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Urology (Expert Forum)
P r o s t a t i t i s , STD, Other?
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.
P r o s t a t i t i s , STD, Other?
by dumbguy, Feb 17, 2004 12:00AM
I (male) came down with a raging sore throat as well as a swollen, sore p r o s t a t e , and bloody ejaculate x3 days after sex with a new partner (female). Went straight to the Dr who 1) cultured my throat (positive for Strep A), 2) digitally examined my p r o s t a t e (and pronounced it marshmallow-like) and 3) Gave me 10-day courses of PenVK 250 mg TID and Floxacin 400 mg PO on day one, followed by 300 mg PO BID for ten additional days. My urine was cultured/examined and was negative for infection or for blood.
The sore throat has resolved without incident. My ejaculate is still rusty pink and it is still a bit "ouchy" when I orgasm - plus, my ejaculate smells bad. Questions: 1) What ELSE might I have contracted from this young lady that would cause the symptoms I'm experiencing that PenVK and/or Floxacin would not have dealt with and 2) What would be a logical next antibiotic to try and/or perhaps a longer course of Floxacin? Should I press for a culture of my ejaculate and/or ultrasound of the prostate?
The sore throat has resolved without incident. My ejaculate is still rusty pink and it is still a bit "ouchy" when I orgasm - plus, my ejaculate smells bad. Questions: 1) What ELSE might I have contracted from this young lady that would cause the symptoms I'm experiencing that PenVK and/or Floxacin would not have dealt with and 2) What would be a logical next antibiotic to try and/or perhaps a longer course of Floxacin? Should I press for a culture of my ejaculate and/or ultrasound of the prostate?
Doctor's Answer
by Kevin Pho, MD, Feb 18, 2004 12:00AM
, Feb 18, 2004 12:00AM
Common STDs would include gonorrhea, chlamydia, HIV, or syphillis. The Floxacin would cover the gonorrhea, but you may want to consider Doxycycline or Azythromycin to provide better coverage for the chlamydia.
A thorough prostate exam, including tests for prostatic secretions may be considered to fully evaluate for prostatitis - there are some cases that require an extended course of antibiotics.
If you continue to have symptoms, then imaging studies such as a transrectal ultrasound may be considered to evaluate for abscesses.
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.
Thanks,
Kevin, M.D.
A thorough prostate exam, including tests for prostatic secretions may be considered to fully evaluate for prostatitis - there are some cases that require an extended course of antibiotics.
If you continue to have symptoms, then imaging studies such as a transrectal ultrasound may be considered to evaluate for abscesses.
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.
Thanks,
Kevin, M.D.
