Prostitits

[jack330225]

Hi
My urologist diagnosed me with Prostitits without physically checking, just by Q&A. and put me on Cipro for 3 weeks, is that normal?

Symptoms for the last 6 weeks (frequent urination, burning inner thighs, worm scrotum, heaviness in groin, and amplified symptoms after bowel movement)

Thanks

[Jacques66]

Thanks for the reply Dr Singh.

Took the Cipro for 13 days and for some reason made my symptoms a lot worse, my urologist switched it to Doxycycline and I have been taking it for the past 2 weeks ( 2 a day ) and have 3 more weeks to go ( 1 a day ). Feeling a little better ( 25% ) but I have noticed that post ejaculation/intercourse for a couple of days, feels very tender, sensitive and some burning/itching inside of the penis, very uncomfortable feeling.

My primary care ordered an Ultrasound of kidney, bladder and prostate and results showed a mildly enlarged prostate, my urinalysis is very clean every time I visit my physician, no discharge from penis, no weak flow, no split or spray urination, no blood in semen nor urine.

My question is, could I be suffering from Urethritis, Urethral Stricture? Can these two be diagnosed by Ultrasound or MRI instead of urethroscopy?

Thank you.

[Dr J Singh]

Hello,

Sorry replied to an earlier question first. The typical symptoms of prostatitis are fever, pelvic, testicle, or rectal pain, frequent and painful urination and ejaculation and incomplete emptying of bladder. So it is very difficult to say whether you are having prostatitis or not.

However for prostatitis the first line of treatment is by antibiotics and in some cases, a course of antibiotics may last two to three months. Hence you should follow up with your urologist.

I hope it helps. Take care and regards.

[Dr J Singh]

Hello,
Such kind of tear can be due to urethral fistula which although is mainly found in women but can be found in men also. Fistulas in men can be associated with some of the same predisposing factors as in women, such as a history of recent abdominal or pelvic surgery, urologic procedures, trauma, and inflammatory bowel disease.

I suggest you to get it examined from a urologist and get a urethrogram done to confirm the diagnosis.

I hope it helps. Take care and regards.