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warm and stinging feeling in groin for 2 months

please help me with my nagging problem of the last 2 months --any ideas?
i have this warm burning feeling in my scrotum and anus off and on and the tip of my penis feels like it someone is pinching it also from day to day the area between the scrotum and the anus feels really tight almost like a knot.(there is no leakage from the penis either)(no burning while urinating or ejaculating either)
i've had ct scans for kidneys, blood tests, urine tests all coming back fine, and just recently had a cystoscopy done(2 weeks ago) and the surgeon found nothing wrong except a slight narrowing of the urethra which he opened for me, somedays there is no symptons then the next day the burning starts or i'll have a slight back ache or the sting at the tip appears.
I've been on cipro, zithro, levaquin, ketek, all with little results. right now im on phenazopyridine which turns urine orange and was wondering if this stuff turns sperm orangish also because ive noticed my sperm almost looks like orange juice pulp or is this something else i should worry about too?
is a mri or an ultra sound the next step?
my current urologist is stumped and has refered me to a different dr. for a 2nd opinion
any suggestions would be great and thanks for your time i'm
just frustrated
4 Responses
233190 tn?1278553401
You have been through a comprehensive urological evaluation - which would uncover most of the major causes.

One consideration would be the prostate.  Any type of prostate infection can lead to some of the symptoms you describe.

I would consider a prostatic massage, and sending the fluid out for analysis and culture.

A transrectal ultrasound to image the prostate for abscess can be considered.

Some cases of prostatitis require an extended course of antibiotics - sometimes 4-12 weeks.

These options can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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