Penis spasms

For the last three years, after urinating in the morning, I get some slight pain or stinging on the underside of my penis, which may last for about one hour.  Other times, I have a bowel movement, and the same pain resurfaces, sometimes going away in about an hour or lingering for two or three hours.  Sometimes, the pain will intensify if I am in my car, as if the vibrations of the vehicle are disturbing my urinary system.  

About three years ago, I had a Urinary Tract Infection, for which they prescribed Cipro, which caused me to have hemorrhoids, which still affect me to this day.  Sometimes, I have a hard stool, which causes some slight bleeding in the toilet paper.  A doctor tested me a few weeks after the UTI and did not find a infection.  

Doctors have prescribed Flomax, Oxytrol and other relaxants to try and control these spasms, although to no avail.  

Do I have a form of Prostatitis or are they spasms related to the hemorrhoids?  Is there another kind of therapy that would be helpful?  Would some other antibiotic help me?  I am still in agony.

[Kevin Pho, MD]

I would ensure that there isn't evidence of an infection or STD.  This can be done via urinalysis as well as testing the urine for chlamydia or gonorrhea.

Once ruled out, a cystoscopy can be considered to ensure there isn't any anatomical abnormality - such as a polyp or stricture that can be causing the symptoms.

Prostatitis may be a possibility - testing the prostatic fluid for infection would be the first step.  A transrectal ultrasound, looking for an abscess, can be also considered if the symptoms continued.

As for another antibiotic - that would depend if there was any bacteria growing.  The various aforementioned tests would be appropriate to check for this.  

A urology referral should be considered.

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.
Medical Weblog:
kevinmd_b

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.
Medical Weblog:
kevinmd_b

[dodger1030]

A related discussion, pain before bowel movement was started.