mysterious pain

Six days after receiving unprotected oral sex, I began feeling internal pain in the pubic region. Urine tests for gon and chlam were negative. Urinalysis also negative. There is no discharge and no urinary urgency. The pain is intermittent and mild, but occasionally I will get a sharp shooting pain in the area. Sometimes I feel it radiating up my abdomen, but pain is subtle. Sometimes when I urinate I feel pain in the penis at the very end of the urination. Not really a burning pain but unpleasant. But more often when I urinate there is no pain at all. Are the urine tests I mentioned accurate enough for me to rule out those std's? Any possibility this could be genitourinary TB? Any idea what it could be? Prostatitis? If so , what would cause it  since urine tests were negative? I appreciate any information you can give. Thank you.

[Kevin Pho, MD]

The urine tests would look for gonorrhea and chlamydia.  Other STDs, like herpes, would not be tested.  GU TB can be considered - although this would be an unlikely cause.

Prostatitis can be considered.  A rectal exam involving a prostatic massage and analysis of the prostatic fluid can be considered.  This can be followed by a transrectal ultrasound to look for any abscesses.  

If infection has been ruled out, a cystoscopy can be considered to look for anatomical abnormalities (i.e. a urethral stricture) leading to the symptoms.

These options can be discussed with your personal physician.

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.
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