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Urology (Expert Forum)
Yeast infections and men
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.
Yeast infections and men
by duenor, Jun 19, 2004 12:00AM
Symptoms:
Irritated tip of penis
Irritated uretha - seems red and swollen a bit
Irritated anus (i've never had anal sexual contact)
Sore throat (i've never given oral sex)
Really tiny, fraction of a mm red bumps appear when erect and squeezed
Ejaculate is yellowish
Almost indiscernable pain; slight burning
A little itching in groin area (no rash) and tip of penis
Slight white film covered tip of penis
Abrasion of skin on tip of penis (peeling)
---
First developed all above symptoms last year with the possible exception of yellowish ejaculate and irritated uretha during 6-yr period of monogamy, both clean (definite), and was treated as for yeast infection with women's yeast cream for two weeks. Recurred once since then.
Skin on tip of penis is now very often dry (possibly from cream applications?) and can flake when rubbed horizontally when erect.
Since then had one sexual encounter in February, and one two weeks ago. Symptoms began two days after second sexual encounter. Second sexual encounter consisted solely of recieving oral sex.
---
Bearing in mind that is is not medical advice, and that I have taken an STD test for all the stuff that you can be tested for while asymptomatic (the results have not come back yet), what might there be that should I be especially be aware of or inquire further about?
Will be seeing doctor again early next week and can arrange to see urologist.
Irritated tip of penis
Irritated uretha - seems red and swollen a bit
Irritated anus (i've never had anal sexual contact)
Sore throat (i've never given oral sex)
Really tiny, fraction of a mm red bumps appear when erect and squeezed
Ejaculate is yellowish
Almost indiscernable pain; slight burning
A little itching in groin area (no rash) and tip of penis
Slight white film covered tip of penis
Abrasion of skin on tip of penis (peeling)
---
First developed all above symptoms last year with the possible exception of yellowish ejaculate and irritated uretha during 6-yr period of monogamy, both clean (definite), and was treated as for yeast infection with women's yeast cream for two weeks. Recurred once since then.
Skin on tip of penis is now very often dry (possibly from cream applications?) and can flake when rubbed horizontally when erect.
Since then had one sexual encounter in February, and one two weeks ago. Symptoms began two days after second sexual encounter. Second sexual encounter consisted solely of recieving oral sex.
---
Bearing in mind that is is not medical advice, and that I have taken an STD test for all the stuff that you can be tested for while asymptomatic (the results have not come back yet), what might there be that should I be especially be aware of or inquire further about?
Will be seeing doctor again early next week and can arrange to see urologist.
Doctor's Answer
by Kevin Pho, MD, Jun 21, 2004 12:00AM
, Jun 21, 2004 12:00AM
Any type of infection would still be the first thing that comes to mind. Typical tests for gonorrhea and chlamydia should be considered. I would also test the prostate, since that can be the source of atypical infections. A digital rectal exam as well as examination of prostatic fluid for culture should be considered. Imaging would include a transrectal ultrasound to look for any abscesses.
Other atypical sources of infection would include epididymitis, which would also lead to the symptoms you describe. More cultures, as well as a scrotal ultrasound can be considered for further evaluation.
Non-infectious causes would include dermatitis - which can be evaluated by a dermatologist.
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
Other atypical sources of infection would include epididymitis, which would also lead to the symptoms you describe. More cultures, as well as a scrotal ultrasound can be considered for further evaluation.
Non-infectious causes would include dermatitis - which can be evaluated by a dermatologist.
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
Member Comments
by yoshi, Jul 01, 2004 12:00AM
To: Urinary Tract Infections
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