I Have A Question About Penile Burning Pain. I Have

Posted on Mon, 11 Mar 2019

Question: I have a question about penile burning pain. I have been having burning pain or a feeling of burning inside my penis for a month now and no discharge or anything. Been to a internist and Urologist and need a second opinion from a Urologist. I want to think these episodes come after have oral performed from my wife. They usually go away but this has been going on longer then ever. My doc says prostatitis.

Another report that wouldnt upload is a test that was Chlamydia, Amplified DNA and N, Gonorrhoeae Amplified DNA both negative

Please view reports and everything i have typed.

Answered by Dr. Dr. P. T. Patil (48 minutes later)

Brief Answer:
Please provide few more details .

Detailed Answer:
Hello
Thanks for query .

Based on the facts that you have posted you seem to have burning pain in penis since one month which you have noticed to be started after having a oral sex .

I shall be happy if you can post me more details to help me in making precise comments
1) Do you have pain in perineum ( Area between scrotum and Anus) ?
2) Do you have pain while ejaculating?
3) Do you have pain in bladder area ?
4) How long you have been taking Bactrim D.S and Doxicycline ?
5) Has Urologist done a Digital Rectal Examination (DRE) while you were examined ?
6) Was a swab test of a discharge from the penis (collected after DRE) was done to confirm the diagnosis of Prostatitis ?
7) Was a Semen culture done ?
8) Are you Diabetic?

In view of you getting burning in penis after oral sex I think it to be due to inflammation of urethral mucosa (Urethritis) rather than prostatitis.

You can try anti inflammatory drugs like Diclofenac and Serropeptidase twice daily for 10 days.

Waiting for feedback .Do not hesitate to write if you have more questions.

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. P. T. Patil (7 hours later)

Look at the reports I attached and specifically the XXXXXXX 28 clinical summary. What does EPS cell count mean?

Yes on that date he did a prostate exam and expressed some liquid out of my penis after massage and looked at it under a microscope and said it had puss in it.

No semen culture was done.
I was on Doxicycline for 2 weeks.
I was on Bactrim for a couple days then had a bad reaction so was put on Cipro for 2 weeks.
I have no pain in bladder area or perineum.
I did have a little burning after ejaculation.

Answered by Dr. Dr. P. T. Patil (12 hours later)

Brief Answer:
Continue taking Doxicycline along with Diclofenac twice daily

Detailed Answer:
Hello
Thanks for feedback .Based on feed back you do not have symptoms typical of Prostatitis

It looks that the concerned Urologist has done microscopic examination of urethral discharge collected after prostate examination .

Ideally it has to be send to Lab for what is called as Gram Staining to confirm the diagnosis .

Semen culture is sensitive test and important tool to confirm the diagnosis of Prostatitis and guide to take appropriate antibiotics .

Take medication for 10 days more .If problem persists then go for semen culture .

Thanks and Regards.
Dr Patil.

Ensure to drink more water before sexual activity.

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

Follow up: Dr. Dr. P. T. Patil (2 hours later)

I have finished doxycycline and it didn’t help so he put me on Keflex. I just started this for 30 days

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

Brief Answer:
I would suggest to get Semen culture done.

Detailed Answer:
Hello
Thanks for follow up
Since one has to take antibiotics for long period it is always advisable to take appropriate antibiotics as per culture report that will help to eradicate the infection rather than to change the antibiotic after taking antibiotics which has not helped at all .
Hence I will still suggest you to insist your Urologist for Semen culture.
Thanks and Regards
DrPatil

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. P. T. Patil (8 hours later)

You didn’t tell me what does the EPS numbers mean in the XXXXXXX 28 clinical summary report?

Can you call in a lab Corp test for me to give semen culture? My doc mentioned in the beginning no need to do that. And I can’t go to Labcorp with out a doc saying I need that test

Answered by Dr. Dr. P. T. Patil (52 minutes later)

Brief Answer:
Read details below

Detailed Answer:
Hello
Thanks for follow up .

EPS is cell count in Expressed Prostatic Secretions obtained after doing a prostatic massage .Ideally this is done thrice a week in a patient who is under treatment with antibiotics suspected to have Prostatitis .

Single reading has no significance .The efficacy of the treatment is evaluated by doing prostatic massage thrice a week and the cell count is measured in a Expressed Prostatic Secretion .Based on the cell count detected one gets a gross idea whether treatment is effective or not .

.However since patient has to go through a painful procedure of prostatitis massage repeatedly this is generally avoided and Semen culture is preferred instead which helps to detect the bacteria causing infection and their antibiotic sensitivity so as to avoid taking antibiotics blindly .

As regards semen culture you have to insist or request your Urologist to get semen culture done .

This is the modality we Urologist in XXXXXXX follow routinely .

Thanks and Regards.
Dr Patil.

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