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Urology (Expert Forum)
constant urethral pain + swollen meatus + burning after urination and ejaculation
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
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.
constant urethral pain + swollen meatus + burning after urination and ejaculation
by Alex670, Nov 18, 2007 07:07AM
Hello Dr.
I am 28 years old, normally healthy man. Live sexual life from age 16. Until age 21 only protected sexual vaginal contacts. No problems until then. On age 21, had unprotected sex, 3 days later I had discharge from my penis, strong urethral burning after urination, swollen meatus. I have been given a shot and doxylyn for one week. The discharge disappeared, but urethral pain and discomfort remained, and the swollen meatus. I have been tested (before antibiotics), nothing was found. The girl also have been tested and nothing was found. Since then I have been taken a LOT of antibiotics, for months, I have done a lot of test (for germs cultures) nothing was found. I have been at many urologists, venereal doctors, infection diseases doctors, they only give me antibiotics. TRUS was done - was ok. The 4 glasses test was done (after 3 months without antibiotics) - was ok. The only thing that was found, is high leucocytes count in the sperm after ejaculation, and every time I give my sperm for culturing, no infection, but high WBC count. I made spermogram, also good, beside high WBC count, and low volume (1.7 cc)
Additional problem, is almost every time I have non protected sexual relationship with different women, (oral or vaginal) I have my symptoms worsening until I will not take the antibiotics. The urologists continue to tell me that I have chronic non bacterial prostatitis. And there is nothing to do with it. The only check that I still didn't do, is cyctoscopy, and I will do it soon.
I think, DR, that even if I have something in my prostate, it is not all, and I have some changes in urethra, otherwise the meatus was not constantly swollen, and I wouldn't get UTIs after each sexual relationship. You must tell me, DR, what other tests I must do to fully evaluate my urethra condition, and I will demand for these tests. Also I will very appreciate your opinion on my condition. Thank you very much.
I am 28 years old, normally healthy man. Live sexual life from age 16. Until age 21 only protected sexual vaginal contacts. No problems until then. On age 21, had unprotected sex, 3 days later I had discharge from my penis, strong urethral burning after urination, swollen meatus. I have been given a shot and doxylyn for one week. The discharge disappeared, but urethral pain and discomfort remained, and the swollen meatus. I have been tested (before antibiotics), nothing was found. The girl also have been tested and nothing was found. Since then I have been taken a LOT of antibiotics, for months, I have done a lot of test (for germs cultures) nothing was found. I have been at many urologists, venereal doctors, infection diseases doctors, they only give me antibiotics. TRUS was done - was ok. The 4 glasses test was done (after 3 months without antibiotics) - was ok. The only thing that was found, is high leucocytes count in the sperm after ejaculation, and every time I give my sperm for culturing, no infection, but high WBC count. I made spermogram, also good, beside high WBC count, and low volume (1.7 cc)
Additional problem, is almost every time I have non protected sexual relationship with different women, (oral or vaginal) I have my symptoms worsening until I will not take the antibiotics. The urologists continue to tell me that I have chronic non bacterial prostatitis. And there is nothing to do with it. The only check that I still didn't do, is cyctoscopy, and I will do it soon.
I think, DR, that even if I have something in my prostate, it is not all, and I have some changes in urethra, otherwise the meatus was not constantly swollen, and I wouldn't get UTIs after each sexual relationship. You must tell me, DR, what other tests I must do to fully evaluate my urethra condition, and I will demand for these tests. Also I will very appreciate your opinion on my condition. Thank you very much.
Doctor's Answer
by Kevin Pho, MD, Nov 18, 2007 09:37PM
, Nov 18, 2007 09:37PM
I think that a cystoscopy would be reasonable. This can evaluate for non-infectious, anatomical causes of the symptoms - such as a urethral polyp or urethral stricture.
Imaging the prostate can be done as well to rule out an abscess. A transrectal ultrasound would be a reasonable test to exclude this possibility. A prostatic massage can be done to send off any prostate fluid to the lab for analysis and culture.
These options can be discussed with your personal physician or urologist.
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 patients education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
www.kevinmd.com
Imaging the prostate can be done as well to rule out an abscess. A transrectal ultrasound would be a reasonable test to exclude this possibility. A prostatic massage can be done to send off any prostate fluid to the lab for analysis and culture.
These options can be discussed with your personal physician or urologist.
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 patients education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
www.kevinmd.com
Member Comments (3)
by slacker101, Nov 18, 2007 04:14PM
Are you saying you have been dealing with this issue for the last 7 years?
by Charles007, Dec 14, 2007 12:30AM
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