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Urology (Expert Forum)
Discomfort on Penis Tip - enlarged prostate
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Discomfort on Penis Tip - enlarged prostate
by doinjustok, Mar 20, 2006 12:00AM
I'm 49 years old and in good health. About 10 months ago I saw a urologist for some pain in my epididus and discomfort "inside" my penis. Took some antibiotic and was then OK. 6 weeks ago the shaft of my penis was extremely itchy, then the tip of my penis was very sore and red. I had a burning feeling at the tip immediately after urniation (not during). The tip became worse. I saw a urologist and have been on Levaquin for 4 weeks. During the exam, he said I had an enlarged prostate - likley an infection and a urethral infection. After about a 5 days on Levaquin I felt better. After two weeks my symptoms essentially disappeared. But - 5 days ago they returned - not as much as before - but uncomfortable. It is always better in the morning and worse at night and much better if I take a bath. I do not have blisters, sores, dischrge, or oozing. The area around the urehtral opening is red and sore at times, a bullseye around the target sort to speak. The urologist said symptoms can return and this is fairly normal. Can you offer any advice - when might these symptoms subside? And does the diagnosis and course of treatment sound correct? Anything I can do to mitigate the symptoms? Thanks.
Doctor's Answer
by Kevin Pho, MD, Mar 21, 2006 12:00AM
, Mar 21, 2006 12:00AM
The extended course of antibiotics is a reasonable initial treatment to treat for prostatitis. You can also consider a transrectal ultrasound to image the prostate.
If infection has been completely ruled out you can look at causes such as a urethral stricture or polyp as well as causes of dermatitis.
A cystoscopy can be done as well as an evaluation by a dermatologist.
These options can 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_b
If infection has been completely ruled out you can look at causes such as a urethral stricture or polyp as well as causes of dermatitis.
A cystoscopy can be done as well as an evaluation by a dermatologist.
These options can 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_b
Member Comments (4)
by doinjustok, Mar 21, 2006 12:00AM
To: Prostate
0
by ruxpin, Mar 24, 2006 12:00AM
To: Prostate
0
by nasco, Mar 30, 2006 12:00AM
To: Prostate
0
by kramerica, Apr 17, 2006 12:00AM
To: Prostate
0
by WORRIED9613, Apr 23, 2009 09:36PM
A related discussion, PAIN AT TIP OF PENIS was started.
