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Urology (Expert Forum)
Inflammation of the tip (male)
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.
Inflammation of the tip (male)
by It sure hurts, Jun 03, 2006 12:00AM
I saw my GP about nearly 12 months ago with what I thought was a STD. (I'm a guy)
I just asked for antibiotic courses (without examination) I received 3 diff types (Cipro etc the main three used) and they lasted between 2 to 4 weeks in duration. (I drank alcohol during that period (didn't say I couldn't) and didn't realize that taking dairy products would have pronounced effects (diarrhea) - hopefully none of these weakened the effects of the antibiotics.
Anyway, while I took those things got far worse. Just pain and inflammation at the tip, bright red.
I was reading on the net and assumed that I must have HSV2 as that could be the only explanation.
I went back to my GP and had an examination, incl swabs and samples (for Gon, for sphil and even a blood sugar reading - I thought maybe balantis (Sp?) all clear.
My GP, was going to book a specialist and stated that it wasn't HSV2. I was working in another city etc so I said just wait.
(I didn't have a HSV2 test/and haven't - I have had oral HSV1).
Well, its 10 months later, and this "HSV2" has definitely not gone away, it’s basically the same (Well, about 10% as bad as the start, but red around the tip and still in discomfort).
I've kept some new "girlfriends" at bay while I procrastinate over this, and really have no idea what could be causing it.
My last potential explanation is that it is parasite infestation (like pin worm or something?) just that the woman in question threw up before coming into contact with my "member" I was "protected" in every other way. I was in South East Asia at the time.
Is this possible?
Other conditions that might help diagnoses is that I seem not to be completely emptying my bladder. And feel congested up towards my prostate/bladder. The pain in the tip of my penis decreases if I dry out the entrance of the urethra. This morning I was sure that I discovered something closely resembling a very immature pin work like structure there (was transparent). Oh yes, I'm definitely hetro and couldn't get any parasite from anything rectal etc). Also, I said to my GP that it did smell a bit different down there... it still does (maybe the antibiotics have changed the "germ" balance etc).
I've never had any blisters or any other skin surface changes anywhere (below the waist).
Lastly, I can only really just take a whole bunch or anti Parasite tablets etc and then say do a 3 month antibiotic course and that’s about it? (What else? Fungus - Fluxol? (SP?)
I'm not that keen on seeing a specialist as I don't want to be poked and prodded internally... Do I have to?
(I don't think its anything like cancer, as it was to close (2 days) after exposure and I hadn't had any other potential exposure in the 6 months prior).
Absolutely any idea's/advice welcome...
I just asked for antibiotic courses (without examination) I received 3 diff types (Cipro etc the main three used) and they lasted between 2 to 4 weeks in duration. (I drank alcohol during that period (didn't say I couldn't) and didn't realize that taking dairy products would have pronounced effects (diarrhea) - hopefully none of these weakened the effects of the antibiotics.
Anyway, while I took those things got far worse. Just pain and inflammation at the tip, bright red.
I was reading on the net and assumed that I must have HSV2 as that could be the only explanation.
I went back to my GP and had an examination, incl swabs and samples (for Gon, for sphil and even a blood sugar reading - I thought maybe balantis (Sp?) all clear.
My GP, was going to book a specialist and stated that it wasn't HSV2. I was working in another city etc so I said just wait.
(I didn't have a HSV2 test/and haven't - I have had oral HSV1).
Well, its 10 months later, and this "HSV2" has definitely not gone away, it’s basically the same (Well, about 10% as bad as the start, but red around the tip and still in discomfort).
I've kept some new "girlfriends" at bay while I procrastinate over this, and really have no idea what could be causing it.
My last potential explanation is that it is parasite infestation (like pin worm or something?) just that the woman in question threw up before coming into contact with my "member" I was "protected" in every other way. I was in South East Asia at the time.
Is this possible?
Other conditions that might help diagnoses is that I seem not to be completely emptying my bladder. And feel congested up towards my prostate/bladder. The pain in the tip of my penis decreases if I dry out the entrance of the urethra. This morning I was sure that I discovered something closely resembling a very immature pin work like structure there (was transparent). Oh yes, I'm definitely hetro and couldn't get any parasite from anything rectal etc). Also, I said to my GP that it did smell a bit different down there... it still does (maybe the antibiotics have changed the "germ" balance etc).
I've never had any blisters or any other skin surface changes anywhere (below the waist).
Lastly, I can only really just take a whole bunch or anti Parasite tablets etc and then say do a 3 month antibiotic course and that’s about it? (What else? Fungus - Fluxol? (SP?)
I'm not that keen on seeing a specialist as I don't want to be poked and prodded internally... Do I have to?
(I don't think its anything like cancer, as it was to close (2 days) after exposure and I hadn't had any other potential exposure in the 6 months prior).
Absolutely any idea's/advice welcome...
Doctor's Answer
by Kevin Pho, MD, Jun 05, 2006 12:00AM
, Jun 05, 2006 12:00AM
You have been on several antibiotic and antiparasitic courses.
Prostatitis can certainly be considered. A digital rectal exam and prostatic massage can be considered. Any fluid expressed can be sent off for analysis and culture. A transrectal ultrasound can be considered to image the prostate.
If infection has been completely ruled out, a dermatologist referral can be considered to look for dermatitis or inflammation.
A urology referral can be considered to evaluate for anatomical abnormalities - such as a urethral structure or polyp. A cystoscopy would be the most comprehensive test for this possibility.
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_
Prostatitis can certainly be considered. A digital rectal exam and prostatic massage can be considered. Any fluid expressed can be sent off for analysis and culture. A transrectal ultrasound can be considered to image the prostate.
If infection has been completely ruled out, a dermatologist referral can be considered to look for dermatitis or inflammation.
A urology referral can be considered to evaluate for anatomical abnormalities - such as a urethral structure or polyp. A cystoscopy would be the most comprehensive test for this possibility.
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_
Member Comments
by SweatingBullets, Jul 27, 2006 12:00AM
To: Urinary Tract Infections
0
