T H E U K
B L A D D E R I N F E C T I O N C E N T R E
1 0 H A R L E Y S T R E E T
M A R Y L E B O N E
L O N D O N
W 1 G 9 P F
1 1 K E N D R I C K R O A D
R E A D I N G
B E R K S H I R E
R G 1 5 D U
0118 920 7040
Urinary tract infections (UTIs), also commonly referred to as 'prostatitis' in men, is an increasing problem worldwide and is often difficult to treat or eradicate.
Part of the problem is that infections in men can become deep seated within the prostate, which is termed 'chronic bacterial prostatitis'.
Chronic bacterial infections within the prostate (chronic bacterial prostatitis) is a difficult problem to treat as most conventional antibiotics do not adequately penetrate the prostate or the prostatic secretions. This can be further complicated by structural underlying problems within a man's urinary tract.
Furthermore the body's own infection fighting response to an infection can lead to long lasting inflammation within the prostate, known as 'inflammatory prostatitis' or 'inflammatory chronic pelvic pain syndrome'.
The other differential diagnosis that needs to be consider is whether symptoms of prostatitis (whether infective or inflammatory) are mimicking a more serious underlying pathology, such as cancer, or whether the pain / symptoms are referred from other neuromuscluar causes, such as pudendal nerve irritation.
M A L E U T I s
To make an appointment ...
PHONE:
0118 920 7040
FAX:
0118 920 7041
EMAIL:
LETTER:
11, Kendrick Road, Reading, Berkshire
RG1 5DU
(NB Primary site of work and location of admin & nursing team)
APPOINTMENTS:
Daily appointments:
11 Kendrick Road, Reading, Berkshire
Weekly appointments:
10 Harley Street, London
Please just call us and we will let you know all our available times.
C O N T A C T U S . . .
UTI Vaccine
Our approach to the selection of antibiotics is tailored to the individual patient based on unique sensitivity profiling of urine cultures and clinical judgement of best antibiotic according to it's specific bio-availability. In men this is particularly important to ensure the best penetration of antibiotic into the prostate and its secretions.
There is currently a lot of concern about long-term use of antibiotics and although they are well recognised and well established, alternative treatments are becoming more popular. Please click here for more information.
Seventy percent of patients with recurrent infections respond well to intra-vesical treatments with both an increase in bladder comfort and a reduction in infection rates.
The vaccine has been used in a number of patients on a named-patient basis and a recent publication in the British Journal of Urology (link below) sugests a 70-80% reduction in infections in a one-year period for patients who have tried all other treatments, and is looking very promising.
In the same way as lower back problems can irritate the sciatic nerve causing pain that radiates down the outside of the leg (in the distribution of the sciatic nerve), the pudendal nerve, or its nerve roots can become irritated. This can cause pain and dysfunction of the areas and organs it supplies, including the penis, the perineum and the bladder. Exclusion of other causes together with MRI scanning of the pelvis and lower spine can point towards this often overlooked cause of chronic pelvic pain syndrome.
There are numerous treatment options that can be very helpful for this problem, including specialist physiotherapy, nerve modulating medications, epidural / spinal injections as well as nerve root radiofrequency heat treatment.
N O N - I N F L A M M A T O R Y P R O S T A T I T I S
or C H R O N I C P E L V I C P A I N S Y N D R O M E
To make an appointment ...
PHONE:
0118 920 7040
FAX:
0118 920 7041
EMAIL:
LETTER:
11, Kendrick Road, Reading, Berkshire
RG1 5DU
(NB Primary site of work and location of admin & nursing team)
APPOINTMENTS:
Daily appointments:
11 Kendrick Road, Reading, Berkshire
Weekly appointments:
10 Harley Street, London
Please just call us and we will let you know all our available times.
C O N T A C T U S . . .
