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STDs  (Expert Forum)
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Red meatus - urge to urinate
Answered by
Edward W Hook, MD - HIV Prevention, stds
This forum does not cover AIDS/HIV issues. This forum is for questions and support regarding STD issues such as: Chlamydia, Crabs (pubic lice scabies), Gonorrhea, Hepatitis (viral), Herpes, HPV, Molluscum Contagiosum, PID, Rectal Infections, Syphilis, Trichomonas, Warts, Yeast Infection.

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Red meatus - urge to urinate

by scbuxx, Jul 24, 2008 07:23PM
Hello-

The opening of my penis (meatus) becomes very red after urinating or ejaculating, and I am urinating frequently.  I also have a vague sensation that I have to urinate most of the time.  Also, there appears to be a very red spot almost like a scar or something on both sides of the opening of the penis - but only after urinating or ejaculating.  This appeared after I had brief unprotected anal sex and I also masturbated vigorously with a strange lotion that had a numbing sensation on the skin.  I had a urine sample taken a week later and was told that although there were a few white blood cells in my urine, there was no infection and no gohnorrea or chlamydia.  I have been extremely worried and stressed for the last three weeks.  I'm not sure if I had an allergic reaction to the weird numbing lotion or what would cause my meatus to become inflamed every time I urinate or ejaculate (and have the frequent urge to urinate).  Please help.  This is driving me crazy.  

Kevin

by Edward W Hook, MD, Jul 24, 2008 10:43PM
You appear to have some sort of irritation of your urethra.  Your history suggests two main possibilities.  The first is, as you suggest, that you have some sort of local chemical irritation of the urethra, possibly from the lotion you mention and perhaps aggravated by masturbation.  If this has been going on for several weeks however, this is somewhat unlikely.

The second likely possibility is that you have non-chlamydial nongonococal urethritis (NGU), possibly from bacteria picked up from your brief episode of rectal intercourse.  This happens when bacteria are picked up in the urethra and set up a minor infection.  It is diagnosed by the presence of white blood cells in the urine when the specimen is taken at the beginning of urination.  The best tests for this are taken when the person has not voided for at least an hour before giving the specimen.  An alternate test, again best taken after not voiding for an hour, is to take swab test from the penis to look for white blood cells.  Either way, it is best diagnosed by a doctor familiar with STDs and if that is what is present, it is easily treated with antibiotics.

Hope this helps- good luck.  EWH
Member Comments (3)

by scbuxx, Jul 25, 2008 02:55AM
To: Dr. Hook
One more thing - I was treated with Rocephin and Zithromax two weeks ago when I gave the urine sample.  Wouldn't those  drugs have killed any other non-chlamydial, NGU I may have?  Or do I need to go back for a different antibiotic?

Thanks

by Edward W Hook, MD, Jul 25, 2008 08:56AM
Those drugs would have killed non-chlamydial NGU and most other infections.  You do not need to be re-treated.  EWH
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