Hello - thanks for asking your question.
You describe burning when urinating (known as dysuria). U/A showed bacteria. Treated with Cipro for 10 days. Ultrasound (? scrotal ultrasound) was negative.
First of all, make sure the bacteria that is growing from the urine is sensitive to Cipro. Resistant bacteria would need another antibiotic to treat it.
If the scrotal ultrasound was negative, then epididymitis is not likely. If a scrotal ultrasound was not performed, one should be done.
Another consideration would be prostatitis. Urine samples and prostatic secretions should be performed before and after prostatic message. If the diagnosis of prostatitis is made, then antibiotic therapy would have to be for a prolonged period of time (longer than 10 days).
Of course, STDs is another consideration. Tests for chlamydia and gonorrhea should be performed if not already done. Appropriate antibiotics should treat these infections.
A last consideration would be an anatomical abnormality such as urethral stricture or urethral polyps. The referral to the urologist should help evaluate this. If this is suspected, then a cystoscopy may 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.
Thanks,
Kevin, M.D.