Continuous Penile Discharge

[Gotys]

Dear Doc,

please forgive my spelling errors, as I am not a native English speaker.

I am a male 29 years old, quiete a heavy smoker, not a drinker.

About 7 months ago , very suddenly , I have started producing a penile discharge at morning stool (or pretty much any stool). I also had some discomfort such as burning and pain during urination.

I was diagnozed with Ureaplasma (must of had it for a while though, as I did not have an intercourse with anyone except my g/f for years) and was treated with 3 months of Doxy - successfully.

I underwent DRE, prostate massage, swabs, all kinds of tests - all negative. No STDs, no yeast, no infections, no bacteria was found during the final tests taken upon the completion of my 3 month course of antibiotics. Doctor said I am healthy.

My penile discharge did not go away, however. It's a very sticky , but smell-free discharge. Upon ejaculation (which is not painful btw.), the next day I am discharge free. But as the days continue, the discarge gets thicker and larger, goes from a clear drop, to white spoon-full. This gets worse and worse unless I ejaculate, and then the circle repeats. My doctor said this can happen, and I have to live with it.

I also experience very frequent pain around my scrotum, this gets worse when walking for a while or taking a hot shower. My doctor said it could be an injury related (I have felled on a 4wheeler).

This problem started very suddenly, i did not examine my privates before ever, so maybe I did not notice before...but when I did notice, it was a heavy discharge. I am currently not being treated, because my doc said there is nothing to treat.

Any advice, or information would be very appreciated.

Thanks,
Petr

[Kevin Pho, MD]

I agree with the workup thus far.

Infection continues to be the leading cause.  The prostate massage is a good idea.  I would also consider an ultrasound of the prostate - which can evaluate for any abscesses.

Imaging the scrotum can be done as well to exclude infection there.  Again, I would start with an ultrasound.

If infection has been ruled out, a cytoscopy can be done to investigate the lower GU tract.

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 patients education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
www.kevinmd.com

[Gotys]

I forgot to mention that me falling off the 4wheeler happend 2 months after the penile discharge started

[Gotys]

I don't have an infection, I already wrote in my post that all tests came back negative. The prostate ultrasound was also done and nothing was found.

Why am I leaking?

[jedispider]

U do have an infection, if u didnt then u wouldnt have a discharge.

[Enoch Choi, MD]

i disagree with jedispider, if the tests were negative that's reassuring that you don't have an infection.

many things can cause discomfort.  congestion (sense of fullness), epididymitis, orchitis, see your urologist.  Consider cystoscopy.