Dr. Bahn's Prostatitis Treatment

The procedure I utilize is as follows: First of all, I perform a complete transrectal ultrasound of the prostate to rule out any of the other possible causes, such as prostate cancer or stones in the ejaculatory duct. I use the Hitachi 6500 model, which has a comprehensive color-Doppler capability, as well as tissue harmonic function for better resolution. This is one of the first units installed in the USA. For the injection, I use trans-rectal approach utilizing 22-g fine needle. The mixture is a combination of Gentamycin, Levaquin, Diflucan, Bethamethasone, Lidocaine Torado and Flagil. The hospital pharmacist prepares this mixture within 30 minutes of the actual injection to avoid any precipitation. All together, it is 12 cc’s. I infiltrate 4 cc's into each lobe of the prostate including the peripheral zone and transitional zone. I also inject 2 cc into each seminal vesicle (if you do not treat the seminal vesicle, the efficacy goes down). I like to repeat the treatment two more times, in two week intervals. I have not encountered any significant complications or side effects so far, even though they may not be known yet. The only expected side effects are hematuria and hematospermia, both of which go away by themselves. Most of my patients have stated that the procedure was quite tolerable with only minor discomfort. All patients fill out the NIH chronic prostatitis symptom score questionnaire on each visit to objectify the effects of the treatment and this information will be used for statistical analysis for future studies.

It should be noted that this is a rather unconventional way of treating prostatitis with unknown long term effects. I still encourage you to work with your physician. You should not pursue this method of treatment unless all of your other options are exhausted and your situation becomes desperate.

–Duke Bahn, M.D.

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