Any Theories?

Hello Doctor.  My last sexual encounter was a month ago.  The last one before that was 9 months ago now.   About 4 days after recent encounter, received an extensive STD checkup for and all came up negative (chlam, gon, herpes, etc).  

About 10 days after my sexual encounter, started feeling a need to urinate frequently and some post-urine drip (no puss discharge).   Went to doctor, who originally diagnosed me with having a UTI and gave me a week's worth of Cipro.  Urine samples from their lab came back normal however (urine culture/STDs) so she changed her diagnosis to testicular infection and said Cipro would also do the trick. Cipro eased symptoms significantly but did not eliminate it 100%.  

Saw urologist two days after Cipro ended and he said my symptoms don't sound bad and just to "give it time" to heal.  Tested my culture 1 more time and everything came out normal (I imagine the Cipro would have helped with this).  All of that week and the following week my symptoms were a lot better, almost totally irrelevant.  

However, this past weekend symptoms returned and are now worse.  I have inconsistent mild pain just above my pelvic area and lower back and burning on the tip of my penis after urination (not during) that lasts for awhile.  Still no discharge other than clear post-urine drip after urination.  Ejaculation doesn't hurt but does leave excess dripping afterwards (which I never noticed before).  Tip of penis looks normal in color but does look different at times, maybe a bit swollen, but that could be paranoia.  

Physician said it could possibly be a bladder infection or a prostate inflammation.  Urologist mentioned the bladder infection as well.  I'm pretty lost with these conditions on how I may have gotten it and what to do from here?  I have a cystoscopy scheduled in 3 weeks, but this pain is uncomfortable as of right now so what should I do till then?  

[Kevin Pho, MD]

I agree that infection needs to be ruled out.  

A urine test and urethral swab can be done.  Prostatitis can be evaluated with a prostatic massage and transrectral ultrasound.  Any prostatic fluid should be sent for analysis and culture.

Further evaluation can be done with a cystoscopy to exclude anatomical causes like a urethral stricture or polyp.

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.
www.kevinmd.com

[OutofCuriosity]

Oh, and ejaculation comes from masturbation, haven't had a sexual encounter since a month ago.  

[slacker101]

what was the final verdict?? I had the same problem as you a few months back to a T.