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Urology  (Expert Forum)
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burning urethra, some pain, negative urine test
Answered by
Stephen Liroff, MD - Urology, Pediatric Urology, Peyronie’s disease
Vattikuti Urology Institute, Henry Ford Hospital West Bloomfield - MI
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.

burning urethra, some pain, negative urine test

by bpostital, Nov 06, 2009 10:22AM
my last sexual contact was 5 months ago, oral sex from a woman.  then, on october 24 (13 days ago), i was walking back to my apartment drunk at 3am, blacked out, and then woke up at 10am having vomited a lot over my bed.  in the bathroom clearly i had had diarrhea, even a little bit in the bed.
3 days after that night i started having burning in my penis (urethra) and a bit in the testicles, and some pain near the tip.  
i had a urine test day 4 for the common bacteria (gonorrhea et al, but NOT chlamydia or mycropl) and on day 7 it was negative.  

day 9 I saw a urologist, digital rectal exam (no pain for me there).  ultrasound--everything looked normal.  a couple TINY stones in one kidney but not a problem.  Got a probiotic to help digestion (2x/day)

my antibiotics:
day 7-9 - 3 days of cipro 500mg, 2x/day
day 10-12 - 3 days of Prixar (levofloxacina), 500 mg 2x/day
day 13-15 - 3 days of Unidrox (prulifloxacina), 600 mg 1x/day

today is day 13 after that bad night of drinking.  Summary of symptoms:
day 1-10 diarrhea, black, tar-like.  day 11-13 no diarrhea, brown but somewhat thin stools.  Getting better.
day 4-10 sore when i sit for more than an hour.  better now.
day 7-10 chills and little fever.  better now.
day 3-13 constant burning urethra, urge to pee, dull pain in genitalia.  Cran juice helps. It doesn’t burn WHILE I pee, and actually AFTER I pee it feels better.

no discharge at all.  tip of penis appears normal color.  
i ejaculated today (1st in 17dys) because i wanted to see if it 'worked'.  semen a little bit yellow but seems fine.
I sleep through the night, no peeing.
The past 13 days I have not had alcohol, caffeine, or dairy products and have eaten a diet of rice, toast, carrots, bananas, lots of water.
even if that 0.01% chance that I met someone after 3am that night, had sex with them, they left, and i dont remember ANY of it, can chlamydia symptoms show up on day 3 after the contact?  it's probably not that anyway. What could it be?  other tests?

by Stephen Liroff, MD, Nov 08, 2009 07:35PM
To: bpostital
Your symptoms certainly do not fit in with any physical disease that I can think of. Certainly an emotional cause is high on my list of possibles. You do need to see a urologist again but that blackout is quite serious and with the diarrhea I think that there is more going on than CPPS. You should see an internist or family practitioner first.
S.A.Liroff, M.D.
Member Comments (3)

by bpostital, Nov 06, 2009 12:44PM
To: pain when sitting for a while is back
i have sat down for a while and it does indeed cause the burning and pain to increase when i sit for a period of time again...

by bpostital, Nov 08, 2009 08:32AM
To: update
im on day 15, diarrhea gone, but very narrow stools.  pain in penis constant, i cannot sit for longer than 20-30 minutes at a time before the pain in the penis gets worse and also pain in butt when sitting. i had the most stressful time in my life august and first few weeks in september.   im thinking more and more chronic pelvic pain syndrome.  If I suspect this, are there tests or remedies I should request at the urologist?
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