Thanks for the query to H.C.M. Forum.
If I were your treating doctor for this vdrl
positive with 40-50 pus cells , I would come up with these measures , these includes.
1 Since vdrl is reactive so diagnosis is already assessed . Now for treatment point of view.
Your main complaint is severe burning sensation in the penis i.e. urethra
as we know the cause . 40-50 pus cells are reason for this burning sensation. Get in urine culture and sensitivity test and take treatment from PHYSICIAN .
2 In this type of condition I prescribe Benzathine penicillin 24 lac unit
twice in a month after sensitivity test.
3 Also take plenty of alkalizes and fluid for dilution of urine.
In my opinion consult a physician and take peniciliin as above mentioned .
Good luck. Dr. HET