Question: Hello, I am a 33 year old male American working in Germany and have had much trouble dealing with Urethritus. I have a very strong odor from my urine and also have been diagnosed with HPV (3 years ago and had laser surgery to remove some genital worts). I have been on antibiotics three times (Levoflaxin) in the last year and still have this problem. I just recently went back again after taking 3 different urine test with no valid answer from the results. I'm curious if this is a mixture of both issues? My urine is also noticiable cloudy. During the day I do feel some miscomfort and at times a little pain with urinating. It has been a year of dealing with the German military doctors and feel like I have not had any luck. My first step, back in January 2012, i consulted a Urinologist and he was the one who diagnosed me with Urethritis. I'm afraid of this becoming a more severe issue. The only other thing that comes to my mind is that I did use a new sex toy around the time this began, I do not think it was cleaned properly and I may have had some bacteria enter my urethra. I'm running out of options where I live and am really concerned about my kidney health or cancer of the penis? I know a year must be too long and risky for this ongoing behavior. Any suggestions?

As mentioned, I have taken multiple urine culture test with not much accuracy given the German doctors must send it to munich and wait days until it makes it to the lab. They have informed me that they do not think the test have been accurate and never recieved any advise or info from this procedure. I do have a test result (in German) that is the itemized result of my diagnoses of Urethritis. I think your idea with the antibiotics are a good idea but would need a prescription. Do you recommend a stronger antibiotic (injection?) Can I also recieve a worse case senerio option from you? I am really running out of options as the Urologist is booked completely and will not except apointments for the next 6 months. I am on day 10 again with Levoflaxin, and still urinating with the amonia smell. I have never had this problem. Does Chlyamedia also have this symtom? I have been tested for it but "they say" it came back negative. I have had a new partner since and she claims to have contracted Chlaymedia but has only been with me. Loosing faith in German doctors at the moment and really need some worst case senerios. Many thanks in advance.

In which aspect is this not ideal? The lack of options for me or the recommendation for antibiotics is not "ideal"? Thank you.