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STDs  (Expert Forum)
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STD With a Congenital Problem?
Answered by
University of Washington Seattle - WA
Welcome to the STD Forum, which is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.

STD With a Congenital Problem?

by arcadelow, May 29, 2007 12:00AM
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.

by H. Hunter Handsfield, M.D., May 29, 2007 12:00AM
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
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