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Prostatitis/CPPS

I received unprotected oral on 1/30. The following day I started to urethritis and just general pain in my groin, slight fever and chills. No discharge but a wet hypersensitive feeling on the tip of my penis. I've been treated for STD's and for epididymitis. The pain in my testies is there 80% of the time and the pain in the penis is intermittent usually worst after urinating or ejaculation.

Also had an ultra sound done on my testicles info as follows, Impression: slightly less vascular flow and more striated heterongeneous echotexture. No mass. Could relate to hypovascular orchities. No varicosities or hydrocele. Small cyst/sperrmatocele on left testicle.

My GP didn't seem concerned but ultrasound but the urologist thought it was unusual. I've had an undescended testicle and several hernias that were correct by surgery and believes that's the reason for the unusual ultrasound.  

Medications I've taken 500mg Suprax, 7 days 100mg doxycycline twice a day, 500mg ciprofloxacin twice daily for 10 day, and now on bactrim and an alpha blocker for 30days.

The urologist diagnosed me with Prosatitis but the appointment just seemed like it was pencil whipped. Does this sound like prosatitis to you? I sure hope I can rid these symptoms and return to normal. Anyone else recover from this?



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Avatar universal
Thank you for your comment!

Yeah I feel the diagnosis was clinical and just by ruling out everything else. I've had several STD tests (including ureaplasma and mycoplasma), HSV, HIV, urine culture so there doesn't appear to be any infection yet the doc just wants to throw more antibiotics at it? My symptoms weren't improving on the bactrim so they switched me to 30 days of cipro.

The PH of urine was little abnormal at 7. I've also had gluclose in my urine at 250 and 100 in the two tests I've had done. The check blood sugar and I requested a A1C hgb test which all came back normal. Not sure if that indicates a less common urological issue or infection?

Helpful - 0
1711789 tn?1361308007
MEDICAL PROFESSIONAL
Hi there!

The pain and discomfort due to epididymitis may continue for a few months after the actual infection has been cured. This occurs due to residual inflammation and is expected to heal with time; and should not be anything to worry about, unless the symptoms have actually aggravated. There is nothing in the ultrasound or the described symptoms that would suggest prostatitis. However this could be a clinical evaluation, difficult to comment on without examination. Other possibilities that may need to be considered include residual infection, trauma, erosions, neuro-muscular causes, referred pain from other regions etc. I would suggest discussing the situation and the suggested management plan in detail with your treating urologist.
Hope this information is helpful.

Take care!
Helpful - 0
Avatar universal
It's been about two weeks of the bactrim and I haven't had any improvements, in fact I actually feel worse.

Anyone else out there with this?
Helpful - 0
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