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Had unprotected oral sex then protected vaginal sex. Burning feeling in urethra, sore testicles and marks on penis. Suggest further tests

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Jul 2016
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After I received unprotected oral sex and had protected vaginal sex I began to develope some problems. Within a few days a had a burning feeling in urethra,sore testicles and a couple marks on my penis. The marks are about 1/8 of an inch across and are oval. They are barely noticeable only slightly darker than the surrounding skin but are ever so slightly indented. Unfortunately I am not sure if they appeared after this incident. I went to see my GP around week two after the incident. He dismissed the marks but gave me 1000mg of azithromycin also he collected a urine sample to test for chlymedia and I think for a uti. Results were neg. A week later symptoms did not improve if anything got worse. Also my eyes began to irritate and headaches developed daily. My GP was on holidays so I went to the walk in clinic at my health centre. The doctor who saw me said the spots on my penis were probably nothing and prescibed 10 days of ciprofloxacin. Two weeks later no relief, I made an appointment with my GP. This time he attributed my symptoms to anxiety and prescibed me some sleeping pills. He did agree to test for syphilis at my request. Test turned up negative. AfterTwo more weeks of pain and suffering I developed a sore right testicle with a lump on the front top. I went back to my GP and he set up an appointment with a urologist and an ultrasound. The urologist has no real interest in my symptoms and says there was some swelling of the epididymis . Basically says its some kind of infection and decides to put me on ciprofloxacin for six weeks. He says if I'm not better in six weeks to come back. Current symptoms after 10weeks and 16 days of ciprofloxacin : 1-Sore right testicle 2-Frequent urination with little urine 3-Sore urethra especially when bladder feels full. Some relief after urination. 4-Feeling of urine trapped inside of urethra 5- burning and soreness in urethra and head of penis. 6-Occasional itching around groin area more that usual 7-Eyes are sore daily and seem to get worse as day progresses. Upper eyelids are swollen and have some spot on them that resemble freckles. 8-Sore wrists and knees 9- super sensitive head of penis Any ideas of what is going on? Do I require further std testing? Ciprofloxacin for six weeks? Should I have not seen a major improvement by now?if this was the appropriate antibiotic? Should I wait the full six weeks before returning to doctor? Do you think this is something that could be passed on to my partner? Thank you so much for your time
Posted Wed, 20 Nov 2013 in Men's Health
 
 
Answered by Dr. P. T. Patil 15 hours later
Brief Answer: You have Epidymo-Orchitis secondary to severe UTI Detailed Answer: Hello Thanks for your query.Based on the facts and sequence of events that you have posted it appears that you have developed infection of Epididymis and Testicle ( Epidymo-Orchitis)secondary to UTI due to unprotected oral sex and possibly failed protected sex.(Using condom during sex is never 100% safe as it is thought to be). Your symptoms are persistent in spite of taking antibiotics for 6 weeks indicates that the organisms are resistant to Ciprofloxacin. Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like Cifotaxime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.and later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to drink more water.To keep your urine dilute This will help to control dysuria. Avoid sexual encounters till you get cured completely as there are high chances of you transmitting this infection to your partner. I am sure you will get cured within 6 weeks . Hope I have answered your query. If you have any more questions please feel free to ask me I shall be happy to help you . Thanks and Regards. Dr.Patil.
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