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Urology (Expert Forum)
Urinary Tract Infection and other symptoms
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
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Urinary Tract Infection and other symptoms
by jui, Apr 11, 2003 12:00AM
I am a 28 year old sexually active male. Same partner for 7 years. Tested for all STDs 7 years ago. All negative. I have been having these symptoms since January and they are beginning to frustrate the heck out of me. I have seen a few other people on this forum with (very) similiar problems. Here is a list:
1. Burning/pinching at tip of penis ONLY at the beginning of urination. During urination there is no burning or discomfort whatsoever. Sometimes my urine sprays out at first or comes in a split stream, only to meld into a single stream after a second or two.
2. Heaviness/Soreness of one testicle. Left or right depends on the day.
3. Tightness/slight pain in groin.
4. Slight ache/ slight discomfort abdomen.
5. Lower back ache. I actually had this before the other syptoms and now am confused as to whether it is related at all. The back ache starts when I get out of bed and is gone within an hour.
6. Tingling in inner left thigh occassionally. Wierd.
All of these things are recurrent except for the burning/pinching at the beginning of urination. That is a constant. The other sypmtoms will go away for as long as a week before coming back and lasting anywhere from 3-7 days.
First visit to GP, urinalysis showed nothiong wrong. Referred for ultrasound. Ultrasound showed nothing wrong. Second visit to GP. Did urinalysis and found bacteria. Subsequent UTI diagnosis. I have been on cipro for 10 days with little to no changes. I am scheduled to see a urologist tomorrow morning.
Pain is not debilitating. Just frustrating and (most of all) DISTRACTING. Can anyone help?
The information some others have posted was so similiar to my symptoms that I figured I would track their recovery (hopefully) and try to see what they did to cure.
Pleae let me know what may be causing these issues, how serious they are, and what the long term prognosis may be.
Also, please let me know if anyone has made any progress with these similiar posts.
1. Burning/pinching at tip of penis ONLY at the beginning of urination. During urination there is no burning or discomfort whatsoever. Sometimes my urine sprays out at first or comes in a split stream, only to meld into a single stream after a second or two.
2. Heaviness/Soreness of one testicle. Left or right depends on the day.
3. Tightness/slight pain in groin.
4. Slight ache/ slight discomfort abdomen.
5. Lower back ache. I actually had this before the other syptoms and now am confused as to whether it is related at all. The back ache starts when I get out of bed and is gone within an hour.
6. Tingling in inner left thigh occassionally. Wierd.
All of these things are recurrent except for the burning/pinching at the beginning of urination. That is a constant. The other sypmtoms will go away for as long as a week before coming back and lasting anywhere from 3-7 days.
First visit to GP, urinalysis showed nothiong wrong. Referred for ultrasound. Ultrasound showed nothing wrong. Second visit to GP. Did urinalysis and found bacteria. Subsequent UTI diagnosis. I have been on cipro for 10 days with little to no changes. I am scheduled to see a urologist tomorrow morning.
Pain is not debilitating. Just frustrating and (most of all) DISTRACTING. Can anyone help?
The information some others have posted was so similiar to my symptoms that I figured I would track their recovery (hopefully) and try to see what they did to cure.
Pleae let me know what may be causing these issues, how serious they are, and what the long term prognosis may be.
Also, please let me know if anyone has made any progress with these similiar posts.
Doctor's Answer
by Kevin Pho, MD, Apr 12, 2003 12:00AM
, Apr 12, 2003 12:00AM
Hello - thanks for asking your question.
You describe burning when urinating (known as dysuria). U/A showed bacteria. Treated with Cipro for 10 days. Ultrasound (? scrotal ultrasound) was negative.
First of all, make sure the bacteria that is growing from the urine is sensitive to Cipro. Resistant bacteria would need another antibiotic to treat it.
If the scrotal ultrasound was negative, then epididymitis is not likely. If a scrotal ultrasound was not performed, one should be done.
Another consideration would be prostatitis. Urine samples and prostatic secretions should be performed before and after prostatic message. If the diagnosis of prostatitis is made, then antibiotic therapy would have to be for a prolonged period of time (longer than 10 days).
Of course, STDs is another consideration. Tests for chlamydia and gonorrhea should be performed if not already done. Appropriate antibiotics should treat these infections.
A last consideration would be an anatomical abnormality such as urethral stricture or urethral polyps. The referral to the urologist should help evaluate this. If this is suspected, then a cystoscopy may be considered.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
You describe burning when urinating (known as dysuria). U/A showed bacteria. Treated with Cipro for 10 days. Ultrasound (? scrotal ultrasound) was negative.
First of all, make sure the bacteria that is growing from the urine is sensitive to Cipro. Resistant bacteria would need another antibiotic to treat it.
If the scrotal ultrasound was negative, then epididymitis is not likely. If a scrotal ultrasound was not performed, one should be done.
Another consideration would be prostatitis. Urine samples and prostatic secretions should be performed before and after prostatic message. If the diagnosis of prostatitis is made, then antibiotic therapy would have to be for a prolonged period of time (longer than 10 days).
Of course, STDs is another consideration. Tests for chlamydia and gonorrhea should be performed if not already done. Appropriate antibiotics should treat these infections.
A last consideration would be an anatomical abnormality such as urethral stricture or urethral polyps. The referral to the urologist should help evaluate this. If this is suspected, then a cystoscopy may be considered.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Member Comments (4)
by DJH, Apr 11, 2003 12:00AM
To: Urinary Tract Infections
0
by jui, Apr 11, 2003 12:00AM
To: Urinary Tract Infections
0
by kevinmd, Apr 12, 2003 12:00AM
To: Urinary Tract Infections
0
by faustroll, Apr 28, 2003 12:00AM
To: Urinary Tract Infections
0
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