Bladder pain not going away

[Hilton999]

Good Day

i have had a bladder infection for the last year ....the nature of the infection was of a condom breaking .once i had a discharge i had consulted my GP which i was then treated .i have pain in my inner thighs .my GP says its an absists in the cord with treatment it should go away.this happen last year august .i took out a life cover this year feburary and was required to do an hiv test which was negative .they was a period of 2 months that the pain was gone but of late its troubling me .after my doctor does a urine test he tells me nothing to worry about and gives me meds..i am now worried as this pain is not going away
please help & could you give me a suggestions of what it could be

[Fernando Roque, MD]

Hi.  A dull lingering pain after the infection has subsided may indicate some residual inflammation in the nerves around that area (neuritis).  You may try taking medication for neuropathic pain (pain due to damaged or inflamed nerves) such as gabapentin (Neurontin) or pregabalin (Lyrica).  If these medications don't work, you may consider consulting with a neurologist or a pain specialist to evaluate your condition.  Good luck.

[Hilton999]

hi.thanks you once again for the quick response .ever since i had this infection i have consulted my doctor .its a year now that im having these pains.once the medcation is  completed a day later i get like a biting feeling and then the pain is back but after a week the pain subsides ...the pain is like 1 percent .should i keep going back to my doctor till pain is 100% gone or should i let the body try to fight it for a while .
when i ask my doctor should i consult a neurologist his answer is no as its in his reach to treat me..and on each visit to him he said he is happy with my progress .what advise can you give me in regards to this
besides medication is they anything else that i can take to help fight this injection

[Fernando Roque, MD]

Hi.  Thanks for giving more details regarding your condition.  If the spermatic cord is involved in the infection (abscess?), you may need to take the appropriate antibiotics for at least a month before the infection resolves.  There are cases where the abscess (collection of pus) may need to be drained first so that the antibiotics can penetrate the area better.  I don't know if this is applicable for your case, but I'm sure your doctor would have suggested surgical drainage if he thought it to be necessary.

As for the infection causing irreparable "damage to your manhood", this probably is a remote possibility.  As long as you're treated properly, the infection should completely resolve.

[Hilton999]

Hi .Firstly i  like to thank you for your quick response it means alot to me thank you .ok its hard to explain where the exact pain is, the pain is where the leg joins the palvice its on both sides (the pain is in my inner thigh) my doctor told me its the cord. and pain is constant at times the pain goes away and its back in an hour.its more like a discomforting pain. i dont have any  pain when urinating .i dont have fever .my doctor have done numerous of urine test the dipstick shows clear no blood no semen .At times i have Nausea and vomiting and lower back pain but thats like once in a blue moon
If its a genito-urinary tract infection how long would it take to go away.apart from drinking lots of water what other Precaution can i take ...i am 27 years of age would this afftect in at a later age or can this damage my manhood

[Fernando Roque, MD]

Hi.  Can you be more specific in describing that pain.  Does it occur when you urinate or only towards the end of urinating? Is the pain always there or is it episodic? How severe is it?  Are there any other associated symptoms such as fever or blood in the semen or urine?

The persistence of the pain can indicate a lingering infection in your genito-urinary tract (e.g. epididymitis, orchitis or prostatitis).  It could also mean some other disease condition such as stones in your urinary tract.  Aside from testing your urine, secretions from your prostate may need to be examined for blood and signs of infection.  An ultrasound of the urinary tract may also help in detecting the presence of stones.