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increasingly severe prostatitis

I'm 32 years old, and a year and a half ago I had my first bout of prostatitis.  It was painful, but after a day of antibiotics I was back on my feet.  After that I would have a bout every month or so but knew I could rely on the antibiotics to knock it out.  I was positive for e.coli after a prostatic massage, and I had a rectal ultrasound, which turned up no abnormalities.

Last October my doc put me on a 8-week course of Cipro, but even during those 8 weeks, I felt like I was having mild flare ups.  Two days after ending the treatment, I had terrible recurrence -- the worst yet.  I went on another 6 week course, and my next test showed no e.coli.  But I had another terrible bout only a week later.  That cycle has repeated itself a couple of times.

The big problem is that, while I used to feel better after a day or so of antibiotics, now I'm in debilitating pain for weeks, even though I eat as I'm told, take warm baths, and generally follow instructions to the letter.  I avoided pain meds at first but am now relying on Oxycodone and still missing weeks of work.  

My GP and urologist seem unconcerned (renewing my prescriptions without seeing me) and have told me that this is something I'm just going to have to live with, but is it normal to be so unresponsive to antibiotic treatment??

I have a big vacation planned but can't imagine how I'll be able to travel.
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Avatar universal
i have the same e coli prostatitis any update? how are you doing rigth now?
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Avatar universal
Hi,
You may consider performing sensitivity studies on the organisms (such as the E coli)  which would be helpful in guiding the therapy and in determining if the infection has really been cleared. The organism may already be resistant to Cipro.
Another avenue to explore is to look at dynamic studies of your bladder. While you may have undergone an ultrasound to look for obstruction, if the bladder is not adequately clearing the amount of urine – this could be a setting for repeated infections.
You could also look at other risks for getting repeat infections, such as immunosuppression. If you are a diabetic with poor blood sugar control, there is a tendency to mount an incomplete response to such infections.
Stay positive.
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