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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Frequent Painful Burning Urination And Painful Ejaculation?

Since late September I have had painful, burning, and frequent urination. Have also had pain during ejaculation and have also had difficulty maintaining an erection. I have been on an antibiotic(Bactrim) for around 21 days and symptoms did get somewhat better but after about a week being off the antiobiotic the symptoms came back.
Mon, 8 Dec 2014
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General & Family Physician,  's  Response
Thanks for contacting HCM with your health care questions.

You are concerned about having painful urination and pain on ejaculation. Your symptoms sound like you have prostatitis and your doctor has been treating you as such with a 21 day course of Bactrim. Unfortunately prostate infections are sometimes very difficult to cure and may require an additional 4-6 weeks of a more powerful antibiotic. In my practice I will use cipro or Levaquin for 4-6 weeks to treat difficult cases of prostatitis.

In summary you may have chronic prostatitis and need additional antibiotics for 4-6 weeks. Please contact you medical provider to proceed with treatment

I hope this answers your question. Please contact HCM again with any of your health care concerns
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What Causes Frequent Painful Burning Urination And Painful Ejaculation?

Thanks for contacting HCM with your health care questions. You are concerned about having painful urination and pain on ejaculation. Your symptoms sound like you have prostatitis and your doctor has been treating you as such with a 21 day course of Bactrim. Unfortunately prostate infections are sometimes very difficult to cure and may require an additional 4-6 weeks of a more powerful antibiotic. In my practice I will use cipro or Levaquin for 4-6 weeks to treat difficult cases of prostatitis. In summary you may have chronic prostatitis and need additional antibiotics for 4-6 weeks. Please contact you medical provider to proceed with treatment I hope this answers your question. Please contact HCM again with any of your health care concerns