The normal treatment for gonorrhea and chlamydia would be a combination of ceftriaxone as well as the azithromycin. Of course, culture of the urine and the penile discharge should be sent to the lab for further analysis and culture.
I would also evaluate the prostate. Infections here can be difficult to treat - sometimes requiring extended courses of antibiotics. A prostatic massage and sending any fluid off for analysis should be done. If warranted, a transrectal ultrasound can be considered to look for prostate abscesses.
These options should be discussed with your personal physician.
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_