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Male Urinary Problems - Prostate and Bladder Infections

Mens health

This page, like the rest of our website, is provided for your information, and is not meant to be substitute for medical advice from a qualified professional. See your doctor for that.

Although most of this website is devoted to dealing with female UTI and cystitis problems, they can be just as serious in men, and sometimes just as difficult to deal with using routine antibiotic treatments. And there is the additional complication in men that there can be some prostate involvement - a bladder infection in men can be the result of cross-infection from the prostate gland, and the prostate can become infected as a result of cross-infection from the urine. The two related infections can result in continual re-infection after antibiotics.

First, if you have not already done so, see your doctor. If you have a urinary tract infection or cystitis symptoms, you need to find out what is going on. There could be some prostate involvement. Or you might have an STD of some kind. If you have any kind of penile discharge, pain in the perineaum area (between anus and testes), or any kind of testicular or perineal swelling or discomfort, it's especially important to see your doctor.

Been there - done that

But if you've been thoroughly checked out, and perhaps already gone down the antibiotic route and it hasn't worked, then hello, welcome, and relax - our experience with thousands of customers in the same situation has shown that Waterfall D-Mannose will almost certainly quickly clear up your infection. Most of the time, you will feel considerable more comfortable within 24 hours. Again, most of the time, your symptoms will completely clear within a few days. (But keep the treatment going for a while).

Why didn't Antibiotics Work?

I'm Worried. Why didn't Antibiotics Work?

The usual course of events with urinary tract infections for men is similar to that of women - you somehow pick up an infection that is rapidly develops resistance to antibiotics, or it can even be resistant right from the start. Antibiotics cause the infection to die down for a while, but it soon gets going again, and the symptoms return. You get more antibiotics, and the same things happens again - and again - and again. Your doctor becomes frustrated at not being able to solve the problem, and sends you to a urologist, who proposes a cystoscopic examination.

Cystoscopic examination

My urologist has recommended a cystoscopic examination. Is it worth going ahead?

It may well be absolutely necessary, and important for you to have the procedure done. But make your own informed decision. Unless you've got bladder cancer or something, most of the time the urologist will confirm what you already knew - that you have an inflamed bladder from all the infections, and that's why it's sore.

Here's what else customers have reported as the result:

  • "Your bladder looks very inflamed - take these antibiotics and come back in a month and we'll have another look."
  • "There is a sore patch - we'll need to take a biopsy to see what's going on."
  • "Your bladder looks like raw meat. I'm going to prescribe a mild sedative to try to calm things down."
  • "There is nothing obvious going on. We could try a bladder instillation to see if it helps with the pain."
  • "There are a few white/red spots. I'm going to do a biopsy to investigate."
  • "You have what appears to be a bit of a prolapse. We could put a sling under your bladder and pull it up a bit."
  • "Your urethra seems a bit narrow. I'm going to book you in to have it stretched."

You need to be aware of a few things you might not be told.

  • A cystoscopic examination is just that - an examination, rather than a treatment. It's amazing how many people have said to us - "I had a cystoscopy done, but it didn't work."
  • Investigation with a cystoscope can exasperate simple urinary tract infections, occasionally causing urethral damage or more serious infections.
  • It's hard to sterilise the equipment properly, and even after coming out of the 'sterilising' fluid, if there is any mucous left from a previous patient, the equipment is unlikely to be sterile.
  • Many urinary tract operations provide only temporary relief from symptoms.
  • Sometimes operations fail or make things worse.

Plus, it can be one of the most painful things a man has ever experienced. A soldier, who had been shot and incapacitated in Iraq, recently told us that being shot was preferable to being catheterised. Others have told us of torn urethras, multiple hospital acquired infections, and pain from the procedure that persists long after the infection has disappeared. These things happen to a minorty of patients, but it is unpleasant to be in that unlucky group.

Others have told us it didn't hurt that much, and there was no problem, and no additional complication of the infection.

Look at the options

It's worth ensuring that the procedure is not being done for trivial reasons. Less than half the cystoscopic examinations performed overall, provide useful information. When they are being performed as a result of simple repeat infections, rather than as a result of something found by a MRI scan or X-Ray, like a lump or diverticulum, it's much less common for the examination to add anything useful. Your surgeon may confirm that information if you ask.

And it is also worth looking at the alternatives. Could you have a scan instead? Could you pay to have your urine properly checked out at a private lab to look for bacteria that might not have been found in less thorough NHS tests? What is the difference between the prognosis if you do and if you don't have the procedure done? Ask, and you may be told. Focus on getting specific information rather than general non-committal answers. Someone not competent to answer these questions is not an expert in the field.

It's worth looking at your doctor's notes, and of course you have that right guaranteed under law. This is likely to antagonise your doctor or specialist, but there is really no other way to find out what is written there. You can ask for copies of anything you want to look up. You might have to pay for them.

And what about asking how many times the person doing the procedure has done it before... You don't want to be in the first (say) fifty... before a high level of competency has been reached, do you?

The levels of competency expected of individuals vaies according to their stage of training:

  • U= Unknown
  • D= Unable to perform the entire procedure
  • C= Able to perform the procedure with supervision
  • B= Able to perform the procedure unsupervised
  • A= Able to teach the procedure

Personally, I think I'd want someone with level 'A' competency to do the procedure. Sometimes this is also called Level 5.

Beyond that, if you need to have a urological operation, the chief resident urologist is going to be the real expert in the hospital. You can ask - "Who is the Chief Resident?" You might have to pay privately to get that person.

Hematospermia - Blood in the Seminal Fluid

It gives you a fright, but most of the time the presence of blood is not something to be alarmed about, although it is worth getting yourself a thorough checkup from a competent and caring doctor, if you can find one.

Most commonly, blood in the seminal fluid results from inflammation or infection of the urethra, prostate and/or seminal vesicles.

The cause, despite investigation, might never actually be found - semen originates from multiple organs, including the testicles, seminal vesicles, epididymis, vas deferens, and prostate. Most of the semen comes from the prostate and seminal vesicles, and therefore these are likely to be involved. The blood is most likely to be the result of a simple infection - usually E.coli - the cause of about 90 - 95% of hematospermia.

If you've noticed the blood before other symptoms have arisen, one or two spoonfuls of Waterfall D-Mannose® will usually get rid of it, but if you have other symptoms like abdominal pain, pain in the perineum, and painful ejaculation, it may take a full 50g pack of Waterfall D-Mannose , or more, to clear up the problem.

What we suggest is that immediately upon noticing the symptoms you start on the Waterfall D-Mannose , and also visit your doctor for a check-up. There's a strong chance you'll get rid of the problem quickly with the Waterfall D-Mannose , but you'll need to have antibiotics in hand just in case. Since Waterfall D-Mannose works quickly, and does not have side effects, it's worth giving it a 24 hour chance to start sorting things out for you. But if you don't get relief fairly quickly, the antibiotics may be your only option.

Get rid of the puss

White blood cells also flock to the site of infection, and this can cause painful swelling. And they don't really have a route out unless you get rid of them. If you are able to, we suggest ejaculating a couple of times a day to help clear out infected fluids - there is no point in letting puss and infection accumulate in the problem area, and a huge amount of customer feedback confirms that it really does help to get rid of the infection, even when people have to resort to antibiotics.

Critical symptoms

If the infection is located in your prostate, and it's in an advanced stage, your prostate might swell up so much that you can't urinate easily, or even at all. It's critical to get immediate medical attention if this happens. You are likely to need catherisation and strong antibiotics.

UTIs and Cystitis

In men, as in women, Waterfall D-Mannose will get rid of most UTIs within a day or two, but it's best to at least finish one tub/packet of the product to properly flush away the infection. Again, as with women, you might want to stay on a maintenance dose for a while if you have a real propensity for infections - they tend to recur once you've had one.

The symptoms of a simple infection can be all or some of the following:

  • rapid onset bladder pain (lower abdominal pain that is releived when you urinate)
    smelly or cloudy urine
  • painful or uncomfortable urination
  • difficulty urinating
  • urinary urgency and frequency

For more complicated cystitis symptoms, Waterfall D-Mannose may take longer to work, but most of the time you will begin to see a difference within a short time - it is a natural anti-inflammatory, and so even painful interstitial cystitis is often substantially relieved within a few days (and if you don't believe that, the only way to prove it is to try it). We have feedback from people telling us that Waterfall D-Mannose is the only relief they have ever got from the symptoms. For some men and women, it's given them their best relief in many years. For others, and we can prove this - it's the only thing they say is keeping them alive.

Note - We've had outraged people from IC societies angry that we are suggesting that a simple sugar could clear this difficult problem, but our feedback suggests that about 80% of people are getting real relief that gets better with time. Try it! And don't think this is a placebo effect - it works for animals too!

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