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T H E

P R O S T A T E   T R E A T M E N T

C E N T R E

"Fighting a wee problem...

with a simple spray!

Doctors discover breakthrough vaccine which could spell the end to painful UTIs"

 

Article on UTI Vaccine and interview with Mr Steve Foley

 

Published Mail on Sunday December 2017

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.

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 latest new treatments include:

1. Intra-vesical treatments

2. The new UTI Vaccine 'Uromune'

3. Radio frequency pulse heat treatment to pudendal nerve

 

The other differential diagnosis that needs to be considered 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.

Prostatitis                                                                                    

Please click here for further information about Mr Charlesworth

 

Please contact Mr Charlesworth's private secretary directly on:

 

    0118 920 7040               info@theforburyclinic.co.uk

 

or CLICK HERE to make an appointment online.

M R  P H I L I P  C H A R L E S W O R T H

BM DM  FRCS (Urol)

CONSULTANT UROLOGICAL SURGEON

Sub-Specialty Interest:  Prostate Cancer, Bladder Cancer, Robotic Sugery with Reconstrcution, and Infective & Inflammatory Disorders of the Bladder and Prostate

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Your Prostatitis Specialist

Daily Mail be clear on cancer World Congress Abu Dhabi Prostatitis 4 Prostatitis3 Charlesworth presenting Uromune in Abu Dhabi

The standard treatment is with antibiotics which most patients with a single episode, respond to very well.  

 

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.

 

Once the infections become more chronic, antibotic treatments range from keeping antibiotics at home, to going onto a low dose antibiotic where you take one every night or just one antibiotic after sexual intercourse.  

 

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.

Antibiotic Treatment

Part of the problem with patients with recurrent urinary tract infections is a deficiency in the lining of the bladder which makes them much more succeptible to infections with low levels of bacteria.  A well established treatment now, is a course of bladder installations which can be performed either by the nurse or by the patient themselves once a week for six weeks, followed by a monthly course for six months.   These are available in many NHS hospitals, covered by insurance companies and are very well tolerated.

 

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.

Please click here for more information.

Intra-vesical Treatments

Recently the use of vaccine / immunostimulation in patients with recurrent infections has become more popular.  The science behind this won a Nobel Prize for medicine in 2010 and has been very popular on the continent although very few trials have been performed to date.  

 

At Reading, Berkshire the first randomised controlled trial in the use of vaccines for urinary tract infections is currently underway.  It is a two-year trial so we await those results.

 

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.

Please click here for more information.

UTI Vaccine

Non-inflammatory Prostatitis

Uromune® a novel treatment in men with recurrent Urinary Tract Infections: First experience in the United Kingdom

 

Mr Philip Charlesworth    BM DM FRCS(Urol)

Consultant Urological Surgeon

 

Presenting the World's first peer review data presentation on the use of Uromune UTI Vaccine in men, in November 2017 in Abu Dhabi, UAE.

Uromune UTI Vaccine publication

Please click here for further information about Mr Blick.

 

Please contact Mr Blick's private secretary directly on:

 

    0118 920 7040               info@theforburyclinic.co.uk

 

or CLICK HERE to make an appointment online.

M R  C H R I S  B L I C K

DPhil (Oxon)  FRCS (Urol)

CONSULTANT UROLOGICAL SURGEON

Sub-Specialty Interest:  Minimally Invasive & Robotic Sugery for Bladder & Kidney Cancer and Benign Prostate Enlargement. Infective and Inflammatory Disorders of the Bladder & Prostate

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