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What Causes Frequent Urge To Urinate And Pain In Penis?

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Posted on Wed, 13 Jul 2016
Question: I have had frequent urge to urinate and little comes out. My urine stream is split and weak. I sometimes have a slight pain and itch in my penis and sometimes have an itch irritation from my navel to my penis. I am seeing a urologist next week. I was on Cipro for 20 days and Flomax for 30 days and it seemed to provide a lot of relief. The CIpro ended Monday and now the symptoms appear to be coming back to the level they were at before. I am more freaking out than anything else


The urine test & culture came out negative.
Blood Sugar and PSA were normal.

There is no pain in the perineal region and no pain during ejaculation and no diabetes.
doctor
Answered by Dr. Dr. P. T. Patil (24 minutes later)
Brief Answer:
Need to investigate .

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that you have frequency and urgency for urination since one moth and have been XXXXXXX Ciprofloxacin and Tomsulosin .

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Do you have pain in perineal region ?
2) Do you have painful ejaculation ?
3) Are you diabetic?

The symptoms that you have could be mostly due to infection of prostate (Prostatitis.)

You need to consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Serum PSA.
4) Swab test and culture of urethral discharge obtained after prostate massage .
5) Blood Sugar tests to rule out Diabetes .
6) Semen examination and semen culture .

In the mean while continue taking medications that you are taking .Add Darifenacin once daily .It will help to reduce urgency.

Further treatment will depend upon result of these tests and final diagnosis.

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.


Brief Answer:
Could be due to Over Active Bladder .

Detailed Answer:
Hello
Thanks for feedback .

In view of the negative findings the urgency that you have is could be mostly due to Over Active Bladder Syndrome (OAB)

Consult Urologist as planned and get
1) Ultrasound Scanning of the abdomen done to rule out enlarged prostate .
2) Endoscopic Examination of Bladder (Cystoscopy)

Start taking Darifencin once daily .This will help to reduce frequent urge for urination.

Please do write after you consult Urologist .

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. Vaishalee Punj
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Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10590 Questions

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What Causes Frequent Urge To Urinate And Pain In Penis?

Brief Answer: Need to investigate . Detailed Answer: Hello Thanks for your query ,based on the facts that you have posted it appears that you have frequency and urgency for urination since one moth and have been XXXXXXX Ciprofloxacin and Tomsulosin . I shall be happy if you can post me few more details to help me in making comments on your problem. 1) Do you have pain in perineal region ? 2) Do you have painful ejaculation ? 3) Are you diabetic? The symptoms that you have could be mostly due to infection of prostate (Prostatitis.) You need to consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis. 1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis 3) Serum PSA. 4) Swab test and culture of urethral discharge obtained after prostate massage . 5) Blood Sugar tests to rule out Diabetes . 6) Semen examination and semen culture . In the mean while continue taking medications that you are taking .Add Darifenacin once daily .It will help to reduce urgency. Further treatment will depend upon result of these tests and final diagnosis. 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. Brief Answer: Could be due to Over Active Bladder . Detailed Answer: Hello Thanks for feedback . In view of the negative findings the urgency that you have is could be mostly due to Over Active Bladder Syndrome (OAB) Consult Urologist as planned and get 1) Ultrasound Scanning of the abdomen done to rule out enlarged prostate . 2) Endoscopic Examination of Bladder (Cystoscopy) Start taking Darifencin once daily .This will help to reduce frequent urge for urination. Please do write after you consult Urologist . Thanks and Regards. Dr.Patil.