gonorrhea or prostadynia?

[Embarrassed175]

male, 33yo
Here is the sequence of events which have led me here.
Jan 6th  
   -received and gave oral unprotected
   -received anilingus unprotected
   -received anal sex with a condom
Jan 7th
   -masturbated with object to stimulate prostate via rectum, object is organic, rigid and porous material
Jan 9th
   -began having symptoms
       -urgency to void bladder
       -general pain and discomfort in entire pelvic region
       -went to clinic for std testing
       -swab test for chlamydia/gonorrhea, blood tests for HIV/syphilis
       -prescribed antibiotics to begin while awaiting test results
Jan 15th
   - all tests negative
   - had already taken the "all at once" antibiotic on the 10th(four pills)
   -had taken five days of 10 day antibiotic course
   - stopped all treatment at this time
Symptoms went away after about three weeks on their own.

Feb 23rd
   -Again used same object in anal masturbation
Mar 1
   -Symptoms return
      -urgency to void bladder
      -pain in all of pelvic area
      -stopped all sexual activity
Mar 4
   -return to doctor
   -Dr. suggests possibility of herpes, prostatitis, epididimitis
   -Dr. is not informed of anal masturbation
   -Dr. prescribes acyclovir as a guess
Mar 11
   -Acyclovir ineffective, no sores or blisters manifest
   -Dr. prescribes 30 days of Cipro
   -Dr. does rectal exam, urine, and blood HSV tests(neg),CBC(norm)
With Cipro
   -symptoms persist
April 11  
   -receive antibiotic shot and one dose powdered antibiotic (in case original swab test was false)
my symptoms:
    urgency to pee, stinging pain in tip of penis, pain in urethra and base of penis, tingling in scrotum, testicular pain (later in day),perineum pain,skin irritation, pain in rectum,mucus with formed stools, pain in groin muscles and thighs, lower back pain (both sides),
I HAVEN'T HAD THESE SYMPTOMS:
discharge
blood in urine, semen, or stool
fever
pain during urination or ejaculation
pain DURING bowel movement

extreme urgency to void bladder has been greatly decreased since two weeks after onset.
in the last week symptoms have resolve into a dull ache in deep urethra, and buttocks pain mostly

My questions:
1)Could gonorrhea or another sexually transmitted bacteria yet be at the root of this problem? ( I'm inclined to think
       that if this were the case then the symptoms wouldn't have subsided for all of February only to return later?)
2)Should I be retested?
3)Could stimulating the prostate anally create ALL of these symptoms?
4)If so, what are some possible complications? treatments?

[Embarrassed175]

no, this wasn't the first time I used this object in that fashion, so allergy is unlikely i think.

the first and second urine cultures did not show signs of bacterial infection of any sort

the swab test was done in the beginning and came back negative. I was told to stop the antibiotic at that point, but it wasn't until a couple of weeks later that the symptoms went away. The symptoms have been completely non-responsive to antibiotics during this second onset.

Would epididymitis survive all these antibiotics without any regression at all? would gonorrhea?

[Vanessa Lacuesta]

Hi,

Was this the first time you used the organic material for manipulating the area?

This may directly contribute to the symptoms since as you have posted you would usually present with the condition after anal stimulation. An STD or an underlying infection are still differentials for your case. Were  urine and prostate secretion cultures done? How about a urethral swab culture?

I suggest that you inform your physician about the anal stimulation. This is important so that appropriate examinations and management will be given. Do you have any history of allergies? The material you used is organic, so an allergic reaction may be considered here. Also, there may be some injury or irritation to the area .The lining of the rectum is thin and vigorous stimulation may have injured this lining and could have caused minor injuries in structures within . These are just differentials. A prostatitis and epididymitis are also to be considered.An underlying bacterial infection may be likely  given that your symptoms initially resolved after taking antibiotics (is this correct?).