The Prostatitis Foundation

Prostate Massage--Biopsy?

Just a note to let you know that I have visited Dr. Scott Zeitlin at his offices in Westwood, Los Angeles, and I have been helped enormously by his particular brand of prostate massage.

I developed a severe case of prostatitis following a prostate biopsy. The biopsy was negative for cancer, but left me in severe pain. My PSA was ever so slightly elevated, so my HMO insisted on a biopsy. If I'd known then what I know now about the prostate, I would *never* have let them near me with that needle, at least, not at this time.

I've never had prostatitis before. The condition was definitely precipitated by the biopsy.

After four months of varying agony, and no help to speak of from two different HMO docs (who both recommended 6 months of Cipro, which I refused), and no help from a private urologist I consulted, who wanted to biopsy my bladder, after Levaquin treatment failed (just what I needed, another invasive treatment)...I went for 6 weeks without any drugs (other than Motrin, and Urol-Q, which I believe did actually reduce the inflammation somewhat).

Then, I went to Dr. Zeitlin--who worked with Dr. Shoskes when both were at UCLA--who gave me an *extremely* vigorous prostate massage and drainage. He took a 5-day culture of prostate fluid. No pathogen was found.

During that initial visit, Dr. Zeitlin had to massage my gland *twice* to get the fluid out, and I think this accellerated my improvement. I felt much improved (say, 60% better) one week after the massage.

I went back for a second massage one week later. It was painful, but he did drain more fluid...and today, one week later, I feel about 85% improved.

After four months of agony, this is nothing short of miraculous to me. My bladder symptoms are all but gone. My perineal pain is all but gone. I still have urinary hesitation that I did not have before the biopsy, but I have hope that with additional massages that symptom too may resolve. I'm using Uroxatrol to relax the gland. I hate the stuff, but Dr. Zeitlin wanted me to try it for two weeks, until he returns and I can have more treatments.

Uroxatrol is better than anything else I've tried though, FLOMAX nearly knocked me out every time I got up from a sitting position..likewise Terazosin. The chance of syncope is much reduced with Uroxatrol..

Zeitlin recommended Proscar, but I'm reluctant to use the drug for several reasons. Dr. Zeitlin feels that it can shrink the gland and reduce inflammation in some instances. We'll talk further about it I'm sure.

For now, I'm just overjoyed that my condition has improved to the extent it has. I was near despair before I went to see Dr. Zeitlin.

For those who might benefit from repeated prostate drainage, I can recommend Dr. Zeitlin without hesitation. He really knows what he's doing when it comes to prostate massage.

I tried draining myself, but my finger isn't long enough to do the job right. I can get some contact with the gland, and that does seem to have a mild pain-reduction effect, but it's nothing compared to a real prostate massage.

Massage can make prostatitis worse, it's true. But it has nearly resolved my problem. So clearly, it can help some sufferers.

I've been on two 30 mile bicycle rides in the last two weeks, which is pretty amazing, since I've been unable to ride at all for the last four months. I'm using the Selle-Anatomica leather saddles, which can be found on the web. I recommend them highly. The Spyderflex saddle is also a usable product if you really are hurting, but you want to ride.

I also changed my diet completely the last four months, but that's another story, and the changes did not have any obvious effect on my condition. Massage is really the only thing that has resolved the problem.

I think it's possible the biopsy gave me an infection, an infection the Levaquin killed, but the inflammation remained. The massage seems to have made all the difference in resolving the inflammation. I'll be going back for more treatments, until this thing is gone. If that can be achieved.

My warning to *anyone* considering a prostate biopsy: don't get one immediately. A month, or even three months, will likely make no difference if you have a slightly elevated PSA. That is, under 4.0, but over the age-adjusted minimums--PSA velocity is a far more predictive test. I'd get a biopsy on the basis of PSA velocity (0.7-1.0 ng/L over-one-year-increase) in a heartbeat.

Try other methods of reducing PSA/gland-size first. Urologists are trained to cut, or give drugs. I'm convinced now that most have no clue about other methods of reducing PSA. PSA is also highly volatile, as other info on this site suggests. I would never get a biopsy on one PSA reading only, if it's below 4.0. Get another PSA test in a month, after you've changed your diet, had a couple of prostate massages, and are taking something like PEENUTS or Urol-Q. At some point you may have to get a biopsy to rule out  cancer, but be careful about it, that's all. I wasn't careful enough, and I paid for it.

Note: I am NOT a doctor! I'm just saying what I think, that's all.

If you must get a prostate biopsy, make sure you take the antibiotics before and after as prescribed, and don't do ANYTHING to annoy your gland for at least six weeks after the procedure. Use the gland-reducing/ pampering methods detailed elsewhere on this site. After a month or so, consider a gentle prostate massage by an expert to clean things out. Once your prostate is healed
(6 weeks to two months), get a couple of prostate massages on general principles, if they make you feel better.

Based on my reading, and experience, most urologists would biopsy every damned male on the planet if they could. This is clearly wrong. It's also clear why they want to do it; but that doesn't make it right. There should be a far more nuanced approach to the problem of slightly elevated PSA than most urologists seem to use.

Fwiw, I told two different highly experienced internists that I was biopsied on one PSA reading of 3.19 (I'm 48), and they both looked at me like I'd grown a third eye, and said something like "you were WHAT????" Clearly, current urological protocols in this area are not universally accepted, if ya know what I mean.

Just one man's opinion. Worth exactly what you paid for it. It is absolutely true that prostate cancer is a potentially hideous disease, and if you have a good urologist, and they really believe a biopsy is the best thing for you, then do it. But try to find yourself a good urologist! Not all uros are created equal by ANY means.

Anonymous sufferer in Los Angeles.

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