I am 48 and have recently had a 2 month battle with prostatitus.


Background leading up to the prostatitus:

The protatitus condition started 3 days after I was release from the hospital.
Previous to the hospitalization I had a deviated septum and turbinate reduction surgery performed.
I was on antibiotics for 14 days which is required for me due to my mechanical heart valve.
While I was in the hospital I was given a different antibiotic for the 3 days I was there.

I was in the hospital for a severe post-op nose bleed(scab let loose).


Prostatitus: 5/18/09

The 1st round was acute prostatitus, which require me to be catheterized for a day, put on Levequin for 14 days, and Flowmax for a few days. After 14 days my urine culture was clean. About 7-10 following the clean culture I started burning again. This time I drank tons of water and it looked like it was working, all the way up to the point where my left kidney started hurting. I knew at that point I had to go back to the doctor. Culture confirmed that I was infected with e-coli again. I was put on amoxicillan for 14 days followed by some other antibiotic(Cepro) for 14 days.... 28 days total.
I have been clean for about a month now.

I recently had my PSA taken and the results were 4.13, the blood was drawn on 8/28/09.

My past PSA's: Dec 2006 = .76
Dec 2007 = .88
Dec 2008 = .93

The digital exam results: 1st round inflamed and tender
2nd round slightly inflamed on left side

Every since my Prostatitus experience, I have noticed when I start a stream or if I haven't drank enough water, that my urine feels hot flowing thru the urethra. It doesn't burn, but feels hot, like a hose that's been sitting in the sun. At 1st the water is hot but, as it flows thru the hose it eventually cools down.

Is this(hot) an indication that I may still be experiencing prostatius, but without the infection?
Would this or the protatitus episode cause my PSA to rise so high in a short period of time?

Previous to the Prosatitus my urine never felt hot or burning.

My family has no history of prostate cancer.
Up till Jan. of 2009 I was very physically fit/active.
My cholesterol has risen somewhat since Dec 2008.
I am finally getting back to exercizing.
I am not overweight and eat healthy.


Does the elevated PSA sound like something to be concerned about at this time?
or should I continue get PSA tests every couple months to see where this thing is going?

I am thinking wait and see.
I'm not too keen on a biopsy, since I have to go off my Coumadin and I have to get on another antibiotic.


Any thoughts?