What Causes Burning Sensation In The Penis While On Cipro?

Posted on Thu, 2 Nov 2017

Question: Sex with wife (of 3 yrs) early July....stopped because she was due with first child first week of August....late August felt a sense of stinging at end of penis, then burning when urination. NP did urine test (found bacteria) and 7 days of macrobid....bacteria was gone but week later, still symptoms and after another urine test, it came back clean....but still "burning sensation" within penis. So, NP gave me 2 weeks of bactrim....which did nothing. Went to urologist who did tests on urine, PSA and prostate check...all came back fine. He put me on a month of cipro 500mg. He didn't specify what he thought it was besides "this is just a part of being a guy".No discharge and feel a pinch/sting when I urinate through day. Again, urine continues to come back clean....and seems to feel not as bad in the morning, then worse throughout day. Lastly, when my bladder becomes full, the feeling worsens...With all of that, what on earth could be issue? It's been close to 2 months now and I'm feeling hopeless.

Answered by Dr. Dr. P. T. Patil (41 minutes later)

Brief Answer:
Could be due to Prostatitis.

Detailed Answer:
Hello
Thanks for query .

Based on the facts that you have posted burning urination that you have could be mostly due infection of Prostate (Prostatitis).

I shall be happy if you can post me more details to help me in making precise comments
1) Do you have painful erection ?

I would suggest you to discuss with your Urologist about having infection of Prostate (Prostatitis) and get following tests done to confirm the diagnosis
1) Ultrasound Scanning of abdomen and Trans Rectal Ultrasound(TRUS)
2) Semen examination and Semen culture.
3) Swab test and culture of Urethral discharge collected after doing Prostate Massage .(This would help to get secretions directly from prostate and help to establish precise diagnosis )

Till then continue antibiotics being prescribed along with anti inflammatory drug like Diclofenac twice daily.

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 (4 minutes later)

1) - No painful erections

1) - They scanned my bladder when I went to visit, to see if any urine was left/withheld.....came back fine.
2) - There's no blood in semen, and no painful ejaculations (though once recently felt a little sore after)
3) He did check prostate and said it was normal

The NP I first saw thought it was Prostatitis too, but the Bactrim did nothing for it. If the prostate is normal, how could it still be (possibly) prostatitis? Initially, I did have bacteria in urine (was given macrobid) but since then all clean. That's what I don't understand.

Also, around the opening of the meatus, it looks red/irritated. Definitely not normal.

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

Brief Answer:
There is entity called Non Bacterial Prostatitis .

Detailed Answer:
Hello
Thanks for follow up .

As explained earlier Semen culture and secretions collected directly from Prostate that you collect after doing prostate massage can detect organisms causing infection

.There is one entity called Non Bacterial Prostatitis where one has symptoms similar to Prostatitis with no positive evidence of infection of prostate what is called as Non Bacterial Prostatitis .Our aim is to establish diagnosis by doing all these tests so that we can plan future course of action and treatment .

Thanks and Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (3 minutes later)

Thanks Doctors - What treatment would help cure this, then?

Also, what are your thoughts on the redness/irritation around the opening of the meatus?

Answered by Dr. Dr. P. T. Patil (9 minutes later)

Brief Answer:
Daily prostate massage helps to cure this condition

Detailed Answer:
Hello
Thanks for follow up .

This conditions usually occurs in middle aged males due to abstinence from sexual activities for a prolonged period .Doing prostatic massage or discharging prostatic secretions by masturbation 3-4 times a week does help to resolve the issue ,However it is advisable to do these tests to rule out bacterial infection .

For redness around tip of penis take anti inflammatory drug Diclofenac twice daily .

Thanks and Regards.
Dr,Patil

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