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Urology (Expert Forum)
Prostatitis
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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Prostatitis
by Olmeca, Feb 16, 2006 12:00AM
Hi Doctor I hope you can help. I am 29 year old male , very healthy. About 6 months ago I was given unprotected oral sex by a woman I dont know.The next day my scrotom was on fire , this lasted for a week and I needed to e more frequently.I went to a doctor and we tested for all STD'S all negative.Gave me a course of antibiotics just for incase.A week or two passed and I started getting really constipated , I also had a bloating feeling in my stomach area and my left lower back was killing me. I did not pay much attention to the constipation because I was on a high protein diet and I thought I injured my back wakeboarding. A week or two later it hurt when I got an erection and started getting muscle twitching all over my body.Went back to the doctor said it was nothing. I was paranoid I had Herpes II.Waited for the window period to pass tested for HERPES I&II, was positive for HERPES I. Then I went to see a Neurologist for the twitching , did a Lumbar punch.The results was that I had inflammtion in my spinal fluid and he diagnosed me with Gillain Barre Syndrome and said it would pass.No medication given.Every now and then I have a burning sensation on the tip of my penis , the urethra looks always reddish and slightly inflamed.I have constantly lower back ache , muscle twitching and my stomach muscles go into spasm.When I get an erection the head of my penis looks much bigger and very red like there is inflammtion.A couple of minutes after I ejaculate the tip of my penis starts burning a bit.
My questions are
1)Does this sound like Prostatitis?
2)Is there a cure for?
3)If not prostatitis what could it be?
Its been about 6 months and still feeling terrible.I am seeing an Urologist in March. I hope you can shed some light on this matter.
Thanks
My questions are
1)Does this sound like Prostatitis?
2)Is there a cure for?
3)If not prostatitis what could it be?
Its been about 6 months and still feeling terrible.I am seeing an Urologist in March. I hope you can shed some light on this matter.
Thanks
Doctor's Answer
by Kevin Pho, MD, Feb 16, 2006 12:00AM
, Feb 16, 2006 12:00AM
To answer your questions:
1) Prostatitis is certainly possible. I would consider a thorough prostate exam and send off any prostatic fluid off for culture and analysis. A transrectal ultrasound can be considered.
2) If it is prostatitis, extended courses of antibiotics (sometimes lasting 4-12 weeks) can be considered.
3) Dermatitis, a fungal infection, or anatomic abnormality can all be considered. A dermatology evaluation can be considered to look at the redness. A cystoscopy can be considered to look for a urethral stricture or polyp.
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) Prostatitis is certainly possible. I would consider a thorough prostate exam and send off any prostatic fluid off for culture and analysis. A transrectal ultrasound can be considered.
2) If it is prostatitis, extended courses of antibiotics (sometimes lasting 4-12 weeks) can be considered.
3) Dermatitis, a fungal infection, or anatomic abnormality can all be considered. A dermatology evaluation can be considered to look at the redness. A cystoscopy can be considered to look for a urethral stricture or polyp.
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
by yddems, Feb 19, 2006 12:00AM
To: Urology - General
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by Michael MRM, Mar 12, 2006 12:00AM
To: Urology - General
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