CHRONIC PROSTATITIS explained by urologist | The 4 Types of Prostatitis | Treatment | Diagnosis 

67 years old and you're the first doctor to identify condition # 4. That's me. How many Dr's don't understand the prostate? My most common diagnosis is, "don't know"

One of the best on-line videos, straight too the point and very well explained, most GP’s have no idea.

Explained very well! Thank you!

Thanks for the clear and well explanation

Dr. Eric thank you v very much. I have been scouring the U tube to find information about my condition of chronic non bacterial P which is exactly the same as you have described. Unfortunately, I have taken a course of antibiotics for one month, the pain has not gone away but my PSA levels came down. Since the pain is there, I have to try the treatment you thankfully mentioned in your clip. I am grateful to you and may ALLAH bless you

amassing explanation !!! Thank you so much !!

Beautifully explained

Great explanation. Tq

Very impressed by important information.

Thank you every much for this excellent piece of information

Thank you Doctor! Very Nicely done! Extremely informative 😊✅🫡🇺🇸

Well explained. Do more of it if you have time please.

I'm getting worked up for this. My urologist called it a dx by exclusion so getting an ultrasound on my kidneys, bladder, testicles, etc. Had multiple negative urinalysis in past month for everything and normal blood work including PSA. I live in Florida but my symptoms started on my last day of a snowboard vacation at altitude in Colorado. Maybe the 4 days straight of snowboarding and my weak back and core muscles led to a pelvic floor dysfuction. Who knows. Just very odd how this all started at 10,000 ft of altitude on the 6th day after 4 straight days of snowboarding which I only do once a year. Great video

Well explained sir

Thank you so much doc godbless

Thank you so much for the objective description, Dr. Eric. This video calmed me a lot!

This was one of the best explained videos I went to the er for this multiple times they keep feeding you cipro only to come back with the same problem hence the overuse of antibiotics

Thanks so much now I am ony 3 Drs in 3 years. it looks like 2 previous ones didn't understand it all or mentioned it . I suspected it but I couldn't convince them Last one told me that this is prostatitis I am now on 6 months medication hope it ll help

Thank you for such a informative video 👍

Thanks for making this video Dr. If you would take the time to answer my questions I would would be grateful 🙏. Here is my case history. Over the past 2 years my psa had been rising every six months average of increase .7 when my psa went from 2.2 to 3.5 I had my first mri which was deemed a level 2 and radiologist saw T2 weighted image looked consistent with chronic prostatitis. Then about a year later my psa went from 3.5 to 4.8 and had another prostate mri which showed in the radiologist point of view again T2 image consistent with chronic prostatitis. Plus a nodule that grew a little so now I was deemed category 3 and went for a biopsy which was negative however on one out of 16 biopsy they saw 3 atypical HGPIN cells no big deal. 6 months later my PSA was unchanged. Fast foward to last week my psa was 5.6 however I believe it was contaminated because I ejaculated within 12 hours of the test. I am going to retake the test in 2 weeks with no ejaculation or exercise 1 week before test. I don't really have any symptoms of chronic prostatitis however my frequency has increased a little. My question for you is can I safely say I have chronic prostatitis because of the mri findings which is responsible for my increased psa and if I ejaculated about 12 hours before my last psa if you had to guess ballpark how much would my psa have risen because of that?. Is a weighted T2 image reliable for chronic prostatitis on mri. I am not really worried as the biopsy last July 2021 was negative. I did order that herbal supplement you suggested on another video. Thanks a million Doc.

Thanks for the video. I went through this last year and now having issues again as of now. My symptoms are exactly what you described on the chronic non bacterial. Sitting is almost impossible. I see a urologist next week. My family doctor gave me some antibiotics. It seemed to help for the first 7 days and then the perinium started hurting again as well urination. Last year my urologist had be to a CT scan and put a scope through my urethra to the bladder since the found red blood cells in my urine under scope. However, both CT scan and scope showed nothing of concern...which is a good thing too. Maybe I will order a doughnut so I can sit while at work.

After living with it for over 8 years, I can submit you hit all the important aspects. I've watched every video On RU-vid and have seen at least a half dozen urologists. One performed a cystiscope like you mentioned. Eventually, through my own research, I have a way to manage it. Tamulosin, Prostagutt, and no sugar or Alcohol.. Lastly, lots of vigorous exercise. Thanks for your presentation and analysis

Thaks doc for the infos, it is possibile to know wich percentage of the cases are not curable?

When taking tamsulosin for cpps , is that Rx short term ? Meaning 30 -60 days ? This started out as frequent peeing constipation. And 2 bladder infections. With chronic Epididymitis that I’ve had for probably five years.

Awesome video. Very informative and spot on re: CPPS/Chronic Prostatis. Another HUGEEEEE symptom you didn’t include is lower back pain. I suffer with the lower back pain, urethra, and pressure in the testicles/groin. It’s been a little over a month and a half, I’m 26, and yes …. Antibiotics will not touch chronic prostatis/CPPS …. namely Levofloxacin or Doxy. It’s definitely going to be a waiting game.

Hi Doc, I was testosterone therapy for my low number until my PSA came back at 2.91. So my doctor took me off of it because he said if there is cancer in the prostate testosterone would feed it. So I came back in 3 months and it was down to 1.93. In October of 2022 I caught a UTI where they found E. coli in my urine. In March of 2023 my PSA came back at 3.41. And just last week in September 2023 my PSA came back at 2.61. Now the urologist wants to do a biopsy. I have many of the symptoms you mentioned. Should they be ruling out everything else first before just jumping to a biopsy? Thanks! I’m 54 year old African American male.

I have this since 2013. Im 28 now. First 4 years was hell. I improved a lot. What helps most is managing my anxiety and avoiding inflammation causing things, like not much sleep, overtraining, overeating and using substances or alcohol... My cause is mycoplasma/ureaplasma. Took many antibiotics but it keeps coming back on and off.

Well done. I have prostatitis it can be quite miserable at times. Got it in my early 20s. I have had it for 13 years.

hello doc.. i had this test 1-3 wbc and the doctor told me i have uti..had take crptoflaxacin for 7 days..after several days the pain unrinating still coming back

Hi doc and greetings from sweden! I wish I had a doctor like you over here.. struggling with bacterial prostatitis for 5 years now. I keep getting infections and the doctors give me antibiotics. Ive done xray, ultra sound, cystoscopy, and the one thing that is ”wrong ” is that i have a cyst (?), a pea sized ball in my prostate. I want to remove it, since im not getting well, but the doctors say that its only water, and that if we would remove it it Will fill up with water again. The bacteria is almost always e-coli. Between the prostatitis ive had several bitesticle inflammations, with e coli bacterias. I had to do surgery one month ago because it was so infected and my ballsack got filled with some fluid. I also learned i had a cyst on the bitesticle that they burnt of. I wish it was ”only” the pain, but all these bacterias and antibiotics makes it so hard to keep on. I dont know what to do.. i have a daughter coming in october, so that and my gf is the only thing kereping me alive. Im 29y/o and it all started 2016. Shoutout to all the brave men fighting this horrible disease! You are not alone. I hope you read this doc, i really need help

i constantly feel tail bone pain..cant say if that can trigger..

Doc! I guessI have this CPPS or Non-Bacterial Prostatitis. I was diagnosed last year with prostatitis took some meds but still I have this dysuria pr burning urination and also I experienced pelvic pain most of the time. Can you give me some tips on what to do Doc?

Can you exercise while having pain? I'm very afraid of lifting heavy weights or doing strenuous exercise while having pain in groin and scrotum.

Very informative video. Thank you sir

An excellent concise explanation. I have very low grade prostate cancer [grade 1/gleason 3+3 with 1/17 core positive

I had exactly CPPS with the symptoms you describe plus low back pain, tried a lot of stretching and supplements, but what actually help and make me free of symptoms are doing Ketogenic diet and intermittent fasting, like after 1-2 weeks of carb free the symptoms went away.. 3 months after i had Abdominal USG again and the doctor said my prostate is in normal size and not inflammated like before. The problem is i got too skinny and feel tired (maybe i dont do keto in the right way), so i start adding healthy carb like red or black rice.. i eat whole food only and limit my other carb intake.. but i feel the symptoms are back but in a mild intensity.. so im sure the culprit is carbs.. im still trying on my diet modif, maintain regular exercises, stress management.. btw i strictly avoid caffeine like tea, coffee and chocolate, also avoiding milk. My suggestion is, if you are capable.. avoid carbs.. trust me this works, if u dont have any problem like underweight this will works wonder.. hope it helps.. God bless ❤️

I had all the classic symptoms of CPPS. Painful urination, painful ejaculation (when I could get an erection), Penile pain and frequent urination. After suffering with this for over 4 months one morning during one of my very painful urinating sessions I passed a 6.25mm kidney stone! And just like that all symptoms vanished!

Dc Eric I have a reccurence of Cpps lately.i have all the synptoms youve mentioned...is it possible that stress is tue main culprit of the reccurence?the gp just gave me an antibiotics for one week but i dont have any infection in my urine but the music threads levels is high..what does it mean?

Can cpps cause perinium pain and lower abdomen groin pain??? Testicle too???

I have some question Doc.. May I have to get your answers..

Dr how long it will take tamsulosin 0.4 to start working on chronic non bacterial prostatitis waiting for your response thank you..

Thank you for your videos as I find them excellent, they provide lots of relevant information about my condition. I have chronic prostatitis, previously, after the antibiotics did nothing, eventually, my condition improved to the point it went away for years. Unfortunately, with the advent of Covid, working from home, sitting at a computer terminal probably for far too long, my symptoms have returned. I have pain in my perineum now, which is quite uncomfortable. I went to see a urologist who prescribed Alfuzosin, which created side effects such I got off it. I'm taking saw palmetto, getting up from my computer often, drinking less coffee, working with a personal trainer twice a week. Is there anything you can suggest as well as other natural herbal supplements I can take?

Respected doctor , I have prostate problem but i don't which one is this . I'm visiting doctor regularly scheduled . I'm using medicine some antibiotics and tamsuloine HCl . I want to know about the good balance diet and which things should i avoid . Please give me some tips .

I had a case of prostatitis when I was 25--it felt like a had a tennis ball between my legs, hard to urinate. The doctor massaged it and I thought I was going to die it hurt so bad. He put me on some medication that caused me to urinate orange for awhile, but then it cleared up. That was in 1969 and I've never had any trouble since then.

Does Prostatitis increase prostate size to 40-50? Or Any enlarged prostate means BPH or cancer?

My doctor literally did the opposite and prescribed ciprofloxacin (the worst antibiotic possible) even after establishing that my urine sample had no sign of infection from two different source exams. I then come across this video that repeatedly stated NON-BACTERIAL prostatitis cannot be treated with antibiotics. I am a basketball player and I realized I just began a course of ciprofloxacin which affects tendons and leads to ruptures. Is it too late to stop taking it?

Could MCAS be part of the equation.

hello. can you help me plz . idk going on. I thot I had epididymitis. right teatical pain. very frequently peeing . alot . 20 x day . . am on 14 day antibiotic now day 4 or so . yes I feel better. but still peeing . and pain about groin

I have all the symptoms of chronic prostatitis to a T..... I had a PSA of 5.5 and the urologist wants to have me do a biopsy. The DRE was normal with a slight enlargement. My question is why wouldnt he exhaust all the other measures that my symptoms could be and instead go straight to a biopsy. I had no infection tests or anything like that, I did do a 2 week round of cipro which dropped my score to 4.5 but then it rose again, wouldnt that indicate infection??. Also I would really really like to know and cant seem to find the info anywhere online, just how much of a rise in score will ejaculation or heavy exercise within 24hrs of a psa test actually raise it. I can find that those activities can skew a test but not by how much... Thank You

how often can i take ibuprofen? tia

What about the urination of emergency, frequency, dribbling and low urodynamic. Are those also the symptons of non-b chronic prostatitis?

I have had these symptoms for years now. No one had a clue what was wrong. Why has my urologist never tested me for this? I seriously question the methods of urology in diagnosis of anything after this. Where do I turn?

I have given up trying to resolve what seems to be some form of chronic prostatitis. Have had varying symptoms since 1997. Main problem is mostly frequent urination, especially during the night. When the infection is especially noticeable, my urine has a weird pencil eraser smell to it. Processed foods and sugar often worsen condition. My G.P. is never concerned unfortunately.

Hard flaccid sufferer in da house... Got it from a ppp removal treatment.... 5 years hell now... It sucks

Can nerves and bad posture make prostate inflammation?

I'm 22 having some symptoms

Hello doctor can you please respond my message l had this problem when I was 29 and after few months I was fine I did see the doctor but don’t know what he prescribed me but he said you have to sit in warm water so I was fine until 9 years ago and since then I have problems with prostate the no find bacteria and I ask him to give me antibiotics I just take few ciprofloxacin do you think I have to take them or not iam 50 now and doctors said you have enlarged prostate but I don’t think I think I have prostatic because it is long time Please let me know what to do

Can chronic non bacterial prostatitis cause blood in urine in urinalysis??? Please help

How to identify between Non-Bacterial Prostatitis and Pudendal Neuralgia?

Sir i have only one question frequency ejaculation what is That?

Hi... Am 29,i was diagnosed with acute bacterial prostatitis with positive urine culture showing e coli growth...My prostate was enlarged weighing 67.70 gms but after 14 days of antibiotics course my prostate reduced to 22 gms, should I have done psa... My urine culture is still positive

I don't know if I missed it but it would have been helpful if you said that if we have those kind of problems. what doctor we need to see. I have a high deductible plan and I cannot waste money Dr chasing to find the right one I need to see

Can I contact you Dr ? I’m suffering from prostatitis

Ive heard avoiding all caffine, alcohol and spicy foods can help, how successful is this likely to be in treating chronic non bact’ prostitis?

How.can.i.fix.the.ed.

Sir,i have a prostate problm since,from last 4 year my age is 28 and in which test this disease can be diagnosed bcz i tested urine culture 2 time but no result found main symptoms is which i always feel erectile disfunction ,back pain ,jealousy in urethra,low sperm count what should i do???

How can i contact you

With this covid, I’ve been sitting quite a lot.

What is medicine for chronic prostatitis

Hello Dr. I dont have pain, but I am having to go to frequent and urgent urine for past 2 months. Also I have to go to pee multiple times after masturbation, the issue I have for multiple years. I dont have bacterial infection as per urine rrport and my prostate is normal size as per USG. I have good stream sometimes and low stream sometimes. Do I have chronic non bacterial prostetitis ?

I am desperate for an answer. I have not had urine or ejaculation pains, no fevers or back pains. However I definitely do feel the swelling and pain down there. I cannot afford to see the doctors and I am extremely worried. What should I do?

Am 34 years and during ultrasound I was diagnosed with prostate enlarge of 30gms and I have erection problem

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Dear DR ERIC . I have blood clot and blood in my ejaculation. Psa normal. Symptoms=weak stream and frequent urination. NO Fever , just a little burning sensation in prostate and penis. This has occurred 4 times. It comes roughly every 1.5 yrs. Each times it lasted for about 2 months. I didn't take any medication. It came, lasted two months , then disappeared with no medication. But since eight yrs ago, i started to notice that my urine stream was weak. Could this be bph, or prostatitis.? I am now 50yrs old. Thank you .

*IF YOU ARE INTERESTED - In 2012, I learned about the existence of three unique substances, for their benefits for human health, Antiviral / antibacterial / fungicide, etc., etc. I refer to MMS, CDS and DMSO, I started taking for acute prostatitis (resolved in 7 days) on another occasion an infection appeared in a tooth (with abscess and tremendous pain) and I cured it in 2 days (in these cases it was reinforced with DMSO) since 2012 my family and I, take once every 10 days, for prevention and maintenance AND WE ARE ALWAYS IN VERY GOOD HEALTH (I AM 75 YEARS OLD) - IT IS THE BEST OF THE BEST - TO GET INFORMED AND INVESTIGATE THESE SUBSTANCES.*

I'm 22 and I'm showing all the symptoms, I keep getting sharp pains in my genitals and pain in pelvic area like right above my pupic bone, everytime i go for a pee I get a sharp shooting pain in my urethra and it takes me longer to start a stream of urine my frequency of going for a pee has also definitely increased also I get pain in my bum from time to time and it's only really relieved when I'm standing up walking about also I have IBS if that is accossiated with it... could you give me some advice doc does this sound like CP/CPPS?

Dear sir Are you saying that chronic prostatise is not treatable as it is my case No bactirea every culture How long i should work on alpha blocker My psa is 1.36 I am 37 years old What shall i do ?

Hy i know that sometime medicinal mushrooms like Ganoderma, Shiitake, etc, can help people with cronic prostatitis . IT coud be neuronic disfunction sometimes, but îs a multifactorial problem.

respected sir , i had urine infection having 5-7 wbc , is it bacterial or non bacterial , plz reply sir

i think i have non balterial prostetitis/ mild case of hard flaccid :( i have always had tight lower body muscles, and social anxiety. jelp me

Does it cause erectile dysfunction?

now am thinking it's not epididymitis. because of peeing so much. no pain during pee no burn or nothing. but frequently. pain in testical goes away with alot ibuprofen

After months and months of Antibiotics and consent unbearable pain, I got my partner to take 500mg Quecetin, Pomegranate and leg stretches like standing up spilts 5min three times or more a day BUT THE TURNING POINT WAS A.VAGEL STINGING NEETLE URTICA DROPS (20 drops in water twice a day) and tea...Started to get the next day, now he's dancing about worked like a miracle. Give it a go good luck 👍

I'm having cpps For me the perenium pain and lower abdominal pain is the most difficult symptoms. Cpps is a curse

Hey doc i have prostatitis chronic , its very very a complicated thing and bad but im scary because im 23 years old and im not married can it cause infertility😩

I fasted for an entire week and when resuming eating, stuck to things like salmon and eggs. My prostatis went away after that. So did the occasional swelling in my feet and ankles.

This doctor is very aware of all the pros and cons of prostittis

at past i have prostatitis non bacterial,i don't know if it works for you or not,but i used shark oil and i secure now.always avoid spicy food and don't stress.

Hey doc. I’m 21 and I’ve had chronic prostatitis/CPPS for a year. I tried pelvic floor therapy, stretching, avoiding certain foods, and tried relaxing pelvic floor through breathing exercises. My symptoms fluctuate in severity but I am never at 100%. My symptoms are: burning/hesitancy when urinating, sometimes painful/not full erections, sometimes penile pain, and pain while ejaculating. Any suggestions?

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Can chronic prostatitis be triggered via an STI such as Chlamydia? I experienced all the symptoms mentioned, and the doc diagnosed me with chronic prostatitis after a rectal examination. To cover all basis he asked me to get an STI/STD test done and unbeknownst to me I tested positive for Chlamydia. He said it was the root cause and that the bacteria spread to my prostate to cause inflammation. After an ultrasound my bladder and kidneys were fine. I am also experiencing Haematospermia and unsure if this is directly in relation to the Prostatitis. After 4 weeks of anti biotics I can say no more burning during urination, although it still hurts to ejaculate and at times I see a small amount of blood in my sperm during masturbation. I'm not sure if all the mentioned has been a domino effect due to the Chlamydia, but thought I'd share as for a long while I thought I was alone with this issue. I love the video Doc, please shed some light if you have the time!

Sir I have been having problems urination for two years, i have frequent urination, Burning occurs after urination, painful ejaculation, pain in the penis after sex, pain in the testicle, back pain, I did ultrasound, urine routine, urine culture, Uroflowmetry, CT scan, All reports are normal but my Semen Culture report contains E.coli Bacteria, this is chronic bacterial prostatitis or some other infection? Plz Sir Rply

Does this match anyone's experience? My urologist suspects I might have prostatitis. Perhaps it's the non-bacterial chronic version of prostatitis. Nothing "emergent" shows up on urinalysis, blood tests, ultrasound, or CT scan. I just get a weird ache in my balls and abdomen that comes and goes. Sometimes I have sharp pains that knock the wind out of me. My urine is occasionally cloudy and urinating doesn't "burn" so much as it always feels like that ouch feeling when you realize you waited too long to urinate. My testicles are so sensitive that I can be in pain all day after visiting the doctor or bumping myself the wrong way. I've been dealing with this for about a month. Flowmax and Antibiotics. It's not gone yet. Any help on this are greatly appreciated! 😢

Hey guys, do red meat increase your symptoms ?? When i eat red meat i began feeling bad. I can be fine for some days, but whenever i eat red meat my symptoms come back again. Is this chronic prostatitis ? Or is another type of problem ?

have it for a year now, my symptoms is mainly localized in penis tip and urethra, like the feeling of urine stuck tip, sometimes i felt pain on left side of glans,

this has been brutal for me it’s come and gone for year n half and Drs say we did blood work you’re fine but it’s getting old .. was gone n then came back it gets worse when i eat more sugar n caffeine

Two to three tablespoons of flax oil mixed in a bowl of oatmeal worked like magic on Prostatitis and BPH for me. The Prostatitis stopped in like a day or two. The BPH took about ten days. Neither one has returned. Grinding pumpkin seed and flax seed and putting on top of the oatmeal may help as well, or at least it seems to help me. I eat a bowl a day to avoid any return of the issue.

My feeling to the answer to understanding the cause of most cases of CPPS is metabolic. I also would say that CPPS visits persons with a significant _slowing down_ of their real base-metabolism. As an allegory, according to Dr. Navaz Habib, most people don't breath the way they instinctively breath their first year of life. It is corrupted with an American milieu and diet very quickly...

Doctor, can I have a baby one day if I have chronic bacterial (ureaplasma) prostatitis for over 10 years.. I am 40 years old now. Thank you!

Prostatitis sucks! I've had it several times in my early twenties with crazy high fever and just sick in bed. My doctor said sometimes you just get dealt a bad hand and end up with the infection. It seemed to happen after I was very sexually active and then abruptly stopped due to a relationship ending. Fortunately I haven't had an infection now in over 20 years coincidentally as long as I've been married.