Please answer follow up questions

  Please answer my follow up questions to my previous post "What could it be?" 3/4/98
  I posted them there so the whole story would be together.
  Thank you!
  :)
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Dear Pamela:
Thanks again for your follow-up questions
Question # 1 a yeast infection usually infects the skin of the penis. He would have skin lesions if this were the problem. Involvement of the prostate or urethra is usually not seen in non-diabetic men.
# 2/#3  He could have a rare cyst in the prostate causing pain and discharge or an infection with a bacteria which is not sensitive to doxycycline. Trichomonas is also an uncommonly occurring cause of arthritis/prostatitis.  The urologist may need to massage his prostate to obtain fluid to culture and examine microscopically. If this test is  not conclusive, the urologist may request an ultrasound of the prostate to be performed.  The probe is placed in the rectum.  This is very definitive for cyst.  If a cyst is found drainage or removal is usually accomplished with surgery.  The urologist may also recommend a cystoscopy (looking into the bladder with a lighted telescope)  This can help determine if there is any inflammation in the urethra associated with the discharge.  
I would keep encouraging him to keep the urologist appointment.  You are also welcome to seek our help here at Henry Ford Hospital 1-800 653-6568.  We can also arrange local accommodations through this number if this is your need. Please bring any physicians