedly prescribing short courses of antibiotics or the wrong type is that the bugs become resistant,’ explains Professor Eden. ‘When this happens, removing the prostate — the last resort — is the only choice. Patients are desperate to feel better and the operation is the way forward.’