Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
158 Doctors are Online

Have a swollen meatus. Had protected sex after viagra, did masturbation. Is this just a wart?

User rating for this question
Very Good
Answered by

Urologist
Practicing since : 1998
Answered : 576 Questions
Question
I have a swollen meatus on the right hand side. It appeared two months ago and hasn't gone away. Sometimes more swollen than others. It's appearance is redish/pinkish hue.
I had protected sex and took 1/2 of a viagra days before it appeared. I did masturbate to ejaculate after sex and perhaps some fluids were on my hand from removing condom.
Tested neg for gon and clam. Doesn't look like wart from pictures I've seen on internet.
Posted Tue, 24 Apr 2012 in Men's Health
 
 
Answered by Dr. Rajiv goel 8 hours later
Dear,

Thanks for your query.

It is very difficult to tell exactly what you are suffering from. However, I think if you could send us a pic it would help a lot.

I will also be keen to know whether you have any urinary symptoms at present. Also is there any itching at this point of time on the tip of penis.

I will also like you to get fresh ultrasound KUB and urine examination. till you get all these investigations done I will suggest you to start yourself on clotrimazole cream local application twice daily.

Hope I have answered your query. Please accept my answer in case you do not have further queries.
Above answer was peer-reviewed by
 
Follow-up: Have a swollen meatus. Had protected sex after viagra, did masturbation. Is this just a wart? 13 hours later
HI,

I do have frequent urinary symptoms now and it appears my urethra appears to be inflamed. However, the meatus has been like this even if there is not urninary symptoms...it hasn't looked normal for 2 months.

I do not have itching and never have. One other thing, it seems to get more inflamed after urination or ejactulation.

What would an ultrasound be able to see? Every time I have done a urine examination it turns out negative (even when I have the symptoms of frequent urination) Last time I was at the Urologist he did a prostate exam and it appeared to be normal size. I think there are 2 separtate issues here. One perhaps related to frequent urinatino and prostate and/or overactive bladder and the other issue related to swollen/irritated meatus. The meatus is the one that concerns me the most as this is completely new.

Could ibuprofen do anything to help and of these symptoms?

How do I send a picture?

Thanks
 
 
Answered by Dr. Rajiv goel 1 hour later
Dear,

Thank you for the follow-up

I believe that you don't have any prostate or overactive bladder issues. All your complaints have one pathology and swollen meatus is also part of the same complex. You should get an ultrasound done and that shall probably point to the pathology.

Hope I have answered your query. Please accept my answer if you have no further concerns.


Wishing you good health.

Regards.

Above answer was peer-reviewed by
 
Follow-up: Have a swollen meatus. Had protected sex after viagra, did masturbation. Is this just a wart? 45 minutes later
And what pathology could that be? Ultrasound of what, my penis? What can an ultrasound find?

So should I still use the clotrimazole? Do you think this is related to sex or more my own pathology?

Regards,
XXXXXXX
 
 
Answered by Dr. Rajiv goel 9 hours later
Hi XXXXXXX

Thank you for writing back.

Let me work again to make you understand better.

1. Firstly, you have had protected sexual intercourse, do not worry much as there are no chances of you contracting an STI (Sexually Transmitted Infection). One point to note here would be that the reason for the urethral meatal swelling can be due to an inflammatory response that occurred due to excessive friction during intercourse and lack of lubrication.

It is most probably not a wart as you say nor is it an STI. Inflammatory reactions usually settle in 4-6 weeks time if one avoids masturbation or sexual intercourse. So please avoid masturbation or sexual intercourse for few weeks. Ibuprofen 400mg tablets which is available over the counter can be used twice daily after food for a few days - if you are not allergic to it. This may fasten recovery.

Despite these measures, if your symptoms do not heal, seeking medical help for local examination is warranted.

2. You have a history of non- specific prostatitis, which has an intermittent course. However, this does not cause meatal swelling unless it is very severe.

Complete evacuation of the urinary bladder and a clean wash after that is required since your symptoms increase after urination. You must also wash the genital area with mild soap and water after ejaculation too. I am sure that you are already doing these, but please do continue.

By ultrasound, I meant ultrasound of the Kidney, Ureters and urinary Bladder region (KUB). This helps in identifying any obstruction in the urinary outflow tract and also helps in assessing the prostate. You don't need an ultrasound of penis. Ultrasound will tell us whether you have any swelling of kidney, any stone in the kidney or ureter too.

3. You have a feature to upload the reports / image by yourself at the right side of the query page, please utilize that so that I can answer your queries better.

Alternatively, you may also mail me the picture at YYYY@YYYY with subject as attention to Dr. Rajiv Goel.

4. You can still try clotrimazole till you get the investigations done. You may use it twice daily on the affected area.


Hope this helps. Please do send me the picture and we can discuss further.

Regards,
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Drug/Medication
Medical Topics

The user accepted the expert's answer

Ask an Internal Med Specialist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor