The Truth About Prostatitis

madman

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In this insightful episode of the Dr. Geo Podcast, Dr. Geo Espinosa dives deep into chronic pelvic pain syndrome (CPPS), discussing its causes, diagnosis, and innovative therapies. Joining him is the renowned Dr. Jeanette Potts, a urologist and expert in CPPS, who brings her wealth of experience from her time at the Cleveland Clinic and beyond.




Key Takeaways:


Understanding CPPS: Learn why prostatitis might be an overused or even misdiagnosed term, and how CPPS encompasses a broader spectrum of symptoms, including penile pain, testicular pain, and pelvic "itis."

The Role of Central Sensitization: Discover how CPPS often intersects with functional somatic syndromes, highlighting the importance of a holistic approach to diagnosis and care.

Practical Insights for Patients and Practitioners: From using timelines and genograms to exploring therapies like pelvic floor physical therapy, deep breathing, and even neuromodulation.

Treatment Misconceptions: Dr. Potts and Dr. Geo discuss the pitfalls of over-reliance on antibiotics and the importance of avoiding unnecessary invasive procedures.


Dr. Potts also shares her call for a better healthcare system while offering actionable advice for patients on how to prepare for appointments and advocate for themselves effectively. Tune in for an episode filled with valuable insights, practical tools, and hope for those navigating the challenges of prostatitis
.




Chapters


00:00 The Truth About Prostatitis with Dr. Jeanette Potts
05:42 Diving into Prostatitis Misdiagnosis
06:30 The Role of Antibiotics in Treating Prostatitis
19:14 Physical Therapy and Prostatitis
21:15 The Importance of Prostate Massage
28:53 Understanding the Pudendal Nerve
32:21 Pudendal Nerve Diagnosis and Treatment
33:30 Challenges with MR Neurograms and Imaging
34:19 Pelvicitis and Diagnostic Tools
36:12 The Genogram Approach
37:39 Case Study: Interstitial Cystitis and Genogram Insights
40:04 Mind-Body Connection in Pelvic Pain
45:06 Central Sensitization and Functional Somatic Syndromes
49:13 Therapies and Psychological Connections
 

 

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Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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