18th March 03:51
Prostate Massage Info (bacteria prostate)
If you have been reading the last couple of posts, you would find that
the Webmaster stated that bacteria bio-films are only associated with
catherization. He also stated that the clogging of the acini (ducts)
were also a product of the Dr. Polacheck conspiracy. Below I have
pasted a paragraph from Dr. Shoekes of the Cleveland Clinic Florida.
It seems that other prominant Uros do believe in massage, bio-films
and blocked acini:
"There has been renewed interest in combining antibiotics with
prostatic massage. Massage may help by 1) disrupting bacterial
biofilms; 2) unclogging pockets within the prostate that have been
blocked with inflammatory debris or 3) activating trigger points in
the pelvic muscles. We have found that this therapy can sterilize
bacteria in close to 100% of patients who have often failed multiple
previous courses of antibiotics, although symptomatic improvement is
seen in about 2/3 of these patients and a long term durable
improvement seen in only 33%. This therapy is NOT the panacea for all
prostatitis patients that some clinics claim but for select patients
we may recommend this therapy, based upon the assessment and results
from the first visit. With careful patient selection the results can
be very positive."
Patrick comment - Now, the statement does say that only about 33% see
durable improvement and it states (not pasted) that massage can be
harmful. It also states massage could activate trigger points.
Granted. Keep in mind, a reader of this website can be part of that
33%. You wont know unless you try all the options.
18th March 03:51
Prostate Massage Info (bacteria)
Shoskes refers there to 33% of the 5% of men with LUTS that show
bacteria, not to 33% of the entire CPPS patient population. Math is not
your forté, I gather.
We need to change the state of play so that muscle spasm is treated
BEFORE antibiotics are continued, and continued, and continued. Dr
Shoskes made the excellent point that IF A PATIENT HAS CHRONIC BACTERIAL
PROSTATITIS, then manual manipulation of the gland may dislodge a nidus
of infection. Don’t forget that a small structural irregularity of the
gland or the urethra, eg. a fleshy abnormality that provides a reservoir
the bacteria, is often suspected as the cause of resistant cases of
BACTERIAL prostatitis (bacterial cases are only about 5% of the total).
It is therefore NOT WISE to approach a patient population, 95% of whom
are infection free, with an anti-infection regimen reserved for men with
proven infections! There are *many other* approaches to be tried on
these men, and you may read about them here:
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