Infection should be ruled out. This can be evaluated by sending the urine off for analysis and culture. Testing via the urine or urethral swab can also be done to evaluate for STDs like gonorrhea or chlamydia.
If negative, a cystoscopy can be performed to evaluate for anatomical abnormalities like a polyp or urethral stricture.
Regaring the spots - they can be evaluated by a dermatologist. If herpes and HPV have been ruled out, rashes like a fungal infection or dermatitis can be considered.
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_