AboutStephen W. Leslie, MD Expertise Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.
Experience Full time practicing urologist with 20 years experience. Assistant Clinical Professor of Urology at the Medical College of Ohio. Editor in Chief of eMedicine Urology internet textbook. Author of only book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.
Organizations American Urological Association, Ohio State Medical Association, Sexual Medicine Society
Publications Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.
Education/Credentials Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison
Awards and Honors Thirlby Award of the American Urological Association.
Question hello and hi im a 25 year old male who had been experiencing some rectal discomfort from like april of this year i was also treated for chlamydia back in april of this year as well and up till lately didnt kno i was suffering from prostatitis until a specialist who confirmed this by doing a rectal exam i think its called ruled that out last week and put me on Ciproflaxin for 7 days i recently completed it an also have been doing warm water salt sits and thats seems to be somewhat working he also said at my age i should not be having this problem i must also add that i did my HIV 1 and 2 test in april and its negative thats possibly night months after being with my present girlfriend shes also negative my VDRL, Mono and FBC are all clean i took these last test on August 13, 2008 im just experiencing some lymph node problems which the specialist says could arrive from me having this infection he gave me an additional 10 day supply of Levofloaxcin 1 pill a day for 10 days and i have to go see him back in 6 weeks im also havin some joint and back pains i dont kno if all of that happens when u have prostatitis. im jus looking for ideas cause i hurt all over elbows, knees, neck just hurts please shed some light on what can be wrong and what other steps i can take
the chlamydia test in april is cause my girl friend said she had some pains while peeing and all then couple weeks after her mentioning she had that is when my pains started experiencing back pains and and painful urination also back pains i was given doxycycline and flagyl which seemed to have cleared it up its around the same time in april thats when i started with the rectal discomfort i kno ive read that std's can cause prostitus in young male like myself who is jus 25 im scared too cause i have lymph nodes poppin up and pains in my neck, and underarm at times which go and come soo too is a mild pelvic pain is really discomforting cause im reading bacterial prostitus can cause infertility and im pose to get married next year to my gf and i dnt want to be told i cant have kids that would really crush me and us both i kno in 2006 i had a UTI i dnt know if its this that has caused this pain and discomfort im going trough i also have headaches and chest pains i dont know if its from the medicines im taking but i kno i have to go check the specialist in 6 weeks he said its nothing to worry bout but he also mentioned someone my age shouldnt have this problem i must also mention im havin some dull shin pain as well
Answer Your symptoms don't sound like bacterial prostatitis. People with bacterial prostatitis are really sick. Chronic nonbacterial prostatitis can account for many of your symptoms, but it does not cause joint pain or lymph node enlargement. Something else is going on. A lymph node biopsy might need to be considered if they don't improve on antibiotic therapy. Meanwhile, get a second medical opinion about your situation if it doesn't improve. Prostatitis rarely causes infertility.
