You are here:

Urology/infection

Advertisement


Question
QUESTION: dr leslie,my problem maybe this enlarged prostate is causing the infections.my urologist did urine sensetivty test and it said macrobid for 7 days.my dr said after 7 days with microbid I don't need urine rechecked.the urine frequency from enlarged prostate is  always thereif I don't get my urine checked the infection could spread?if I still have infection do I automatically go to hospital or does he put me on another antibiotic.when I asked him my chances of hospital he said very low.whats your take on getting rechecked urine.im worried about bacterial resistance

ANSWER: Howard:

Rechecking the urine is reasonable.  Macrobid does not penetrate the prostate well.  Hospitalization for such an infection would be exceedingly rare.

---------- FOLLOW-UP ----------

QUESTION: my urine culture said bacterial is enterococcus will macrobid knock that out.urologist did not check rectum.culture also name ampicillin and vancomycin.does enteroccus indicate prostate infection

ANSWER: Howard

Macrobiotic can be effective against enterococcus. The fact that culture is enterococcus does not indicate whether or not the prostate is affected.

---------- FOLLOW-UP ----------

QUESTION: so if macrobid don't work he gives me another anti-bitoc.do they eventually cure people who get repeated infections.before they get bacterian resistence.think im overly concerned about this enteroccus infection.internet said hard to cure

Answer
Howard

People with recurrent (new) and relapsing (same) bacteria can be cured but the underlying reason needs to be identified. An infected prostate cancer be the source of repeated infections, also stones can do this.

In your case, you have an infection that may or may not need a different antibiotic. Don"the get so upset about resistance, IV antibiotics, c. Diff and the rest or you will continue to worry yourself unnecessarily.  

Urology

All Answers


Answers by Expert:


Ask Experts

Volunteer


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

©2016 About.com. All rights reserved.