Acute prostatitis complications leading to urinary incontinence

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So I'm now into week 6 of treatment by urology for presumed acute prostatitis and onto antibiotic #3. The first antibiotic failed after a week. The second antibiotic had minimal improvement and the last one is mild improvement. There's only mild improvement in the burning urination and bladder pain. CT scan is normal. The urine leakage and incontinence is getting much worse. There's even some night time uncontrolled wetting and daytime incontinence requires heavy pull-ups. Does acute prostatitis ever become chronic nonbacterial prostatitis with incontinence as a complication of it? Has anyone else experienced complications of incontinence from acute prostatitis? I must admit the pain is mild but the urinary incontinence is bothersome. Thanks for the input!

 

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Best to check with your doctor. He/she will give you the best information. Good luck.

 

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I have a long history of frequent UTI/prostatitis. Prior to becoming incontinent after my last prostate surgery (a TURP 3 years ago), these flare-ups were annoying but never induced any incontinence. However, now that I am incontinent, whenever I do get UTI/prostatitis the rate of my urine loss increases significantly, from 1-2 medium pads a day to a pad every 2-3 hours.

Typically I would take a 2 week round of antibiotics (either Bactrim or Cipro) when the infection first kicked in. I would get better, but then I would be back on another round of antibiotics within 4-6 weeks. My urologist and I finally decided we'd really ramp-up the antibiotic for an extended time-period (I was on Bactrim DS 2-a-day for 12 weeks), and now I take a daily Trimethoprim 100mg in the evening before I go to bed. This seems to be working really well for me.

 

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How was acute prostatites diagnosed? I’m pretty sure acute can become chronic, while infections can make incontinence worse. Or could it be something else like interstitial cystitis?

 

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@cmulwee this is very similar to my background. I was taking cipro for a month at a time for prostatitis. I'm not sure that it ever went away properly, Phil

 

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This is actually my second time to get on a "permanent" low-dose antibiotic. I had done this a couple years ago, and things were going fine. I had a urologist at the time that was against long-term antibiotic therapy. After many months of taking the low-dose antibiotic I was almost guilt-tripped into stopping it. Well, it took several months, but I had a recurrence of a more significant infection. I went back on the heavyweight drugs (can't remember if it was Bactrim DS or Cipro); changed to a new urologist; and now am back taking the daily Trimethoprim 100MG. I have no intention of stopping it, ever!

I did talk in detail with my new urologist & my primary care doctor (both of whom I have great confidence in) about the long-term use of antibiotics. They said that they too subscribe to the theory that misuse of antibiotics is a big problem, but in my case the benefits outweigh the cost.

 

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@cmulwee I also take 100mg trimethoprim each night, unfortunately I got an infection after a recent urodynamics test.

 

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Phil, anytime I'm having an instrument inserted into my urethra (ie. cystoscopy or urodynamics test) I always ask the doctor to give me a round (7-10 days) of a stronger antibiotic, as I too always get an infection. Then I'm back to my trimethoprim. So far that has worked well for me.

 

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@cmulwee thanks for sharing this plan, I will have to try the same, cheers Phil