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Burning In Penis Anus After Urnation. No Blood In Urine

Posted on Fri, 19 Apr 2019

Question: Burning in penis anus after urnation. No blood in urine and 1.2 psa and dr said bladder is fine. Had a c scan that showed bph but said it was normal for a man that is 75 years old. Dr told me to come back in 6 months and if burning did not go away come back and see him. That has been two weeks ago and burning comes and goes. I’m afraid terribly with the thought of a cystoscope. Please help. What could be the problem

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Could be due to infection of Prostate (Prostatitis)

Detailed Answer:
Hello
Thanks for query .

Based on the facts that you have posted burning in penis and perineum while urinating could be mostly due to infection of Prostate (Prostatitis).

Start taking antibiotics like Bactrim D.S along with Nitrofurantoin twice daily .You will need to take it for 3-4 weeks .

Ensure to drink more water to keep your urine dilute .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (29 minutes later)

no bacteria or blood in urine . When I had my regular yearly exam my psa matched last year 1.2 or 1.3

Follow up: Dr. Dr. P. T. Patil (4 hours later)

No bacteria in urine . Will return to my urologist Tuesday but so worried. Based on prostrate and bladder ok

Follow up: Dr. Dr. P. T. Patil (13 minutes later)

Please help . Anxiety is terrible and the thought of cystoscope terrifies me to know end

Answered by Dr. Dr. P. T. Patil (6 hours later)

Brief Answer:
Cystoscopy is not required .

Detailed Answer:
Hello
Thanks for follow up .
I can understand your concern and apprehension about Cystoscopy .but I would like to state that no Cystoscopy is required to confirm diagnosis of Prostatitis .

There is one clinical entity called Non Bacterial Prostatitis where patiet has all the symptoms of Prostatitis but there is no positive evidence like bacteria etc detected in lab tests .

I am sure you will be fine with treatment suggested .

Relax and try to allay your anxiety .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (11 minutes later)

But Dr I thought since there was no bacteria in urine that antibiotics would not work.

Answered by Dr. Dr. P. T. Patil (5 hours later)

Brief Answer:
You need to do culture of a urethral discharge obtained after DRE

Detailed Answer:
Hello
Thanks for follow up .

Urine may not show bacteria .Ideally it is the culture of prostatic secretions that is obtained after doing Digital Rectal Examination (DRE) to confirm the infection of the prostate .

If you are curious to confirm the prostate infection consult your Urologist and request him to send prostatic discharge for culture examination to find out the organisms and their antibiotic sensitivity .

The antibiotics are prescribed as therapeutic agent assuming infection .

Thanks and Regards.
Dr Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar