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Urology  (Expert Forum)
 | 
Can I wait 2 weeks to see a urologist
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.

Can I wait 2 weeks to see a urologist

by help-me-in-kosova-please, Mar 11, 2007 12:00AM
I am stuck in Kosova with less than third world standards and need some advice.  I am coming back to the US in 2 weeks and will immediately go to a urologist.  My concern is can I wait that long?  In December I began to get a tingling in tip of penis, it was non painful but annoying.  It came and went.  After a few weeks I started to get a burning sensation after urination or sex (NEVER DURING) always after.  I went to DR.  They did a swab for Chlamydia and urine sample for UTI,came back negative.  But they gave me Erythromycin for 7 days.  Symptoms subsided but still came and went intermittently.  About 4 weeks ago the symptoms cam back , burning at the tip (after urinating) and the symptoms progressively became worse, the burning feeling occurred inside the penis and not just at the tip.  Now I have urgent feelings to urinate and general pain in the entire pubic area. My urine also smells a little funny.

Question, I think I have either non specific urethritis or prostitias.  I would like to start a course of antibiotics, but am worried that it will disguise the symptoms when I arrive in the US in 10 days.  I will only be their for 10 days and I want the lab to be able to run tests.  On the other hand I feel like the condition is spreading and would like to start the antibiotics right away.  Any thoughts?  Also, I hae no fever or any other symtoms then those listed here.

by Kevin Pho, MD, Mar 11, 2007 12:00AM
I can't give any recommendations without an evaluation.

If an STD or urethritis is present, broader spectrum antibiotics would be needed.  

Prostatitis is also a possibility, and can lead to the symptoms in the pubic area.  A digital rectal exam as well as a prostatic massage would be needed.  If prostatitis is present, extended courses of antibiotics would be needed.  

These options can be discussed with a urologist, or with your personal physician.  I cannot comment on whether it can wait without evaluation.

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.
kevinmd_
Member Comments (1)

by help-me-in-kosova-please, Mar 11, 2007 12:00AM
To: Urology - General
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