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Urology (Expert Forum)
Pain
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
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.
Pain
by confusedinchina, Dec 11, 2005 12:00AM
Hi:
I have been married for 6 years and never had an STD. From time to time after masturbation or a hand-job from wife I have some pain with peeing. For the next 48 hours or so I have symptoms of frequency (but no urgency) I recently returned from a business trip in asia where I received a sensual massage. Some of this involved a shower and soapy water - she also sucked on my fingers. There was no oral or genital sex. I did masturbate (without washing my hand)after the "massuese" left the room. The next day I immediately had the above symptoms. I was on cipro for travelers diarhhea at the time. Now 1 week later after a vigorous handjob from my wife I have the symmptoms again.
So....here are my questions
1) Could I have an STD?
2) If not...could mechanical trauma be causing my symptoms?
3) I feel weird about the massage...could this all be psychosomatic (except that I've had these symptoms in the past)
thanks!!!
I have been married for 6 years and never had an STD. From time to time after masturbation or a hand-job from wife I have some pain with peeing. For the next 48 hours or so I have symptoms of frequency (but no urgency) I recently returned from a business trip in asia where I received a sensual massage. Some of this involved a shower and soapy water - she also sucked on my fingers. There was no oral or genital sex. I did masturbate (without washing my hand)after the "massuese" left the room. The next day I immediately had the above symptoms. I was on cipro for travelers diarhhea at the time. Now 1 week later after a vigorous handjob from my wife I have the symmptoms again.
So....here are my questions
1) Could I have an STD?
2) If not...could mechanical trauma be causing my symptoms?
3) I feel weird about the massage...could this all be psychosomatic (except that I've had these symptoms in the past)
thanks!!!
Doctor's Answer
by Kevin Pho, MD, Dec 12, 2005 12:00AM
, Dec 12, 2005 12:00AM
To answer your question:
1) An STD is possible. You can consider a urethral swab and urine tests to evaluate for gonorrhea or chlamydia.
2) If infection is ruled out, an anatomical abnormality such as a urethral stricture or polyp can be considered. A cystoscopy can be done to evaluate these possibilities.
3) I would only consider psychosomatic causes if all other causes have been evaluated for.
These options can be discussed with your personal physician.
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_b
1) An STD is possible. You can consider a urethral swab and urine tests to evaluate for gonorrhea or chlamydia.
2) If infection is ruled out, an anatomical abnormality such as a urethral stricture or polyp can be considered. A cystoscopy can be done to evaluate these possibilities.
3) I would only consider psychosomatic causes if all other causes have been evaluated for.
These options can be discussed with your personal physician.
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_b
Member Comments (4)
by confusedinchina, Dec 11, 2005 12:00AM
To: Sexual Problem
0
by confusedinchina, Dec 11, 2005 12:00AM
To: Sexual Problem
0
by Science, Dec 12, 2005 12:00AM
To: Sexual Problem
0
by gre66ne, Feb 02, 2006 12:00AM
To: Sexual Problem
0
