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Urology  (Expert Forum)
 | 
Penile Discharge
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.

Penile Discharge

by kroneswelles, Aug 18, 2003 12:00AM
After experiencing penile discharge I treated myself with numerous antibiotics. The major part (yellow thick puss) subsided, but a clear pre-*** like discharge remained. I had it tested in Germany and the results where Enderoccocus, no Clamydia and  no GC. Got treated with Augmentin for two weeks, the discharge remained although only in the mornings and late evenings. Went to see a doctor here in Thailand and received 7 days of Tequin 400 mg and Vibramycin 100 mg. Got tested after that with first urin test as well as swap and the test came back negative. The discharge remains, not much and mostly only if I press (milk) the penis, but still.. What could it be? Or am I just overly oberservant? Is it normal to have clear/sticky liquid, or is it a prostate problem?

Thanks!

by Kevin Pho, MD, Aug 19, 2003 12:00AM
You have already been on a variety of antibiotics and tests for chlamydia and GC have been negative.  



I would now pursue other causes - including prostatitis and epididymitis.  This can be performed with a thorough digital rectal exam where prostate secretions can be expressed and cultured.  Epididymitis can be evaluated with a scrotal ultrasound.



If prostatitis is the case, 4-12 weeks of antibiotics are indicated.  Another consideration is a prostatic abscess, which can be evaluated with a transrectal ultrasound.



I would follow up with a 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.



Thanks,

Kevin, M.D.

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