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Urology  (Expert Forum)
 | 
STDs and the prostrate
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.

STDs and the prostrate

by Retsgt, Feb 10, 2005 12:00AM
I had unprotected vaginal sex with a women in 1997, within a week of being with her I had one morning when it hurt to urinate. Then the sysmpoms went away. About 2 months after that I was diagnosed with NSPB.(non specific bacterial prostisits)pain at the tip of the peinus and slight discomfort above the right testicle. This went till 2000, I thought the initial diagnosis was incorrect so I had the doc do a swab for Chylmidia, and the swab was negative. Can STDs hide in the prostrate and not show up on a swab. I heard Chylmidia is diffult to find using the swab seeing it was 3 years since the possible contact. Can STDs hide in the prostrate?. Have you ever heard of a STD ( possible co-infection) causing a false negative HIV test?

by Kevin Pho, MD, Feb 12, 2005 12:00AM
Yes, it is still possible to have an infection in the prostate despite a negative swab.  

I would consider a thorough digital rectal exam to ensure the prostate isn't tender.  

Prostatic abscesses can also be difficult to treat and evaluate.  Imaging the prostate can be considered - a transrectal ultrasound would be a reasonable test to consider.

This option can be discussed with your personal physician or in conjunction with a urology evaluation.

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
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