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What Causes Burning Sensation In Penis?

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Posted on Tue, 10 Feb 2015
Question: I had unprotected oral sex 6 years back. For the last one year I have noticed stain in my underwear occasionally. However I dont have any feeling or pain in my penis except for slight burning sensation when I reduce my water intake. Just wondering if this is related to any sexual diseases. I dont have any marks or bumps around my penis.
doctor
Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
I suggest a urine routine microscopy to look for pus cells

Detailed Answer:
Hello. Thank you for writing to us at healthcaremagic

I have gone through your query and I have understood it.

The only STD's that can present with urethral discharge and burning sensation is either Gonorrhea or Non-Gonococcal Urethritis/ NGU (Chlamydia). However, unprotected Oral sex is not a common route for acquiring either of these.

In Gonorrhea the discharge is frankly purulent and there is lot of burning sensation on passing urine; it is unlikely that gonorrhea would remain active for so long, therefore I rule it out as a possibility in your case.

In case of non-gonococcal urethritis/NGU (Chlamydia), the discharge is clear or transparent.
After going through your query I can keep a possibility of persistent Non Gonococcal Urtheritis/ NGU in you.

However, I suggest you to undergo a urine routine microscopy test from first void urine sample in morning, to look for presence of pus cells.
If this test reveals > 10 pus cells per high power field (HPF) it would be fair to treat for NGU, by Oral Doxycycline twice daily for 7 days.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (1 hour later)
Thanks

I did urine test recently with no issues highlighted by the doctor. Do I still need to consider that as a potential STD?
doctor
Answered by Dr. Dr. Kakkar (5 hours later)
Brief Answer:
Not an STD

Detailed Answer:
Hi.

Ok, If the recent urine test is normal then I think you don't need to worry about an STD.
It is very unlikely though that even NGU would present or persist years after a risky sexual encounter.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (2 days later)
I did the test again specifically for STD related having following test with negative results. Per reports, nothing has been deducted.

Chlamydia trachomatis PCR
Neisseria gonorrhoeae PCR

Given that I have no other symptoms accept slight discharge occassionally I will accept this as normal.
doctor
Answered by Dr. Dr. Kakkar (6 hours later)
Brief Answer:
Your reports are fine

Detailed Answer:
Hi.

Slight off and on burning sensation can also be due to concentrated urine.

Bulbourethral glands may produce some amount of sticky transparent secretion during sexual arousal which is absolutely normal and can be mistaken as urethral discharge. This may cause some staining on undergarments.

Regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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What Causes Burning Sensation In Penis?

Brief Answer: I suggest a urine routine microscopy to look for pus cells Detailed Answer: Hello. Thank you for writing to us at healthcaremagic I have gone through your query and I have understood it. The only STD's that can present with urethral discharge and burning sensation is either Gonorrhea or Non-Gonococcal Urethritis/ NGU (Chlamydia). However, unprotected Oral sex is not a common route for acquiring either of these. In Gonorrhea the discharge is frankly purulent and there is lot of burning sensation on passing urine; it is unlikely that gonorrhea would remain active for so long, therefore I rule it out as a possibility in your case. In case of non-gonococcal urethritis/NGU (Chlamydia), the discharge is clear or transparent. After going through your query I can keep a possibility of persistent Non Gonococcal Urtheritis/ NGU in you. However, I suggest you to undergo a urine routine microscopy test from first void urine sample in morning, to look for presence of pus cells. If this test reveals > 10 pus cells per high power field (HPF) it would be fair to treat for NGU, by Oral Doxycycline twice daily for 7 days. Regards