My problem started about 6 months ago. The first symptom I had was a frequent urge to urinate. I went to my GP who did routine urine tests and checked prostate. All came back fine. Symptoms did not go away so I went to an interist. He also did urine test and checked my prostate, came back negative. A week or so later I had a painful ejaculation. Went to a Uro. He put me on a course of antibiotics (21 days, Doxacyaline). No relief. Did a flow test, said it was low (12?) for someone my age (36). Prescribed Uroxatral. No change in symptoms. Had a cysto done (nothing abnormal or revealing). Went to a second Uro. Did same tests as previous docs plus PSA test, nothing revealed.Put me on a 30 day dose of Levequin. No results. Since then (2 months ago), very little change in my symptoms. Currently, I have a mild burning in my urethra that comes and goes throughout the day. Diet changes, exercise, sitting, standing, sex, do not seem to effect the burning that I feel daily. Frequency seems to be under control. I have done much research regarding prostatitis. My symptoms just don't seem to match up. The only thing I have wrong with me (that has been diagnosed) is a degenerative disk condition that doesn't even bother me (pain wise). I have no idea what to do from here. Please help......
Infection continues to be the most common cause of the symptoms. I agree with the antibiotic choice thus far.
Further evaluation of the prostate can also be considered, in the form of a prostatic massage or a transrectal ultrasound. If prostatitis continues to be suspected, sometimes it may requires several weeks to months of antibiotics. If an abscess is present, it would need to be drained.
If infection has been ruled out, anatomical or structural causes like a urethral stricture or polyp can be considered.
These options can be discussed with your personal physician, or in conjunction with a 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 patient education only. Please see your personal physician for further evaluation of your individual case.
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