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" few things are necessary to make the wise man happy while no amount of material wealth will satisfy a fool."  
- Og Mandino

 
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Happy New year!

Sacral Neuromodulation Test Stimulation Days
Friday February 12th will be our next test days in the office. 
 

PROSTATITIS /CHRONIC PELVIC PAIN SYNDROME IN MEN

15% OF MEN BETWEEN 25 AND 75 SUFFER WITH THIS ISSUE. Less than 10 % of men with prostatitis have any kind of bacterial infection. If you have taken antibiotics for 2-6 weeks, you are unlikely to receive benefit from more antibiotics, unless you have a positive culture for bacteria!
 30% of men will have inflammation (NOT infection) of their prostate. MOST patients with prostatitis have central nervous system sensitization. (The nerves continue to respond after the stimulus is gone). 30% of men have pelvic muscle dysfunction and spasm. 10% of men have some underlying psychosocial issue. (Stress, physical or emotional abuse history)
All men suffering from chronic prostatitis (CP) or chronic pelvic pain syndrome (CPPS) should definitely: avoid spicy foods, caffeine, alcohol, chocolate (for 2 weeks to see if diet can help), work on stress reduction (therapy, hypnotherapy, mild yoga, low level cardiovascular exercise, meditation, acupuncture, chiropractic). Try warm bathes, sitting on a gel seat at work and avoid prolonged sitting.
If these self care techniques do not have the desired effect, after 4-6 weeks, see Dr. Boone.
She will need to examine you and take a detailed history. Back problems, infection, muscle problems, neurologic problems, inflammation, endocrine problems, bowel problems, pelvic floor dysfunction must all be considered.
CPPS can cause penis pain, groin pain, testis pain, thigh pain, rectal discomfort and frequency, urgency and burning with urination. Not all men have all of the symptoms.  30% of men with CPPS have somatic syndromes like IBS (irritable bowel syndrome), chronic fatigue syndrome or fibromyalgia.
Examination, testing, and treatment can decrease the frustration of chronic prostatitis or chronic pelvic pain syndrome in men.
We are happy to see you and help with your condition and are available for second opinions, even if you have a local urologist. 
 
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