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Urology (Expert Forum)
Infection
Answered by
Stephen Liroff, MD - Urology, Pediatric Urology, Peyronie’s disease
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.
Infection
by LA795, Apr 28, 2008 08:03AM
I am a 54 year old male in excellent health with one past prostate infection that was treated with Septra two years ago. I had what I thought were similar symptoms, burning itching and minor pain that came and went with no apparent pattern, 6 weeks ago and went to family doctor who treated with septra for 3 weeks. No improvment so went to urologist, normal prostate normal urine, who treated with septra for one week when I noticed two or three small white spots just inside the opening of penis. Was told to watch and call if got worse, No improvement after two weeks , called and was placed on doxycycline hyclate. Have been on now for three days and seem to be getting better. Spots are diminished but not gone. Still minor twinges and burning intermittently . Follow-up appointment in 10 days. I want to ask intelligent questions and would like your opinion on what's going on? Do I need a cystoscope? What could the spots be? Their causes? Any thoughts would be appreciated. Thank you
Doctor's Answer
by Stephen Liroff, MD, May 02, 2008 12:14AM
, May 02, 2008 12:14AM
Yours is not the typical urethral infection - if that what it truly was. Your symptoms are not anywhere near the classic frequency, urgency, urethral discharge. But then, what was it? I would discuss it with your urologist. The only disease that I can think of that would respond to long term antibiotic therapy and might fit your description is malakoplakia...but that usually occurs near the bladder and takes a while to resolve. It is not a well understood disorder and is not considered infectious. A shave biopsy, if there is anything still present, might help to give answers.
If you get a recurrence (or if there is anything left to see now), get the opinion of a dermatologist .
S.A.Liroff, M.D.
This information is provided for general medical educational purposes only. It
does not necessarily reflect the opinions of Henry Ford Hospital or the
Vattikuti Urologic Institute. Please consult your physician for diagnostic
and treatment options pertaining to your specific medical condition
If you get a recurrence (or if there is anything left to see now), get the opinion of a dermatologist .
S.A.Liroff, M.D.
This information is provided for general medical educational purposes only. It
does not necessarily reflect the opinions of Henry Ford Hospital or the
Vattikuti Urologic Institute. Please consult your physician for diagnostic
and treatment options pertaining to your specific medical condition
