Have Infection And Irritation On Tip Of Penis, Burning Sensation After Urinating. Am Diabetic And Grade I BPH, Taking Veltamplus

Posted on Mon, 13 Aug 2012

Question: i am having infection & irritation onthe tip of pennis further i am type 2 diabetic patient and it is under control but contnuing the tablet.Further i am Grade 1 BPH recently i was cured UTI 5 months back but while passing urine burning sensation. I already used Tab- veltamplus .4 mg for one year.After voiding urine for some time there is no burnig sensation,after half an hour
the burning sensation starts again.Pl prescript correctly. .

Answered by Dr. Sourav Ganguly (1 hour later)

Hi,

Thanks for your query.

Your symptoms can be due to several reasons including a urethritis, renal stones (which lead to a UTI sometimes), local infection or ulcer in penis. Diabetic patients are very prone to infection of urethra, urinary tract and penis. In addition you have BPH that also predisposes towards UTI and urethritis.

Please get a urine culture and sensitivity done. This will tell us the type of infection, and also the drugs which would be most effective. You also need an USG-KUB to rule any calculi in any part of urinary tract and also weight of your prostate gland, residual urine volume after voiding to know the level of obstruction created by BPH.

At this stage, I would suggest the following:

a. Drink plenty of water
b. Have a cup of cranberry juice daily
c. Take Syrup citralka 1-2 tablespoon full, twice or thrice daily
d. You would need a course of oral antibiotics like fluroquinolone (like-ciprofloxacin).
e. Continue anti diabetic drug to have a strict control of diabetes.
f. May have to start Tab- veltamplus based on USG report if obstruction due to BPH has increased.

Please see a physician and get these tests done and drugs prescribed.

Hope I have answered your query. If you have any further questions I will be happy to help.

If you do not have any clarifications, you can close the discussion and rate the answer and write a review.

Wish you good health.

Thanks,
Dr Sourav Ganguly

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Sourav Ganguly (29 hours later)

dear sir,i have undergone tests on Total PSA & S.Creatinine,bloodurea, fasting blood sugar .The results are follows PSA:1.32 ng/ml. S.Creatinine:1.2mg/dl Blood urea:32mg/dl Bloodsugar:92mg%.With these results I consulted Urogist(since 2 years I am taking treatment continuosly with this doctor) and this doctor has tested USG and told to stop VELTAM PLUS TABLET saying that Prostate is in normal size but to continue diabetic treatment. My B.P is 109/73,PR-69.At this junture what treatment I have to continue pl. With great hope I consulted you sir for best treatment/medicine for me.Pl reply.

Answered by Dr. Sourav Ganguly (1 hour later)

Hi,
Thanks for your query.
I have seen your reports and would like to tell you that all reports are within normal limit.
As correctly suggested by your urologist if you have no symptoms of bladder neck obstruction due to prostate gland and you have mild grade I BPH, then you may stop tab veltamplus.
Continue antihypertensive and anti-diabetic drugs as prescribed by your doctor.
As I suggested earlier you need to follow the followings to control your UTI.

a. Drink plenty of water
b. Have a cup of cranberry juice daily
c. Take Syrup citralka 1-2 tablespoon full, twice or thrice daily
d. You would need a course of oral antibiotics like fluroquinolone (like-ciprofloxacin). Please consult your physician about this.
Hope I have answered your query. If you have any further questions I will be happy to help
If you do not have any clarifications, you can close the discussion and rate the answer.
Best Wishes,

Dr Sourav Ganguly

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. Aparna Kohli