Drainage In Prostatitis


The Prostatitis Foundation

http://prostatitis.org/drainage.html

Causes of prostatitis

Drainage in Prostatitis

Methods of treatment

It works for me

The role of 'Drainage' in treating Prostatitis
Cautionary note: This page does not express anything like a "scientific fact." It expresses, mostly, the opinion of the webmaster after three years' involvement in discussions about prostatitis.
Also see a file on Contraindications to Drainage, or another file about do-it-yourself drainage
1-03-2010
Chronic Bacterial Prostatitis - Message from Doctor Polacheck
For the past 12 years, I have been studying the cause of Chronic Prostatitis. Symptomatic patients have come to our Center from all 50 States of the United States, as well as from the Americas, Europe, Asia, Africa, the Pacific and Australia seeking a
diagnosis (and then treatment). In order to make a specific etiologic diagnosis, a vigorous prostate massage was done daily for one week. The expressed prostatic secretions (EPS) were collected and cultured for bacteria and bacteria-like organisms. I
would like to report the results from 600 consecutive patients: over 99 percent were found to have a bacteria or a bacteria-like organism, and many patients had multiple organisms. Therefore, this disorder should be properly called: Chronic Bacterial
Prostatitis.
On the other hand, read one man's testimonial on drainage.
If a comedian ever mentions the prostate gland, it is usually in reference to the dreaded "DRE," or Digital Rectal Exam, where the doctor puts his gloved finger in a man's rectum to check out the health of his prostate gland. It's a basic part of a
physical exam for men over 40, and comics act like it's the end of the world. Drainage can help with symptoms even if bacterial infection is not a problem. The dreaded DRE, however, is a basic step to eliminating bacterial infections of the prostate. Infection may be a major factor, if not the sole cause, in many cases of
prostatitis, even if cursory culturing does not show bacteria.
A very firm DRE, done with the intention of draining, or wringing out the prostate gland, we call "Drainage." Drainage has the effect of getting rid of built-up pus and dead cells, and shrinking the gland, relieving symptoms. Leakage of these "caustic
contents" of the prostatic acini may be one cause of some of the sytmpoms of prostatitis. Drainage gets rid of the caustic contents, and causes the gland to refill with blood, helping antibiotics reach disease organisms. It can shrink the gland to the
extent that symptoms go away, at least for a while.
It used to be, in the age before antibiotics (before about 1960 for prostatitis), doctors performed drainage, sometimes called "massage," when their patients had prostatitis. In some cases it was enough to cure them of the disease. But since drainage is
always at least uncomfortable for the patient, and usually at least slightly embarrassing for both doctor and patient, and time consuming, it fell out of common practice with the advent of antibiotics. It's much easier to prescribe a pill and send the
patient home.
There's another aspect of drainage that bears consideration. Some people's symptoms may be caused or aggravated by muscle tension or undesireable nervous system responses. One of the therapies for this includes pressing on pressure points within the
pelvic area that are reached in the same way the prostate is reached during drainage, in other words, rectally. It has been suggested that some of the reported benefit of drainage is because of this stimulus. For more on this theory, see the muscle
tension page and refer to the links in the left column of that page.
Your prostate gland is a complex structure of tiny acini, or sacs, in which bacteria can grow. Once they grow there, the swelling and inflammation caused by the infection closes off the sac, causing it not to "shed" bacteria, and protecting the bacteria
inside from antibiotics and your body's own immune cells. (For more on this, see biofilms.html .) As more and more acini get closed off, your prostate begins to swell and interferes with your other normal urinary and sexual functions. Even if you don't
currently have an infection, your body's immune system can cause your acini to clog and swell.
A few points about drainage:
Drainage can be painful, especially when it is done for the first time. It is never comfortable.
Drainage can become less painful and less uncomfortable the more often it is done.
If you are doing drainage with antibiotics, doing it at least three times a week is optimal. Any amount of drainage can help, however.
Drainage can be done by anybody. You don't need a doctor. You can have your partner or another person do drainage for you, as long as that person wears non-latex gloves and uses a safe lubricant. If you are long-armed and supple, you can even drain
yourself. This website has do-it-yourself instructions and comments on non-doctor drainage.
Drainage should only be done by a human finger. Objects are bad for drainage because there is no "feel." Some people, however, do drainage with objects and don't hurt themselves. We recommend against this.
Drainage should not cause any harm to you. (See the cautionary note about epidydimitis patients.) After initial drainages, you may experience more burning than you had just before, because the stuff that comes out of the clogged acini is caustic. This
side-effect will improve if you continue draining. Of course the person doing the drainage should have very short fingernails.
Drainage is essential to getting a good lab test to discover what bacteria you have. Without drainage, you may not find any bacteria. Of course there could be no bacteria there to find...
Comedians will still make fun of the DRE. We can laugh too. But for those of us who suffer from prostatitis, drainage can be a valuable tool.
I wish you the best of health, and the best of medical care.
Ken Smith .........................................................................................
We're sorry you are having to learn about prostatitis, but we're glad you came here, because we think we can help. Please be advised that the Prostatitis Foundation does
not warrant, support, sponsor, endorse, recommend or accept responsibility for any health care provider or any treatment or protocol performed by any heath care provider.
© The Prostatitis Foundation .........................................................................................


Welcome doctors

Prostatitis Foundation

Pointers to other sites

Archive

http://prostatitis.org/drainage.html

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Vigorous Prostate Massage

Questions? More on this at our Prostatitis Forum

prostate-massage

What about having an energetic, “vigorous” prostate massage? Sounds like a healthy thing to do, doesn’t it? A lot of people become confused after reading about the supposedly good effects of vigorous massage or drainage at various fringe websites
devoted to the subject of prostatitis. One such website states:

“Your prostate gland is a complex structure of tiny acini, or sacs, in which bacteria can grow. Once they grow there, the swelling and inflammation caused by the infection closes off the sac, causing it not to “shed” bacteria, and protecting the
bacteria inside from antibiotics and your body’s own immune cells. As more and more acini get closed off, your prostate begins to swell and interferes with your other normal urinary and sexual functions.”
This concept, this mental image of bacteria-filled acini, is not borne out by any research. But it’s an idea which has taken hold powerfully of many mens’ imaginations and now drives a good deal of the layman debate around chronic prostatitis/chronic
pelvic pain syndrome (CP/CPPS). You need to be aware that it is not an idea with any support both experimentally or in the urological community generally.

It seems that gentle massage of the prostate, by a urologist, may (although unproven scientifically) be beneficial by:

helping to drain painfully sequestered secretions in a chronically inflamed prostate gland or seminal vesicles (although most men with CP/CPPS have small, firm, tender prostates); or
as a leading prostatitis researcher has stated, “prostate massage” may help by releasing the tension around nerve endings behind the prostate, in the lavator ani muscles, in a manner similar to Theile’s massage which helps women with IC. This
represents a form of “myofascial release”.
However, vigorous prostatic massage may be very dangerous:

If you have acute bacterial prostatitis it can result in septicemia (blood poisoning).
If you have the beginnings of a carcinoma in your prostate, it could conceivably result in the cancer being disturbed, broken up and metastasizing (spreading) around your body.
It can result in prostatic calculi (little prostate stones made of calcium, if you have them, and they are quite common) tearing the delicate membranes in the prostate, exacerbating your CP/CPPS.
There is a chance of perforation of the very thin rectal lining adjacent to the prostate, or tearing the rectal lining with a fingernail or implement.
It may cause a hemorrhoid flare-up.
In short, do NOT ask your doctor for prostate “massage” unless you have considered all the above points carefully.

A researching urologist adds (note that this comment pre-dates the discovery that trigger points in pelvic muscles adjacent to the prostate can cause CPPS):

Vigorous pressure can result in tearing the very short segment of the urethra just below the prostate and immediately before the beginning of the penile urethra (this part is usually referred to as “membranous urethra”). The tearing can be very small
and indistinguishable on routine examination but during the healing process this results in urethral stricture. In short, if the person giving you a massage has short fingers there is a significant probability that he/she might give you… a urethral
stricture.

Moreover, indiscriminate (inappropriate massages) can result in pushing back even normal urethral flora into the epididymis and subsequent epididymitis. Therefore, I’d usually have my patients on antibiotics when I perform massages on them.

There is a general misconception that the prostate should appear enlarged, boggy or congested in “prostatitis”. While this probably is true in chronic bacterial prostatitis, most CP/CPPSers have small prostates, which are painful to massage.
Therefore, if you don’t find relief from three massages, there is a small chance that massage will benefit you at all. It deserves a try, it is something that definitely works in some cases but it is not as simple as picking one’s nose (and even this
can bleed from vigorous picking). Prostatic massage is a procedure and as such the person performing it should be aware of what he/she is doing, where he/she is supposed to press and how persevering he/she should be. I am very careful whenever I perform
the procedure and listen carefully to my patients.

I once observed the most extraordinary complication of prostatic massage. A 28 year old presented with a history of a two-year right-sided discomfort in the right abdominal/cecal area (the place where the appendix is). I performed a very careful DRE
during which the prostate was quite tender. Two days after the exam the patient developed visible anterior abdominal hematoma (collections of blood) above the bladder. Subsequent ultrasound exam revealed they were situated between the rectus abdominis
fibers. They subsequently moved down to the testicles (because of the continuity of the anterior abdominal fascia with the scrotum). The bleeding was caused by the apprehension of the patient who contracted the anterior abdominal muscles (the rectus
abdominis) strongly and abruptly thereby tearing some of the muscle fibers. My advice for patients: Be sure to relax COMPLETELY your abdomen during DRE/massage. Do it completely and slowly!

Some men do benefit from massage (alone or with antibiotics). However, remember that the increasing leukocyte count in EPS some people use as a mark of “unclogging the acini” might as well signify mechanical damage to the prostate (leukocytes are
increased in trauma, too).

As regards technique: do not push in one place; rather move from lateral to the center line of gland. Pushing at one place only can damage that area, especially if you are pushing very hard. ”

Sometimes no drops of prostatic secretions are produced at the tip of the penis. Not all prostates yield fluid following all massages. There is an interesting concept put forward by Dr. Krieger in 1996 according to which the inflamed ducts empty
following the massage, rather than during it. If you keep that in mind, massage can be beneficial even when no fluid comes out.

Remember that for some men, massage can be beneficial even when it is a massage of the muscles, surrounding the prostate, rather than the gland itself.

Lastly, an aggressive massage can theoretically precipitate an autoimmune response by releasing “forbidden antigens”, and this may explain why some men have a lot of pain after prostate manipulation.
Prostate massage warning!

The following study shows that prostate massage can have fatal consequences:

Urologe A. 2003 Jan;42(1):78-9.
Prostate massage with unwanted consequences. Case report [Article in German] Buse S, Warzinek T, Hobi C, Ackerman D.
Klinik fur Urologie, Kantonspital St. Gallen, Switzerland.

We report a case in which a regular prostate massage (chronic prostatitis) turned into a life-threatening event. After the prostate massage, an enormous periprostatic hemorrhage developed. During hospitalization the patient developed an embolic insult to
the lungs. To our knowledge no other cases have been published. This report shows the potentially serious consequences, and we conclude that any pain after prostate massage needs further diagnostic steps (ultrasound, CT scan).
PMID: 14655640
View of the Webmaster

I think it is certainly true that many men receive substantial improvement from pelvic floor massage. Massaging deep muscles adjacent to the bladder and prostate, such as the insertions of the levator ani muscles, is best accomplished by using the Wise-
Anderson Protocol Massage Wand. (Note that recent research does not support the use of prostate massage to treat chronic prostatitis or CPPS).


http://www.chronicprostatitis.com/prostate-massage/

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Diet for prostatitis

Diet should be one of the cornerstones of treatment for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). Examining your diet is part of a whole-body approach to your health, especially since many causes of CP/CPPS and pelvic tension stem from
problems that take place outside of the prostate. Certain foods and allergies to foods can create reactions in your body in the form of inflammation, and this can contribute to pelvic tension and pain. That is why looking at diet when diagnosing and
treating CP/CPPS can help to eliminate inflammation.

Diet for prostatitis is part of the NPAT treatment program for CP/CPPS. NPAT stands for:

Natural treatments (ALCAT, elimination diets, and wheat-free diets) Phytotherapy (pollen and quercetin together with probiotics)
Alternative Treatments (acupuncture, prostate massage, pelvic rehabilitation and therapy)
Total body (exercise, chronic stress management, lifestyle)
It is important for you to figure out and avoid foods that can exacerbate your symptoms. Common foods that have been found to exacerbate prostatitis symptoms include the following:

Spicy foods
Hot peppers
Alcoholic beverages
Acidic foods
Wheat
Gluten
Caffeine
Hot peppers derive their spiciness from capsaicin, which can increase rectal sensitivity in people with irritable bowel syndrome, a condition frequently found in men with CP/CPPS. Read more on Foods to Avoid.

Bowel health and prostatitis seem to be connected. That is why eating foods containing probiotics or taking quality probiotic supplements is part of a healthy diet for prostatitis. Probiotics are the beneficial, or helpful, gut microflora and include
bacteria that normally reside in balance with other bacteria in the intestinal tract.

Other dietary causes of prostatitis could be related to a zinc deficiency or environmental pollutants like BPA (bisphenol-A), an ingredient in many plastic products and food containers such as canned foods, that seeps into the food supply.

Food intolerance or food allergies can also contribute to prostatitis. The symptoms of a food intolerance or allergy may include vomiting, diarrhea, nausea, or abdominal pain. If you have a food intolerance you may also experience gas, bloating, headache,
cramps, irritability, and nervousness. A food allergy is an immune system response, and the symptoms generally can affect the entire body. In addition to the symptoms already named, a food allergy can cause hives, itchy skin, shortness of breath, a
sudden drop in blood pressure, and difficulty swallowing. Food intolerance symptoms can be uncomfortable, but food allergy symptoms can be life threatening.

It can be challenging to identify an allergy or food intolerance. You may not react to a particular food for a few hours or even days. Your reaction may be a worsening of prostatitis symptoms instead of the common symptoms you would associate with an
intolerance or allergy.

If you think that a food allergy or intolerance could be contributing to your prostatitis symptoms, try an elimination diet or consider undergoing allergy testing. Some tests like the ALCAT test do throw out false positives and can be costly, so trying
an elimination diet might be a good start.

Many men find that going on a wheat-free diet or trying a gluten-free diet can help them manage their prostatitis symptoms. Wheat and a protein in wheat called gluten can cause inflammation, which can damage the body and cause illness. A gluten-free diet
avoids barley, malt, triticale, and wheat.

In general, it is important to eat a healthy diet as part of managing your prostatitis. Avoid foods that commonly are associated with triggering prostatitis and try to include plenty of whole and natural foods such as the following:

Vegetables, especially cruciferous vegetables
Fruits (but avoid acidic fruits if they affect your prostatitis)
High-quality protein (plant protein is better than animal)
Foods high in zinc or zinc supplements
Omega-3 fatty acids and healthy fats found in the Mediterranean diet
Foods high in fiber
Following the Mediterranean diet can help you reduce inflammation in your body. Reduce the red meat you eat and instead opt for fish, beans, lentils, and nuts, which are all low in saturated fat and cholesterol. Eat foods high in zinc, omega-3 fatty
acids, and lycopene, but if acidic tomatoes or fruits are a problem for your prostate try eliminating them. It is important to stay well hydrated with water, but you should avoid drinks like soda and caffeinated coffee or tea, which have been shown to
exacerbate prostatitis symptoms. You should also limit or avoid alcohol, which can make symptoms worse.

Studies have shown that certain foods may help improve prostatitis symptoms. Foods and supplements that may help with prostate and urinary health include the following:

Calcium glycerophosphate (neutralizes acidic foods)
Docusate (softens stools)
Psyllium (fiber), polycarbophil (laxative)
Water
Baking soda
As you can see, some of the things that have helped prostatitis patients in studies also affect bowel health, which is why daily use of probiotics is also key when considering diet for prostatitis. By getting your diet under control and eliminating foods
that could be causing your prostatitis symptoms, you are going to feel a lot better as a whole.

Editor’s comment:
Generally following a diet like the Mediterranean diet will help reduce inflammation and promote healthy bacteria and immunity. The Mediterranean diet also has many other benefits for heart, prostate, and general health. Try and limit alcohol to 1-2
glasses a day. Any more than that has been shown to negatively affect prostate health. Eat organic as much as possible within your budget. Make it a point of getting regular exercise to keep your weight under control as that will also help reduce
inflammation.




Living with Prostatitis
Learning to Live with Prostatitis
Dealing with the Pain of Prostatitis
Can I Have Sex With Prostatitis?
Overcoming Depression with Prostatitis
Diet for Prostatitis
Products and Devices to Help With Prostatitis
Wheat-Free Diet for Prostatitis
Foods to Avoid for Prostatitis
Chemicals That Can Cause Prostatitis

Prostatitis and Pelvic Pain News

How Does Prostatitis Affect a Man’s Sexual Function?


What Professions Have the Highest Risk of Prostatitis?


What’s the Risk of Abscess in Prostatitis Patients?


Aggressive Prostate Cancer Rates Up Nearly 100%


Can A Pelvic Wand Treat Prostatitis?


http://prostatitis.net/living-with-prostatitis/diet-for-prostatitis/




On Friday, December 9, 2016 at 8:38:06 AM UTC-6, ⊙＿⊙ wrote:

Drainage In Prostatitis

The Prostatitis Foundation

http://prostatitis.org/drainage.html

Causes of prostatitis

Drainage in Prostatitis

Methods of treatment

It works for me

The role of 'Drainage' in treating Prostatitis
Cautionary note: This page does not express anything like a "scientific fact." It expresses, mostly, the opinion of the webmaster after three years' involvement in discussions about prostatitis.
Also see a file on Contraindications to Drainage, or another file about do-it-yourself drainage
1-03-2010
Chronic Bacterial Prostatitis - Message from Doctor Polacheck
For the past 12 years, I have been studying the cause of Chronic Prostatitis. Symptomatic patients have come to our Center from all 50 States of the United States, as well as from the Americas, Europe, Asia, Africa, the Pacific and Australia seeking a

diagnosis (and then treatment). In order to make a specific etiologic diagnosis, a vigorous prostate massage was done daily for one week. The expressed prostatic secretions (EPS) were collected and cultured for bacteria and bacteria-like organisms. I
would like to report the results from 600 consecutive patients: over 99 percent were found to have a bacteria or a bacteria-like organism, and many patients had multiple organisms. Therefore, this disorder should be properly called: Chronic Bacterial
Prostatitis.

On the other hand, read one man's testimonial on drainage.
If a comedian ever mentions the prostate gland, it is usually in reference to the dreaded "DRE," or Digital Rectal Exam, where the doctor puts his gloved finger in a man's rectum to check out the health of his prostate gland. It's a basic part of a

physical exam for men over 40, and comics act like it's the end of the world.

Drainage can help with symptoms even if bacterial infection is not a problem. The dreaded DRE, however, is a basic step to eliminating bacterial infections of the prostate. Infection may be a major factor, if not the sole cause, in many cases of

prostatitis, even if cursory culturing does not show bacteria.

A very firm DRE, done with the intention of draining, or wringing out the prostate gland, we call "Drainage." Drainage has the effect of getting rid of built-up pus and dead cells, and shrinking the gland, relieving symptoms. Leakage of these "caustic

contents" of the prostatic acini may be one cause of some of the sytmpoms of prostatitis. Drainage gets rid of the caustic contents, and causes the gland to refill with blood, helping antibiotics reach disease organisms. It can shrink the gland to the
extent that symptoms go away, at least for a while.

It used to be, in the age before antibiotics (before about 1960 for prostatitis), doctors performed drainage, sometimes called "massage," when their patients had prostatitis. In some cases it was enough to cure them of the disease. But since drainage

is always at least uncomfortable for the patient, and usually at least slightly embarrassing for both doctor and patient, and time consuming, it fell out of common practice with the advent of antibiotics. It's much easier to prescribe a pill and send the
patient home.

There's another aspect of drainage that bears consideration. Some people's symptoms may be caused or aggravated by muscle tension or undesireable nervous system responses. One of the therapies for this includes pressing on pressure points within the

pelvic area that are reached in the same way the prostate is reached during drainage, in other words, rectally. It has been suggested that some of the reported benefit of drainage is because of this stimulus. For more on this theory, see the muscle
tension page and refer to the links in the left column of that page.

Your prostate gland is a complex structure of tiny acini, or sacs, in which bacteria can grow. Once they grow there, the swelling and inflammation caused by the infection closes off the sac, causing it not to "shed" bacteria, and protecting the

bacteria inside from antibiotics and your body's own immune cells. (For more on this, see biofilms.html .) As more and more acini get closed off, your prostate begins to swell and interferes with your other normal urinary and sexual functions. Even if
you don't currently have an infection, your body's immune system can cause your acini to clog and swell.

A few points about drainage:
Drainage can be painful, especially when it is done for the first time. It is never comfortable.
Drainage can become less painful and less uncomfortable the more often it is done.
If you are doing drainage with antibiotics, doing it at least three times a week is optimal. Any amount of drainage can help, however.
Drainage can be done by anybody. You don't need a doctor. You can have your partner or another person do drainage for you, as long as that person wears non-latex gloves and uses a safe lubricant. If you are long-armed and supple, you can even drain

yourself. This website has do-it-yourself instructions and comments on non-doctor drainage.

Drainage should only be done by a human finger. Objects are bad for drainage because there is no "feel." Some people, however, do drainage with objects and don't hurt themselves. We recommend against this.
Drainage should not cause any harm to you. (See the cautionary note about epidydimitis patients.) After initial drainages, you may experience more burning than you had just before, because the stuff that comes out of the clogged acini is caustic. This

side-effect will improve if you continue draining. Of course the person doing the drainage should have very short fingernails.

Drainage is essential to getting a good lab test to discover what bacteria you have. Without drainage, you may not find any bacteria. Of course there could be no bacteria there to find...
Comedians will still make fun of the DRE. We can laugh too. But for those of us who suffer from prostatitis, drainage can be a valuable tool.
I wish you the best of health, and the best of medical care.
Ken Smith .........................................................................................
We're sorry you are having to learn about prostatitis, but we're glad you came here, because we think we can help. Please be advised that the Prostatitis Foundation does
not warrant, support, sponsor, endorse, recommend or accept responsibility for any health care provider or any treatment or protocol performed by any heath care provider.
© The Prostatitis Foundation .........................................................................................


Welcome doctors

Prostatitis Foundation

Pointers to other sites

Archive

http://prostatitis.org/drainage.html

--- SoupGate-Win32 v1.05
* Origin: fsxNet Usenet Gateway (21:1/5)