Urology Expert Forum
UTI, BPH, or something else?
About This Forum:

Questions in the Urology forum are answered by medical professionals at Healthcare Magic. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

UTI, BPH, or something else?

Basically healthy 59 yr. old husband. In hospital 6/05 for probable TIA's.  While there was diagnosed with UTI (asymptomatic) and given 10 day course of antibiotic.  In Aug/Sept began having erection problems, as well as continuing burning before, during, and just after urination.  

December went to PCP for the burning and dipstick urinalysis positive for infection (no culture).  Prescribed Bactrim. Followup visit 2 weeks later: the burning was always still present even though dipstick was now negative. Difficulty still maintaining erection. PSA: 1.7 and all blood work came back negative for diabetes, etc.

Referred to urologist.  Again, positive for blood and infection confirmed by culture.  Based on post void ultrasound: 10 oz. urine retained in bladder.  Diagnosis: enlarged prostate.  Given Flomax and amoxicillin. (also, one aspirin 325 mg., Benicar HCT, and zocor) No other tests.

Followup visit 2 weeks later:  Dipstick negative for infection (was still sent off for culture. No results yet).  Post void: 7 oz.  BUT still burning everytime urinating. AND still erection problems.  Prescribed Levaquin 500mg ($10/tablet!) for 10 days. No other tests were suggested.

Question: What will the doctor be looking for next?  What is going on with the burning when it seems like the infection is cleared up again?  Is the burning related to the infection?  He has not addressed the erection problems yet.  Shouldn't the Flomax be working after 2 weeks?  My husband was always "slow" when urinating and he says that nothing has changed as far as he can tell.  Any questions we should be asking the doctor?

Thank you for considering this.

Related Discussions
233190_tn?1278553401
Prostatitis can certainly be considered.  I would consider a thorough digital rectal exam as well as prostatic massage.  Any secretions that is obtained should be sent off for analysis and culture.  A transrectal ultrasound can be done to image the prostate for abscesses.  If present, it would need to be drained as antibiotics would not be helful in these cases.

If the prostate is clear, you can consider a cystoscopy to evaluate for anatomical causes for your symptoms - such as a urethral stricture or polyp.  

These options can be discussed with your personal physician, or in conjunction with another urological opinion.

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_b
Continue discussion Blank
This Forum's Experts
563773_tn?1374250139
Bhupinder Kaur, MDBlank
Private practice
,
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank