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There are no prostate issues and never have been going back a decade and more and feedback from rectal exams is that everything is perfect. Certainly no symptoms consistent with that. My last PSA (2 days ago) was in the middle of the normal range and the prostate feedback is also 2 days fresh.Sorry that I neglected to include this information.
Thank you. The objective evidence despite nothing ever culturing out, is that cipro consistently has abolished the characteristic and striking symptoms of a UTI. Not a placebo effect. I am not sparring with you but merely seeking to fill in gaps the better to help you consider my situation and my reluctance to be probed again with no symptoms whatever evident on the strength of a ten year baseline that wobbles between 3 rbs and 4 rbc with 3 rbc being some arbitrary normal range limit.
Okay, thank you. You have provided me with some intelligent discussion points that I can and will use. One last follow-on and then I think I will be fully prepared.As I mentioned, I ride and jump horses (English) 3 times or more a week, and have done so for a dozen years or more. Rarely is there any painful clash with the saddle while riding or jumping, but there definitely is deep contact with no pain or discomfort between the saddle and the space behind my testicles between my legs when I'm not in 2-point (hovering above the saddle). Can this gentle but chronic contact possibly contribute to the stray rbc's? Another talking point with the urologist, one that my primary care physician mentioned but seemed unwilling to use as a satisfactory explanation without calling in a 3rd party.
Thank you, XXXXX XXXXX very pleased for your feedback and comments about the aggravating effects of riding on both of what you've termed "march hematuria" and on prostadynia. I don't know the term "march hematuria". Perhaps there is an equivalent term. If so, I'd appreciate knowing the equivalent.Thank you for being so thorough and complete in your answers. I'm sure you don't encounter so many inquiries from non-physician scientists who don't know all that much, but just enough as the saying goes 'to be dangerous'.I am happy to give you positive feedback. You certainly have earned it.
Thank you for your help at the time I inquired and the follow up. Hope each back-and-forth for clarification didn't get billed afresh as a new question ;-) I did leave you a gratuity. The referral my primary care MD was so anxious about seems not to have turned up yet. Probably just to preserve the long ago relationship with the urologist I should schedule an appointment and pay the co-pay, bring him up to date, and tell him that I think anything that has been baseline for ten years, both before and after his last extensive workup including an unremarkable cytoscopy and other lengthy urine studies, is nothing I care to pursue but that I'm willing to consider some trivial non-invasive tests . Kind regards, Steve