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Urology/dilema on recurring prostatitis

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Question
Doctor, i have a dilema, once a year for the last several years i begin to get symtoms of urine leakage and dribble of flow, i see my urologist who feels my prostate and says i have a boggy prostate, i go on a month of levaquin and am good again for about 9 months then it all starts again.  Is it safe for me to be taking a month of antiobitics for this once a  year?  I just cant seem to shake it, i have a driving job and im 45.  Blood test psa is normal.   Thank you for your input

Answer
Marc:

Arguably, you may need to be on the antibiotic longer or on long term suppressiopn since the problem keeps returning.  You should also probably look at your seat since driving does increase irritation to the prostate.  A donut might be helpful.

It would obviously be better not to require an antibiotic rouitine, but you have little choice.

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Stephen 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 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved 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. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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