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I am 48 and have recently had a 2 month battle with prostatitis.
Background leading up to the prostatitus:
The protatitis condition started 3 days after I was release from the hospital. Previous to the hospitalization I had a deviated septum and turbinate reduction surgery performed. I was on antibiotics for 14 days which is required for me due to my mechanical heart valve. While I was in the hospital I was given a different antibiotic for the 3 days I was there.
I was in the hospital for a severe post-op nose bleed(scab let loose).
Prostatitis: 5/18/09
The 1st round was acute prostatitis, which require me to be catheterized for a day, put on Levequin for 14 days, and Flowmax for a few days. After 14 days my urine culture was clean. About 7-10 following the clean culture I started burning again. This time I drank tons of water and it looked like it was working, all the way up to the point where my left kidney started hurting. I knew at that point I had to go back to the doctor. Culture confirmed that I was infected with e-coli again. I was put on amoxicillan for 14 days followed by some other antibiotic(Cepro) for 14 days.... 28 days total. I have been clean for about a month now.
I recently had my PSA taken and the results were 4.13, the blood was drawn on 8/28/09.
My past PSA's: Dec 2006 = .76 Dec 2007 = .88 Dec 2008 = .93
The digital exam results: 1st round inflamed and tender 2nd round slightly inflamed on left side
Every since my Prostatitis experience, I have noticed when I start a stream or if I haven't drank enough water, that my urine feels hot flowing thru the urethra. It doesn't burn, but feels hot, like a hose that's been sitting in the sun. At 1st the water is hot but, as it flows thru the hose it eventually cools down.
Is this(hot) an indication that I may still be experiencing prostatius, but without the infection? Would this or the protatitis episode cause my PSA to rise so high in a short period of time?
Previous to the Prosatitis my urine never felt hot or burning.
My family has no history of prostate cancer. Up till Jan. of 2009 I was very physically fit/active. My cholesterol has risen somewhat since Dec 2008. I am finally getting back to exercizing. I am not overweight and eat healthy.
Does the elevated PSA sound like something to be concerned about at this time? or should I continue get PSA tests every couple months to see where this thing is going?
I am thinking wait and see. I'm not too keen on a biopsy, since I have to go off my Coumadin and I have to get on another antibiotic.
