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 Epididymitis 90% cured! Also got treatment from Dr Guercini! 
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Joined: Fri May 27, 2016 4:29 pm
Posts: 125
Post Epididymitis 90% cured! Also got treatment from Dr Guercini!
Hey Everyone,

I've been pretty quiet on the board lately, but have been busy with different treatment methods. Was going to wait until my next treatment before posting but thought I would share an update as I think it may help some sufferers! Sorry for the long post but lots of information that I hope may be useful!

I flew to see Dr Guercini in Rome in July. Extremely nice guy, very straight forward, answers questions, explains your condition and test results, and did very thorough testing. The experience was quite refreshing having a Doctor genuinely care about his patients and passing on his knowledge as I learnt a lot and was very appreciative to be able to understand my condition better and make progress from his treatment.

He did ultrasound testing on the prostate and bladder via the rectum (which no Urologist has ever done), that alone showed micro calcifications, bladder wall thickening, epididymis tube inflammation and difficulty relaxing my bladder sphincter. He also pressed on my pudendal nerves just inside the rectum to test nerve damage and it was excruciating even the lightest touch (10 out of 10 pain).

So from that he determined that the micro calcifications were likely from infection, and the bladder thickening was due to overactivity from the prostate being inflamed. The nerve damage could be from the bladder wall and prostate being inflamed, which I guess can compress the nerves. That may also explain my scrotodynia (itchy, red scrotum with my nerves looking compressed, but skin texture is normal so it is definitely internal). The bladder wall thickening could also be from scar tissue. Forgot to ask why my bladder sphincter can't relax but maybe from scar tissue or inflammation, or something else, will have to follow up on that.

He also did a prostate massage and then a swab to test for bacteria. I came back positive for Chlamydia, E Coli and Candida. The testing actually took some time, which is why I believe it is more accurate than the standard mainstream labs since they usually only allow bacteria to grow for 48 hours. The better labs let it grow for about a week or so. Also the prostate massage is imperative with Prostatitis or suspected Prostatitis, it may be awkward, uncomfortable and difficult to find a Urologist willing to jump at it, but I really recommend finding one that will, it's the only accurate test I think. In my 6 years of having Prostatitis, not one Urologist out of 7, recommended a Prostate massage and then to do a test.

The treatment consisted of antibiotic, antifungal and cortisone injections into the prostate and seminal vesicles. I wouldn't recommend getting injected into the seminal vesicles, only the prostate, especially if your seminal vesicles and ejaculatory ducts look fine. Mine looked fine, so he only injected the prostate the first appointment. Not many side effects besides being a bit fragile afterwards and felt completely fine after a day or two.

After the first injection, my Epididymitis went down 50-60%, and I had a swollen lymph node on my shaft that went down 70%. My main symptom with the prostatitis that is bothersome is extremely urinary frequency (especially at night I wake up multiple times per night, every night), it's very disruptive. The urinary frequency unfortunately didn't improve, so the 3rd treatment (we ended up doing 4, but 3 is the usual), he injected the seminal vesicle. That left more soreness than I felt with the prostate (not really any beyond one day). I think the seminal vesicle is more sensitive, and it is pretty much fine but I think maybe there's a tiny bit of scar tissue or perhaps small bruising which I will use castor oil for (works wonders on scar tissue even internally on the skin above the target area). Met another patient there who had his prostate pain greatly reduced as well. Definitely recommend Guercini!

So I had 4 treatments and did see amazing improvement with inflammation and also my pudendal nerves dropped from a 10/10 pain to a 0-1/10 pain by the second treatment when he pressed on them again. Unfortunately my urinary frequency didn't improve. He wanted to try botox but I decided not to as I believed the cause my still be to infection or inflammation and I'd rather target the cause than the symptoms. Dr Guercini is an amazing doctor, the nicest I have ever met, and I cannot begin to state my appreciation for his treatment, something no other doctor has ever done, even the testing and finding out more about my condition was worth the trip alone.

After finding out I had pudendal nerve damage I did some research and found out that nerve damage can also be a cause of urinary frequency, and ties into the whole infection and inflammation of the condition. I found a clinic that treats pudendal nerve damage and chronic bladder infections/urinary frequency. They are a physiotherapy clinic, and I spoke with the physiotherapist that does the treatment and he uses shockwave therapy I believe as the main treatment. The shockwave therapy he uses on the bladder and I am not sure exactly how he does it on the pudendal nerves but he seems to have good results. He says that the bladder becomes thickened when there is an infection from scar tissue and bacteria can also hide in the scar tissue and avoid antibiotic effectiveness. The shockwave therapy breaks down the scar tissue, so not only does that decrease urinary frequency in itself but it releases the bacteria. He said I need to be on antibiotics when I get the treatment.

I've gotten shockwave therapy before on my wrist following surgery as I had some heavy scar tissue. It worked amazing, only on 20 minute sessions. He does 1.5 hour sessions and does 3-5 of them depending how heavy the scar tissue is.

Since I tested positive for chlamydia, e coli and candida, I got to the doctor here when I got home and asked for antibiotics and antifungals so I can take them while I get the shockwave therapy. I was going to hold off until I got there to take them at the end of the month, but I started a few days ago, for a couple reasons.

I found out that there are biofilm disruptor medication that you can get that breaks down the biofilms surrounding bacteria (it's how bacteria can hide from antibiotics and your immune system). I saw a post on here as well talking about it. One of the main ones is Bromelain. You can also buy an enzyme combination form which includes Bromelain, Serratia Peptidase and a few others which are also just as great as Bromelain. Make sure they are enteric coated so they pass through the stomach and absorb better (also take on an empty stomach). There are also biofilm disruptor pills you can buy like Interfase Plus which includes enzymes and other ingredients, which specifically advertise for that purpose (the other enzyme supplements generally don't advertise for that purpose but they work that way).

The enzyme supplements/biofilm disruptors also break down scar tissue on top of disrupting biofilms, by breaking down the fibrin protein that makes up the scar tissue so it starts to dissolve and your immune system can dispose of it. That also releases bacteria so MAKE SURE you are on antibiotics when you take this. Otherwise you could be making your symptoms worse.

I started to take the supplement while taking natural antibiotics like garlic and echinacea just a few days ago and within a few hours, my prostatitis symptoms got worse, my urethra started burning (didn't experience that since the acute symptoms 6 years ago). Right away I knew it was because of the bacteria being released. So I started to take my antibiotics early and see how it would effect. Within another couple hours of taking the antibiotics, the urethra burning completely stopped. The next day, my epididymitis also went down almost COMPLETELY. It's been a few days now and I'd say there is less than 5% inflammation left, and the swollen lymph node is almost completely gone as well.

I also want to add that when I got home, my bladder seemed to be more frequent, and I believe that may be because the cortisone was still in my system but the antibiotics had already run their course. So I took a supplement right away called "D-Mannose" with cranberry also in the capsules. It has been proven in many mainstream studies to cure and prevent UTI's caused by E Coli and one study showed it was even 5% more effective than antibiotics. This reduced my urinary frequency quite a bit, still it is a major problem and has never gotten better than where it is now, but it brought that flare up WAY down.

For 3-4 days I have been taking the enzymes, antibiotics, antifungal, probiotics and the D-Mannose. The Epididymitis and swollen lymph node are essentially cured following this regimin. The improvement wasn't slowly happening following my treatment with Dr Guercini, as it was a few weeks and essentially stayed at 60% improved until I started this treatment at home. My remaining symptoms are the Scrotodynia and Bladder Frequency. I also saw a Urologist here when I got home who did a prostate massage and urine test to see if there was any more bacteria (before I started antibiotics at home). It came back positive for coagulase negative staphylococci. I am not sure why it didn't show in Rome or why the other bacteria didn't show here but perhaps this bacteria grew when the others were eliminated or brought down. There may still have been those other bacteria but the testing is only performed for 48 hours so I don't think they let it grow long enough. Make sure you find a good lab! I am seeing that Urologist in about a week, and if my other symptoms haven't improved I may ask for a different antibiotic to target that bacteria. I have a feeling I will still need to get shockwave therapy to break down the remaining scar tissue for my other symptoms, but will update on that. Now that I know the bacteria/candida I have had it is much easier to target. I highly recommend doing everything you can to get a proper culture so you know what you are targeting, and research the antibiotics with the highest success for that bacteria, otherwise you are shooting in the dark and will get discouraged if an antibiotic doesn't work because the proper one isn't being used. Make sure you take the antibiotics long enough once you know you are taking the right one, I believe 4-6 weeks is the proper time length for Prostatitis. Even if an antibiotic shows susceptibility to a bacteria, I don't believe that it means it will 100% work because the testing for that isn't always thorough enough, and I think the percentage of suseptibility also needs to be high and the resistance percentage low. Still researching that but trying to find out more.

I believe the biggest part of my success so far is the enzyme hands down, without it I am not sure I would have had anymore improvement as I have tried the same antibiotics I am using without the same success. I may also get that Interfase Plus antibiofilm or another brand to see if it helps anymore. Also knowing the bacteria I have/had has been essential in my progress.

Anyhow, I wanted to post an update on my progress in case it is helpful for anyone. Please don't give up on your treatment, if I had taken the Doctor's advice that has been given to me up until these last two Doctor's, I would still be suffering and have no idea what is truly going on. There is always some way to improve your condition and there is always a Doctor willing to help, you just have to find them, do your research and trust your gut, your body and your experience. You know your health better than anyone. It's important to listen to Doctor's but I've learnt to take what they say objectively so I can analyze all the information. When I speak about all the official studies I've read to Doctor's, most of them have no idea what I'm talking about, so don't always think the Doctor is on top of the research. They have many patients and conditions to treat, and their motivation will never be as high as your own. So trust yourself and keep moving forward.


Last edited by prostatitis22 on Mon Sep 04, 2017 2:06 pm, edited 1 time in total.



Mon Sep 04, 2017 1:09 am
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Joined: Thu Nov 17, 2016 3:20 pm
Posts: 201
Post Re: Epididymitis 90% cured! Also got treatment from Dr Guerc
Great to hear you found some success? The testing in Rome was all cultures? And they found chlamydia that had never been detected before? Seems like the specialists that prefer injections tend to find chlamydia that had been undetected previously.
I have had urinanalysis post prostate massage and only thing different was finding of trace white blood cells.
So, if you are not completely cured, the bacteria will regrow? Or you feel the chlmaydia has been eradicated?


Mon Sep 04, 2017 8:01 am
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Joined: Fri May 27, 2016 4:29 pm
Posts: 125
Post Re: Epididymitis 90% cured! Also got treatment from Dr Guerc
freakinfrustrated wrote:
Great to hear you found some success? The testing in Rome was all cultures? And they found chlamydia that had never been detected before? Seems like the specialists that prefer injections tend to find chlamydia that had been undetected previously.
I have had urinanalysis post prostate massage and only thing different was finding of trace white blood cells.
So, if you are not completely cured, the bacteria will regrow? Or you feel the chlmaydia has been eradicated?


Didn't show positive for Chlamydia before, only an "unknown bacteria" with high white blood cell count, from what my family doctor said. Nothing in a regular urine or semen culture (without prostate massage) since then.

I think the biggest problem with the main labs is they do not let urine or swab cultures grow beyond 48 hours. To grow Chlamydia and other pathogens, sometimes you need at least a week, especially if it's a chronic infection that has been proven resilient to treatment. Also since I had the injections 4 weeks prior, perhaps they were still active on the bacteria. I think it's best to wait 4-8 weeks before doing another culture after taking antibiotics.

I'd make sure the prostate massage is rigorous enough as well, not just a light pressure applied a couple times, rigorous enough to release anything, which I think most so who do the massages regularly but if a Urologist doesn't do it regularly they may not do it as well.


Mon Sep 04, 2017 1:00 pm
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Joined: Thu Nov 17, 2016 3:20 pm
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Post Re: Epididymitis 90% cured! Also got treatment from Dr Guerc
Yea....ilya isnt really gentle on the massage...still nothing. And nothing on numerous urine NAAT tests...cultuees and one dna semen and urine .
Glad it helped for you.....keep us posted.


Mon Sep 04, 2017 9:34 pm
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Joined: Fri May 27, 2016 4:29 pm
Posts: 125
Post Re: Epididymitis 90% cured! Also got treatment from Dr Guerc
I'm curious what lab he uses, I know there's a private one in Toronto that does proper testing time but they don't test for E Coli.

Still a strange condition indeed...

The high white blood cell count could be indicative of an infection but I guess not "definitive" proof. Personally I suspect many Prostatitis cases are bacterial even if it doesn't show, because of their ability to hide in scar tissue and form biofilms not always detected.

If they're hiding in other parts of the pelvic area.

Have you thought about taking Bromelain or another enzyme? That could release some bacteria, and then do a test, that might show something. Within a few hours of taking Bromelain and another enzyme I felt the urethra burning for the first time in 6 years, and within another few after taking antibiotics it went away and then the epididymitis has essentially been cured. May be a good way to do a culture?


Mon Sep 04, 2017 10:34 pm
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Joined: Sun Nov 06, 2016 12:59 am
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Post Re: Epididymitis 90% cured! Also got treatment from Dr Guerc
prostatitis22 wrote:
I'm curious what lab he uses, I know there's a private one in Toronto that does proper testing time but they don't test for E Coli.

Still a strange condition indeed...

The high white blood cell count could be indicative of an infection but I guess not "definitive" proof. Personally I suspect many Prostatitis cases are bacterial even if it doesn't show, because of their ability to hide in scar tissue and form biofilms not always detected.

If they're hiding in other parts of the pelvic area.

Have you thought about taking Bromelain or another enzyme? That could release some bacteria, and then do a test, that might show something. Within a few hours of taking Bromelain and another enzyme I felt the urethra burning for the first time in 6 years, and within another few after taking antibiotics it went away and then the epididymitis has essentially been cured. May be a good way to do a culture?




Thank you for sharing your story. I support your statement about many prostatitis are caused by bacterial pathogen. Many factors influence a false negative result. The method of culture and testing being used, the accuracy of the lab tests, the bacterial pathogen that causes the prostate infection (anaerobic bacteria does not grow in cultures) are only few of the many factors. Some guys here were made to believe that they developed prostatitis 3 days after they received an oral sex not due to a bacteria but due to a guilty feeling because they cheated on their wives, and because they are guilty they keep on clenching their anus which resulted to irritation of the bladder and inflammation of the prostate. I don't know how they come up with this non sense theory, I think this is a result of too much reading of the book headache in the pelvis. By the way I do not dismiss the possibility of neuromuscular\pelvic muscle floor dysfunction as a possible cause of prostatitis but my point is, doctors should not dismiss bacteria as a possible cause right away just because of a negative urine culture.
I have been effectively managing my symptoms for the past 11 months mostly between 90-95% symptom free. Since you mentioned Bromelain, I used it before and it helped me with pain and reduction of inflammation due to its strong analgesic and anti-inflammatory properties. If your concern is biofilm, try to do some research about N-Acetylcysteine. There were clinical studies to prove its effectiveness in helping prostatitis symptoms. Google N-Acetylcysteine and biofilm and also N-Acetylcysteine and prostatitis. I have been taking it for few weeks now and it helps with the congestion of my prostate. Another big thing that helped my symptoms is diet modification. I have been following a strict candida diet for 6 months now along with some herbal supplements and medicinal mushrooms.
Good luck with your treatment, don't hesitate to private message me if you have questions with diet, supplements, etc.


Tue Sep 05, 2017 4:09 am
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Joined: Tue Aug 04, 2015 6:50 pm
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Post Re: Epididymitis 90% cured! Also got treatment from Dr Guerc
Thanks for recommending bromelain guys, I will have to give that a try. It's a great digestive aid from what I hear, the anti-inflammatory benefits are definitely a plus as well.


Tue Sep 05, 2017 10:49 am
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Joined: Thu Nov 17, 2016 3:20 pm
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Post Re: Epididymitis 90% cured! Also got treatment from Dr Guerc
He uses the dna lab in concord...keele and rutherford area. Its not cheap...spent about 650 the first round of tests..about 240 the 2nd set ....he says they are more reliable.


Tue Sep 05, 2017 12:54 pm
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Joined: Fri May 27, 2016 4:29 pm
Posts: 125
Post Re: Epididymitis 90% cured! Also got treatment from Dr Guerc
freakinfrustrated wrote:
He uses the dna lab in concord...keele and rutherford area. Its not cheap...spent about 650 the first round of tests..about 240 the 2nd set ....he says they are more reliable.


Ah, yes that's the one I was referring to. They don't test for E Coli. I called them a year ago or less asking... And it's not on their website. Major bacteria to miss since it's the leading pathogen of UTI's and in many Prostatitis cases.


Tue Sep 05, 2017 2:59 pm
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Joined: Fri May 27, 2016 4:29 pm
Posts: 125
Post Re: Epididymitis 90% cured! Also got treatment from Dr Guerc
Inflamed wrote:
Thanks for recommending bromelain guys, I will have to give that a try. It's a great digestive aid from what I hear, the anti-inflammatory benefits are definitely a plus as well.


Definitely give it a try! I'd suggest taking antibiotics when you are on it... But maybe wait a few hours at least afterwards so you can see yourself if it makes symptoms worse by breaking down bacterial biofilms and scar tissue.


Tue Sep 05, 2017 3:00 pm
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Joined: Fri May 27, 2016 4:29 pm
Posts: 125
Post Re: Epididymitis 90% cured! Also got treatment from Dr Guerc
yakuh11 wrote:
prostatitis22 wrote:
I'm curious what lab he uses, I know there's a private one in Toronto that does proper testing time but they don't test for E Coli.

Still a strange condition indeed...

The high white blood cell count could be indicative of an infection but I guess not "definitive" proof. Personally I suspect many Prostatitis cases are bacterial even if it doesn't show, because of their ability to hide in scar tissue and form biofilms not always detected.

If they're hiding in other parts of the pelvic area.

Have you thought about taking Bromelain or another enzyme? That could release some bacteria, and then do a test, that might show something. Within a few hours of taking Bromelain and another enzyme I felt the urethra burning for the first time in 6 years, and within another few after taking antibiotics it went away and then the epididymitis has essentially been cured. May be a good way to do a culture?




Thank you for sharing your story. I support your statement about many prostatitis are caused by bacterial pathogen. Many factors influence a false negative result. The method of culture and testing being used, the accuracy of the lab tests, the bacterial pathogen that causes the prostate infection (anaerobic bacteria does not grow in cultures) are only few of the many factors. Some guys here were made to believe that they developed prostatitis 3 days after they received an oral sex not due to a bacteria but due to a guilty feeling because they cheated on their wives, and because they are guilty they keep on clenching their anus which resulted to irritation of the bladder and inflammation of the prostate. I don't know how they come up with this non sense theory, I think this is a result of too much reading of the book headache in the pelvis. By the way I do not dismiss the possibility of neuromuscular\pelvic muscle floor dysfunction as a possible cause of prostatitis but my point is, doctors should not dismiss bacteria as a possible cause right away just because of a negative urine culture.
I have been effectively managing my symptoms for the past 11 months mostly between 90-95% symptom free. Since you mentioned Bromelain, I used it before and it helped me with pain and reduction of inflammation due to its strong analgesic and anti-inflammatory properties. If your concern is biofilm, try to do some research about N-Acetylcysteine. There were clinical studies to prove its effectiveness in helping prostatitis symptoms. Google N-Acetylcysteine and biofilm and also N-Acetylcysteine and prostatitis. I have been taking it for few weeks now and it helps with the congestion of my prostate. Another big thing that helped my symptoms is diet modification. I have been following a strict candida diet for 6 months now along with some herbal supplements and medicinal mushrooms.
Good luck with your treatment, don't hesitate to private message me if you have questions with diet, supplements, etc.


I will check out N-Acetylcysteine. Thanks! Yes self inflicted Prostatitis from psychological reasons is absurd to me. Stress has never made my condition worse, nor has being relaxed made it better. The only thing that ever makes it worse is beer. But not a huge deal because after a day it's back to normal. I don't drink as much anymore though.

I do think stress can make it worse for some people, but that alone causing such a disruptive condition is extremely far fetched to me and is just an easy way to write off a condition they aren't researching thoroughly.


Tue Sep 05, 2017 3:04 pm
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