Have you been diagnosed with chronic prostatitis, but rounds of antibiotics like Cipro or Levoquin haven’t touched the pain? You aren’t alone. Statistics show that up to 95% of prostatitis cases are non-bacterial, meaning the root cause isn't an infection it's pelvic floor dysfunction.
In this episode, Dr. Geo sits down with Dr. Adam Gvili, a leading male pelvic floor specialist and founder of Pelvis NYC. Dr. Gvili shares his personal six-year journey through pelvic pain and explains why the traditional medical model often fails men suffering from pelvic tension, urinary frequency, and sexual symptoms.
Whether you are dealing with "Hard Flaccid," "Headache in the Pelvis," or chronic discomfort, this conversation provides a roadmap for what real healing looks like through nervous system retraining and specialized physical therapy.
In This Episode, You’ll Discover:
- The Prostatitis Myth: Why the diagnosis is often a "label of exclusion" when doctors can’t find anything else.
- The 95% Rule: Why most pelvic pain is musculoskeletal, not bacterial.
- The Danger of "Floxing": Why you should be cautious of fluoroquinolone antibiotics (Cipro/Levoquin).
- Hypertonicity Explained: How "tight asses" and chronic guarding lead to urinary and sexual dysfunction.
- The Hard Flaccid Phenomenon: What is happening to the fascia and blood flow of the penis under chronic stress.
- Beyond Kegels: Why strengthening isn't always the answer—and why learning to relax the pelvic floor is the key to recovery.
Episode Timestamps:
00:00 Is Prostatitis even a real diagnosis?
02:45 Dr. Gvili’s 6year personal battle with pelvic dysfunction.
06:30 Why 95-98% of cases show an absence of bacteria.
08:10 The danger of missing a true bacterial infection.
10:45 How "Prostatitis" labels mislead men over 50.
13:00 Case Study: When a "prostate" issue was actually a urinary stricture.
20:30 The Black Box warning: Cipro, Levoquin, and tendon health.
26:45 What a "Hypertonic" pelvic floor actually feels like.
29:00 The difference between a Urologist's DRE and a Pelvic PT exam.
38:30 Can you really isolate pelvic muscles?
43:00 Calming the nervous system: How to unlearn the pain response.
50:15 "Hard Flaccid" and the role of Buck’s Fascia in erections.
52:00 Where to find Dr. Gvili and Pelvis NYC.
👉 Connect with Dr. Adam Gvili:
Website: https://pelvis.nyc
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⚠️ Disclaimer
This podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.
