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Suggest Treatment For Symptoms Of Prostatitis

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Posted on Wed, 28 Sep 2016
Question: hi soon after sperm out , my urine becomes more punjent smell ,frequent urination and cloudy ..need to pressure to urinate combined with motion problem too. And to recover from this , i should not be sexually active for next two months. May know why this happens . it re-ocurring for me last two years. it lead to fever if sperm out for continous four days with mild UTI in report. Doctors given antibiotic for bacterial infection of heavy dose . then it gets normal. is there permanent cure. blood counts are good .esh is bit high as 12mm/hr. is that a gonorrhea which caused bacterial infection. While passing urine ,not fully the urine is out.in ultrasound scan , identified postvoid residue 65cc,prevoid 210cc.
doctor
Answered by Dr. Dr. P. T. Patil (2 hours later)
Brief Answer:
Most probably you have Prostatitis.

Detailed Answer:
Hello
Thanks for your query ,based on the facts that you have posted it appears that the symptoms that you have are suggestive of Prostatitis and needs to get investigated.

Please 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) Semen examination and semen culture .
5) Swab test and culture of urethral discharge obtained after prostate massage .

In the mean while start taking antibiotic like Doxicycline and Nitrofurantoin twice daily .

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.




Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (1 hour later)
1st query -

I had unprotected only one night last sex with my girl friend before marriage. I found she had sex relationship with more people . Her skin around vagina was totally spoiled in black colour which was very ugly .that girl said she have no hiv.but I don't know about STD or VD of her. After that I had no sex with anybody except my wife .So it also any thing related to sexual disease ?

2nd query -

I also have nerve weakness due to frequent masturbations. An urology doctor said , my problem related is brain signal to urine tract was poor that's why all these symptoms are. He checked uroflowmeter test report , it have huge bad result he said. He recommended me to do CMG/EMG based on that some laser surgery he said for cutting some urinary walls by doing this sperm count will reduce he added. I assume his understanding is wrong . Pl confirm

He also inserted huge tube in my pennis & confirmed no blockage in track.

I have now my urine test n culture report right now .. All are showing good result except mild blood in urine microscopic test. And in ultrasonic test , all my kidney liver are normal size, except post residue is identified after urination.

3rd query -

In normal lab, following test not been taken "Swab test and culture of urethral discharge obtained after prostate massage " . Pl advise where I need to look out for before consulting urologist.
doctor
Answered by Dr. Dr. P. T. Patil (4 hours later)
Brief Answer:
Read detail answers bellow `

Detailed Answer:
Hello
Thanks for follow up .
I would address your queries a point to point as detailed bellow .
1) In view of having unprotected sex with unknown girl and totally unaware of her STD pr HIV status possibility of acquiring STD and HIV has to be ruled out by doing basic screening test for HIV and STD .

2) Frequent and habitual masturbation never leads to any nerve weakness or damage to nerves of penis and cause urinary symptoms .These symptoms can be due to Prostatitis .I would be able to make precise comments only aftergoing through your CMG and Uroflometry reports .

3) You can get the said test done at Metropolis Lab in XXXXXXX .

Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (44 hours later)
I have updated one information wrongly sir. Whenever I delayed in minutes to go bathroom, I need to concentrate to flush out urine . In completion only am on pressuring to complete my urination because even though some urine still left to flush out , my pennis stopping the urine. Once again I need to concentrate to flush out urine. Even Finally , there will be some incompletion of urine .which doctor observed in ultrasound as post residue found in ultrasonic test. In uroflowmeter test also , flow time was high & gap time during flow also high. Urology doctor said , signal between brain nerves and pennis were weak. Two years before I fell down in water falls rock , my back of head got hit . No blood but little bulge. During the hit time total body nerves got severe collapse which i felt during that incident for two minutes. tested mri that time found no issue . Can u suggest for neurologist, to improve this nerve weakness/disorder to avoid unnecessary laser surgery in pennis which is suggested by urology doctor. Am trying for pregnancy so don't want reduction in sperm count after laser surgery . Pl advise
doctor
Answered by Dr. Dr. P. T. Patil (6 hours later)
Brief Answer:
Upload all the test reports

Detailed Answer:
Hello
Thanks for follow up .
All reports and statements that you are making are contradictory to the treatment suggested by Urologist .You may have urethral stricture

Upload all the test results and clinical findings of your Urologist to make precise comments and suggestions.

There is nothing like isolated weakness of nerve to penis .

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. Yogesh D
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Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10583 Questions

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Suggest Treatment For Symptoms Of Prostatitis

Brief Answer: Most probably you have Prostatitis. Detailed Answer: Hello Thanks for your query ,based on the facts that you have posted it appears that the symptoms that you have are suggestive of Prostatitis and needs to get investigated. Please 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) Semen examination and semen culture . 5) Swab test and culture of urethral discharge obtained after prostate massage . In the mean while start taking antibiotic like Doxicycline and Nitrofurantoin twice daily . 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.