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 First, Thank you. I will try PEENUTS. I wanted to add that I have eliminated caffeine from my diet for months, along with spicy foods. I have been cutting back on alcohol, but I actually get relieve from a few drinks. I wanted to ask that my frequent urination is different then what I see described for prostatitis. I can urinate 350ml and within an hours have to urinate and produce another 350ml. The stream is strong and the urine is clear. Most accounts of prostatitis seem to be weak stream, urgent need to go but hardly anything comes out, stop and start. I don't have those symptoms. Feels like something is irritated inside, which is causing me to produce more urine. Would a cystoctopy be useful in your opinion?
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The text above is a follow-up to ...
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I am becoming extremely frustrated with my problem, has been occurring for almost 7 months. Basically frequent urination and burning discomfort in abdomen.
32 male – in good health and tested negative for diabetes. I have been tested several times for STD’s, all negative. Treated with Cipro and Bactrum – neither resolved urinary symptoms. Problem starting with burning at the tip of penis which went away after several months. Frequent urination then started, with constant feeling of having to urinate even after peeing. My urine flow is strong and generally between 300- 400ml when I void. I am able to sleep through the night without having to pee.
I have been to two separate urologists who feel this is prostatitis. Can you suggest vitamins or supplements that may speed the healing process? I saw you suggested B-6 in another response for burning but at what dose? I am currently using yoga and the Jacuzzi to relieve the discomfort. This condition has made my life miserable and work difficult. Thank you!
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Frequent urination can be treated various ways. The B-6 suggested previously was intended to be a therapy for nerve problems and is unlikely to help with an infection. Still, it can't hurt. Usual dose is 50-100 mg daily.
Other supplements that I recommend to my own patients with prostatitis include Quercetin and PEENUTS (this is a specially designed wellness formula for the prostate specifically intended for prostatitis.) PEENUTS can be ordered directly from the website, www.peenuts.com.
Other remedies include sitting in a hot tub twice a day and avoiding caffeine, smoking, hot spicey foods and alcohol.
There are medications like Detrol that will specifically relax the bladder and hopefully relieve the frequency. Ask your urologist.
Answer The description you've seen for prostatitis is for acute prostatitis where the degree of prostatic swelling is more severe. Cystoscopy may help show what is happening, but will irritate the prostate. Prostatitis may stimulate frequency, but not urine production. That is determined by the kidneys. 350 cc is a normal bladder voiding volume.
