urethra irritation??

[slacking920]

Hello,

I haven't had sex in about 9 months, but recently became active again.  I used a condom with spermicide and the following morning when I went to use the bathroom, i felt a tingling sensation when i peed, followed by a burning sensation at the tip of the penis.  I never felt this before so i was freaking out, but ruled out STD since i haven't been active in ages.  I let a week go by and continued to have sex thinking maybe it was rough sex.  a week later, the same thing happen again, and the pain continued; tingling when i pee and a little burn after.  I went to see my GP since i rather be safe than sorry.  I got tested for infection and the test came back negative.  I've been diagnosed with urethra irritation and no medication was prescribed.  Doctor told me to take easy and the symptoms should go away.  two weeks past and no real pain or tingling sensation when i pee.  I had sex this past weekend and the next morning i felt the tingling sensation again, also, the base of my urethra also felt tingly as if there was urine still there.  In the next few days i felt as if there was some discharge, but didnt really see any visible discharge when i looked at the urethra opening. I just have the urge to pee a lot, could be because i just drink a lot of fluids.  Also, every time we have sex i dont always ejaculate, so maybe i have prostatisis? Also, no pain what so ever when i do ejaculate.  i'm a 30yr male and uncircumcised.  I do drink a lot of alcohol and eat a lot of spicy foods, but do not drink coffeee or anything with caffeine.  Should I be worried?  Should i get additional test for STDs, stop having sex, and should i let my partner know?  I dont want to freak her out because as far as i know i've been clean and have never experience anything like this.   What do you suggest for forms of treatment.

Thanks!

[Dr J Singh]

Hello,
First of all, STD’s like Chlamydia are necessary to be ruled out If STD is totally ruled out, then the tingling you feel at the tip of penis can be due to an allergic reaction (say to body lotions, condoms, soaps etc) or it can be a skin condition like eczema, dermatitis etc or it can be a fungal infection. Other than that it can be a simple bacterial infection or balanitis.

Please discuss these possibilities with your urologist.
I hope it helps. Take care and regards.

[rmprdl1964]

With you experiencing this right after having used a condom makes me believe that you might have an allergy to the type of condom. It is also possible that you have an infection or irritattion of the urethra. There are creams and medications which help if an infection of the urethra has been diagnosed, however you having used a condom, infection is unlikely. There fore I believe that the condom is the cause.

I myself have only once had an infection of the urethra. There was extreme burning and itching of the urethra, with the meatus having swolen up. In my case it happened about two days after having had a cystoscopy. Every time that a scope is used it is disinfected, yet infections do occur. I just had to be the unlucky one. Every time that I need to have my urethra and bladder scoped I have this memory in the back of my mind. I have a fear that a more serious infection is possible.

Go and see your doctor again or get a second opinion.

All the best,

Ron