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Urology (Expert Forum)
pain in penis/urethra
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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pain in penis/urethra
by cokes, Mar 30, 2005 12:00AM
WELL THIS IS A LONG STORY STORY BUT ILL MAKE IT AS SHORT AS POSSIBLE. LAST JUNE(2004) , I HAD UNPROTECTED SEX WITH A GIRL I DIDNT KNOW. APPROXIMATELY 2 WEEKS LATER, I BEGAN FEELING A STRONG STINGING/THROBBING PAIN ON THE HEAD OF MY PENIS AND DISCOMFORT DOWN MY URETHRA.I ALSO NOTICED RED BLOTCHES ON THE HEAD OF MY PENIS. I ENDED UP GOING TO TWO UROLOGISTS WHO GAVE ME SEVERAL MEDICATIONS(CIPRO/DEOXYCYCLINE/PYRIDIUM/)FOR THERE DIAGNOSIS OF URETHRIISIS. NONE OF THESE MEDICATIONS HELPED. I HAD A URINALYSIS AND STD TESTS WHICH ALL CAME BACK NEGATIVE. A MANUAL PROSTATE EXAM WAS CONDUCTED WHICH STATED NO IRREGULARUITIES(I HAVE NO PROBLEMS URINATING). A CYSTOSCOPE WAS INSERTED INTO MY URETHRA BUT NO DEFECTS WERE DISCOVERED. IT SHOULD BE NOTED THAT THIS PAIN IS PRETTY MUCH PERSISTENT THE ENTIRE DAY.
ANYONE THE PAST 9 MONTHS HAVE BEEN TORTURE FOR ME.I AM DEPRESSED OVER MY CURRENT HEALTH STATUS AND I DONT KNOW WHERE TO TURN AND BELIEVE THAT I HAVE EXHAUSTED MY OPTIONS. I AM A 37 YEAR OLD MAN WITH NO MAJOR HEALTH PROBLEMS.I SMOKE AND DRINK A LOT OF COFFEE. I AM ACERTAIN THAT WHAT EVER I HAVE, I RECEIVED FROM THIS UNPROTECTED SEXUAL ENCOUNTER. I WAS ABLE TO CONTACT THIS PARTNER BUT SHE STATED THAT SHE HAS NO STD'S.
A RECAP OF MY SYMPTOMS ARE AS FOLLOWS:THROBBING/STINGING PAIN ON HEAD OF PENIS ACCOMPANIED BY RED BLOTHCHES(ESPECIALLY NOTICEABLE UPON ERECTION)/PAIN DOWN URETHRA-APRROXIMATELY 1 INCH DOWN.
IF THERE ANYTHING YOU THINK I CAN DO OR TAKE AT THIS TIME IT WOULD BE GREATLY APPRECIATED. THANK YOU IN ADVANCE.
-STEGMAN-
ANYONE THE PAST 9 MONTHS HAVE BEEN TORTURE FOR ME.I AM DEPRESSED OVER MY CURRENT HEALTH STATUS AND I DONT KNOW WHERE TO TURN AND BELIEVE THAT I HAVE EXHAUSTED MY OPTIONS. I AM A 37 YEAR OLD MAN WITH NO MAJOR HEALTH PROBLEMS.I SMOKE AND DRINK A LOT OF COFFEE. I AM ACERTAIN THAT WHAT EVER I HAVE, I RECEIVED FROM THIS UNPROTECTED SEXUAL ENCOUNTER. I WAS ABLE TO CONTACT THIS PARTNER BUT SHE STATED THAT SHE HAS NO STD'S.
A RECAP OF MY SYMPTOMS ARE AS FOLLOWS:THROBBING/STINGING PAIN ON HEAD OF PENIS ACCOMPANIED BY RED BLOTHCHES(ESPECIALLY NOTICEABLE UPON ERECTION)/PAIN DOWN URETHRA-APRROXIMATELY 1 INCH DOWN.
IF THERE ANYTHING YOU THINK I CAN DO OR TAKE AT THIS TIME IT WOULD BE GREATLY APPRECIATED. THANK YOU IN ADVANCE.
-STEGMAN-
Doctor's Answer
by Kevin Pho, MD, Mar 30, 2005 12:00AM
, Mar 30, 2005 12:00AM
You have been through a pretty comprehensive evaluation, including 2 urologists, prostate exam, and cystoscopy.
Sometimes prostatitis can be notoriously difficult to detect. I would consider a prostatic massage, and send off any fluid for culture and analysis.
You can also consider a transrectal ultrasound, which can image the prostate for any abscesses that may not have been treated with the antibiotics. If present, it would have to be drained.
These options can be discussed with your personal physician or in conjunction with another urological opinion.
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.
Kevin, M.D.
Medical Weblog:
kevinmd_b
Sometimes prostatitis can be notoriously difficult to detect. I would consider a prostatic massage, and send off any fluid for culture and analysis.
You can also consider a transrectal ultrasound, which can image the prostate for any abscesses that may not have been treated with the antibiotics. If present, it would have to be drained.
These options can be discussed with your personal physician or in conjunction with another urological opinion.
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.
Kevin, M.D.
Medical Weblog:
kevinmd_b
Member Comments (5)
by whybother, Mar 30, 2005 12:00AM
To: Misc. (Urology)
0
by jay234, Apr 02, 2005 12:00AM
To: Misc. (Urology)
0
by dudu, May 19, 2005 12:00AM
To: Misc. (Urology)
0
by Hirosaka, Jun 08, 2005 12:00AM
To: Misc. (Urology)
0
by MIKE22, Jun 11, 2005 12:00AM
To: Misc. (Urology)
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