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Urology (Expert Forum)
Extreme urethra pain - no other symptoms - medical history included in post
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.
Extreme urethra pain - no other symptoms - medical history included in post
by AdviceSeeker06, Mar 22, 2007 12:00AM
Male
Mid 20s
I do not eat spicy foods, drink anything with caffeine, drink alcohol.
Masturbate usually 4-7 times a week.
Currently not sexually active
Current problem: Extreme urethra pain
How should I proceed and what are your thoughts? I just want pain relief :( Only Rocephin seems to help.
ER visit June 2005
Injections received: Rocephin
Antibiotics taken: Zithromax
No symptoms during July 05 – November 06
ER visit September 2006
Injections received: Rocephin
Antibiotics taken: Doxycycline (~10 days)
Urologist visit
Antibiotics taken: Doxycycline
Urologist visit
Antibiotics taken: Levaquin
Urologist visit
Antibiotics taken: Zithromax, Cipro and Flagyl
ER visit October 2006
Injections received: Rocephin
Antibiotics taken: Doxycycline
Urologist visit
Antibiotics taken: Cipro
No symptoms during November 06 – December 06
ER visit January 2007
Injections received: Rocephin
Antibiotics taken: Doxycycline
Urologist visit
Antibiotics taken: Cipro (4 weeks)
Urologist visit
Antibiotics taking: Bactrim, Alfuzosin
Mid 20s
I do not eat spicy foods, drink anything with caffeine, drink alcohol.
Masturbate usually 4-7 times a week.
Currently not sexually active
Current problem: Extreme urethra pain
How should I proceed and what are your thoughts? I just want pain relief :( Only Rocephin seems to help.
ER visit June 2005
Injections received: Rocephin
Antibiotics taken: Zithromax
No symptoms during July 05 – November 06
ER visit September 2006
Injections received: Rocephin
Antibiotics taken: Doxycycline (~10 days)
Urologist visit
Antibiotics taken: Doxycycline
Urologist visit
Antibiotics taken: Levaquin
Urologist visit
Antibiotics taken: Zithromax, Cipro and Flagyl
ER visit October 2006
Injections received: Rocephin
Antibiotics taken: Doxycycline
Urologist visit
Antibiotics taken: Cipro
No symptoms during November 06 – December 06
ER visit January 2007
Injections received: Rocephin
Antibiotics taken: Doxycycline
Urologist visit
Antibiotics taken: Cipro (4 weeks)
Urologist visit
Antibiotics taking: Bactrim, Alfuzosin
Doctor's Answer
by Kevin Pho, MD, Mar 22, 2007 12:00AM
, Mar 22, 2007 12:00AM
You have been on several courses of antibiotic therapy. Testing the urine for infection as well as obtaining a urethral swab for STDs should be done to see if any bacteria continues to be present.
The prostate should also be considered, and examined with a digital rectal exam or transrectal ultrasound. A prostatic abscess can lead to continued infection despite appropriate antibiotic therapy.
If infection has been ruled out, a cystoscopy can be considered to evaluate for anatomical abnormalities (i.e. a urethral stricture or polyp) that can lead to the symptoms.
These options can be discussed 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.
kevinmd_
The prostate should also be considered, and examined with a digital rectal exam or transrectal ultrasound. A prostatic abscess can lead to continued infection despite appropriate antibiotic therapy.
If infection has been ruled out, a cystoscopy can be considered to evaluate for anatomical abnormalities (i.e. a urethral stricture or polyp) that can lead to the symptoms.
These options can be discussed 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.
kevinmd_
Member Comments (6)
by AdviceSeeker06, Mar 22, 2007 12:00AM
To: Urology - General
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by Trob65, Apr 09, 2007 12:00AM
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by hadrpm, May 04, 2007 12:00AM
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by stranger747, May 12, 2007 12:00AM
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by smittyboy, May 15, 2007 12:00AM
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by AdviceSeeker06, May 15, 2007 12:00AM
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