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Question
Doctor

I am on Septrin DS now for 2 months because my urologist diagnosed with me with chronic nonbacterial prostatitis and lack of morning erections. After 45 days of continuous use I started to have them back not a daily basis but may be once every 2-3 days. My doctor advised to continue on Septrin for 3 months.

Ultrasound showed prostatic calcifications. Now I am very much concerned as I read that calcifications can be a permanent sourse for prostatic inflammation and infection. Is this true..I am extremely worried....is there any medical treatment that can I try to dissolve these calcifications???

Answer
Claude:

While prostatic calcifications can create a problem with prostatitis, they usually don't.  There is no way to dissolve these stones medically.  The only way to get rid of them is to surgically remove the prostate tissue over them such as with a TURP.  Meanwhile, continue prostatitis treatment.  This program may include:

Hot sitz baths twice a day for 10 minutes.
Avoid caffeine, smoking, hot spices and alcohol.
Use a donut or soft cushion to sit on.
Anti-inflammatories like Aleve or Ibuprofen.
Alpha blockers like Flomax.

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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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