STD With a Congenital Problem?

I recently had received a hand job both from a man and a woman. There was nor oral, vaginal or anal penetration. The woman did like her fingers and touch the tip of ny penis. I did not touch the genitals of either

A few hours afterward I began to experience some itching around my rectum (which went away) and now, four days later, I'm experiencing symptoms of a UTI. I'm obviously fearful that I might have contracted a STD (crabs is what I feared at first, but my imagination has moved to chlamydia, hiv, etc.), if it is piossible to contract one with a hand job. I tend to be easily anxious, so I'm willing to admit I may be imagining these problems.

However, there is one other complication. I have a congenital problem with my penis. On the underside of my penis, about half an inch below the natural opening, is another hole. This hole is about a centimeter long and unlike the one on the tip actually leaves the urethra exposed. I'm 40 and I've never had any real complications except a couple of UTIs in my entire life. Does this suggest I'd be more at risk than the average person? A doctor once told me that probably one in every 500,000 men have this problem.

Thank you so much for your advice.

[H. Hunter Handsfield, M.D.]

It is not possible to contact any STD by hand-genital contact.  (Well, a few months ago a guy reported gonorrhea from hand-genital contact, but he said his partner seemed to intentionally massage her vaginal fluids into his urethra.  Let's just say that's the only case of apparent hand-genital STD transmission I ever heard of.)

It sounds like you have hypospadias (if the abnormal opening is your main urine passage, i.e. the urethra opening on the underside of the penis) or perhaps a urethrocele.  These are minor congenital abnormalties, and either one is susceptible to infection--and if either one connects to the urethra, it can lead to UTI.

UTI can be serious in men, so you need to see a health care provider right away--and then also follow your provider's advice about whether minor surgery is indicated to remove the abnormal passage, e.g. you might need to see a urologist.  But STD is not likely to be an issue.

Good luck--  HHH, MD