Hello Dr.
I am 28 years old, normally healthy man. Live sexual life from age 16. Until age 21 only protected sexual vaginal contacts. No problems until then. On age 21, had unprotected sex, 3 days later I had discharge from my penis, strong urethral burning after urination, swollen meatus. I have been given a shot and doxylyn for one week. The discharge disappeared, but urethral pain and discomfort remained, and the swollen meatus. I have been tested (before antibiotics), nothing was found. The girl also have been tested and nothing was found. Since then I have been taken a LOT of antibiotics, for months, I have done a lot of test (for germs cultures) nothing was found. I have been at many urologists, venereal doctors, infection diseases doctors, they only give me antibiotics. TRUS was done - was ok. The 4 glasses test was done (after 3 months without antibiotics) - was ok. The only thing that was found, is high leucocytes count in the sperm after ejaculation, and every time I give my sperm for culturing, no infection, but high WBC count. I made spermogram, also good, beside high WBC count, and low volume (1.7 cc)
Additional problem, is almost every time I have non protected sexual relationship with different women, (oral or vaginal) I have my symptoms worsening until I will not take the antibiotics. The urologists continue to tell me that I have chronic non bacterial prostatitis. And there is nothing to do with it. The only check that I still didn't do, is cyctoscopy, and I will do it soon.
I think, DR, that even if I have something in my prostate, it is not all, and I have some changes in urethra, otherwise the meatus was not constantly swollen, and I wouldn't get UTIs after each sexual relationship. You must tell me, DR, what other tests I must do to fully evaluate my urethra condition, and I will demand for these tests. Also I will very appreciate your opinion on my condition. Thank you very much.