Penile sharp pain

[Norfun]

For 4 months I've had intermitant sharp pain that lasts for a second or so several times a day in my ureathra. This happened 12 hours after sex the first time which was a long session - 4 hours without ejaculating. I dont have any pain when urinating, but did use canestan for a week which seemed to clear up  itching, i think was due to me handling myself too much to see for discharge. My partner and I have been tested negative for all sti's, she does not have any symtoms, except occasional itc treated by canesten. I have had 2 other urine tests both are negative for bacteria and the initial sti urine culture negative, I have taken difucan, can anyone think what this could be?

[Norfun]

Hi Dr here is an update my situation, I have again been back to the local doctor in uk, where the std tests were also performed, no bacteria again in urine, partner still has negative std test and me also, have now taken a months worth of cipro, single dose of cirfixme and 2 x single dose azithromycin seperate occasions. With no change, however I have noted that the sting, can occur a minute or so after ejaculation or can sometimes a while after ejaculation, about 4 hours yesterday, I have also had ultra sound scans with no evidence of stones or prostate enlargement - any other Ideas? I still seem to have some discharge. Any ideas of where to go next would be helpful. I'm still very scared that I have an sti.

Thanks in advance

[S. Kaul, MD]

Hi there!

Well, without a detailed clinical evaluation it would be difficult to determine the cause of your symptoms. Possibilities that may need to be considered include GU infections (STD or non-STD), inflammations, trauma/ injuries, ulcers/ erosions, growths/ masses, neuro-muscular causes etc., I would suggest getting this evaluated by a urologist for an accurate diagnosis and appropriate management.
Hope this is helpful.

Take care!