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Urology (Expert Forum)
some continuing 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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some continuing symptoms
by footman, May 03, 2005 12:00AM
About 3 months ago I had a fairly mild UTI which my family doctor treated with 5 days Trimethoprim. He also gave me a DRE which he said was normal.
The UTI appeared to resolve but I was left with some symptoms. Initially I had penis discomfort when the bladder was full but this has recently subsided. I now have intermittent mild stabbing sensations in the tip of my penis.
I have no other urinary problems such as pain, poor flow or nightime visits to the bathroom. I am 58 years old with mild hypertension but very active.
Needless to say I quite worried but I'm due to see a urologist in 3 weeks. I cant find any information on these symptoms elsewhere. Thanks for looking.
The UTI appeared to resolve but I was left with some symptoms. Initially I had penis discomfort when the bladder was full but this has recently subsided. I now have intermittent mild stabbing sensations in the tip of my penis.
I have no other urinary problems such as pain, poor flow or nightime visits to the bathroom. I am 58 years old with mild hypertension but very active.
Needless to say I quite worried but I'm due to see a urologist in 3 weeks. I cant find any information on these symptoms elsewhere. Thanks for looking.
Doctor's Answer
by Kevin Pho, MD, May 05, 2005 12:00AM
, May 05, 2005 12:00AM
Prostatitis should certainly be ruled out, and can be difficult to diagnose. I would also be tested for STDs, like gonorrhea or chlamydia. This can be done via a urine test or urethral swab. You can also send any prostatic secretions (obtained via prostatic massage) to the lab for analysis and culture.
If prostatitis has been determined to be the cause, this normally requires a longer course of antibiotics.
You can also consider a transrectal ultrasound which can image the prostate for an abscesses - where drainage may be required.
You can discuss these options with your personal physician or urologist.
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
If prostatitis has been determined to be the cause, this normally requires a longer course of antibiotics.
You can also consider a transrectal ultrasound which can image the prostate for an abscesses - where drainage may be required.
You can discuss these options with your personal physician or urologist.
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
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