prostate continued

  the symptoms i am having now is some inflammation of my left testicle which feels like a dull ache and my ejaculations are not really painful but they do not always feel good. I am also having burning in my eyes. They burn just about all the time. Is there anything that can be done? I have been on this **** for about a year . I only went to the doctor to get my urethra straightened up and now i have all kinds of problems. Are prostate problems cause by dietary habits? Please help me. I would really appreciate it. Thanks Doug
Dear Doug
Thanks for sharing your symptoms.  
A urinary tract infection does cause similar acute symptoms and should be checked for by a urine culture which usually takes two days to process.   A dipstick urinalysis is only a screening tool and is used by some labs  as a marker for which urine specimen should be cultured.   If your urine culture is negative for bacteria all the antibiotics in the world will not help.  Frequency and urgency can also be caused by a  bladder tumor or passing kidney stone but are less likely if  no red or white blood cells were seen on the urinalysis.  X-rays and cystoscopy ( look into your bladder with a telescope) are used to diagnose these problems.
Another diagnosis is an unstable bladder (detrussor instability).  The etiology of  this condition is unknown but is exacerbated by caffeine consumption.  Some appetite suppressants contain caffeine.   Increase fluid consumption makes the symptoms worse.  Ditropan, Detrol and Lesin are anticholinergic medications which can help with the symptoms but can have infrequent side effects (dry mouth, constipation, blurred vision).  These medications can be used empirically  to see if they help with the symptoms but if not a urodynamic bladder test ( filling the bladder with a pressure monitor in place to test the function of the bladder) usually give the diagnosis.
The stricture in your  urethra can reoccur rather quickly and also give similar symptoms. Interstitial cystitis is an infrequent diagnosis in men should also be ruled out. Sexually transmitted diseases are more common and also should be checked for.    
Good luck.
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