Question

Age 29, weight 82 kg ,unmarried. 2 years ago I was diagnosed with prostatitis with symptoms like bone pain, fever with chills, urine bleeding, semen bleeding, little bit lower back pain, pain radiating from rectum to penis. I took antibiotic for 1 months but no symptom relieved. 6 month ago I again got bleeding episode in urine showing 100 rbcs isomorphic and in semen, I used to get black dots. Since two months I am getting rectal discomfort like pinching sensation at mouth of anus and nearby on sitting .now since 25 days, I am getting fever with chills, more lower back pain, pain nearby bladder and pelvis area ,burning with urine like morning urine looking reddish. Urine report is normal showing ca+ oxalate crystals. Mri prostate showed prostate is normal in size and left seminal vesicle whoing reduced size and signal sequlate to chronic seminal vesiculitis. Please guide me for treatment. Doctor saying that you have both prostatitis and seminal vesiculitis while mri shows prostate normal size. Currently doctor prescribed linezolid 600 mg (because eps 6 month ago showed negative cogulase staphylococcus and remarked it may be commensal) and cranpac - d for 14 days. Please guide me for treatment of vasculitis.

M.D. Consultant Pathologist, CCEBDM Diab...read more

General Physician•Sri Ganganagar

Initial treatments were all systemic, but most antibiotics do not reach seminal vesicles at effective levels and thus are not successful [3], [4]. Among the antibiotics used systemically, penicillin procaine, trimethoprim sulfa, neomycin sulphate, gentamicin, and amikacin sulphate are the ones most reported.
Continue in touch of urologist please.

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Dr.S.K. Tandon · Accepted Answer

Initial treatments were all systemic, but most antibiotics do not reach seminal vesicles at effective levels and thus are not successful [3], [4]. Among the antibiotics used systemically, penicillin procaine, trimethoprim sulfa, neomycin sulphate, gentamicin, and amikacin sulphate are the ones most reported.
Continue in touch of urologist please.

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