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Dear Sir, I Am Suffering From Erectile Dysfunction Since 13
Question: Dear sir, I am suffering from erectile dysfunction since 13 years.Long back I had done unprotected sex (oral sex also)with commercial sex workers .My symptoms are nerve pain from foot bottom to head, itching on head,lymph nodes swelling near elbow,walking problems,sleep problems.Urinalysis,vdrl,urine pcrs for chlamydia & gonorrhea,hiv, hepatitis etc are negative.Strong smelling urine,foamy and cloudy urine.My colonoscopy is normal.H pylori infection was diagnosed by endoscopy.I have used medication.I am having hsv1 & hsv2.Can cystoscopy detects the infection?Is it good to consult neurologist?I am having diabetes since 8 years.What are oral stds?Can ypu please give suggestions
Brief Answer:
Your symptoms are mostly due to infection of Prostate (Prostatitis)
Detailed Answer:
Hello
Thanks for query .
Based on the facts that you have posted the urinary symptoms associated with ED that you have are mostly due to chronic infection of Prostate (Prostatitis) and Diabetes .
I shall be happy if you can post me more details to help me in making precise comments
1) Is your Diabetes under control ?
2) Have your tried drugs like Viagra or Cialis to achieve erection ?
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) Color Doppler Ultrasound Scanning of Penis to find out whether the ED that you have is Vasculogenic in nature .
3) Microscopic examination and culture of Urethral discharge collected after prostate massage .to confirm Prostatitis.
4) Blood test to estimate HbA1c levels to detect status of your Diabetes ?
The cause of ED that you are facing could be Diabetes which causes Diabetic Neuritis and Atherosclerosis of blood vessels resulting into reduced blood flow to erectile tissue in penis .
The further treatment will depend upon results of these tests .
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.
Your symptoms are mostly due to infection of Prostate (Prostatitis)
Detailed Answer:
Hello
Thanks for query .
Based on the facts that you have posted the urinary symptoms associated with ED that you have are mostly due to chronic infection of Prostate (Prostatitis) and Diabetes .
I shall be happy if you can post me more details to help me in making precise comments
1) Is your Diabetes under control ?
2) Have your tried drugs like Viagra or Cialis to achieve erection ?
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) Color Doppler Ultrasound Scanning of Penis to find out whether the ED that you have is Vasculogenic in nature .
3) Microscopic examination and culture of Urethral discharge collected after prostate massage .to confirm Prostatitis.
4) Blood test to estimate HbA1c levels to detect status of your Diabetes ?
The cause of ED that you are facing could be Diabetes which causes Diabetic Neuritis and Atherosclerosis of blood vessels resulting into reduced blood flow to erectile tissue in penis .
The further treatment will depend upon results of these tests .
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
Dear sir,My urine culture test is negative.MRI scan result-Cystitis-Mild urinary bladder wall thickening.TRUST test impression-(1) Mild prostatomegaly (2) No focal lesions in the prostate (3) Normal gland vacularity.Can you please give suggestions
Brief Answer:
Please get the other tests suggested done
Detailed Answer:
Hello
Thanks for follow up
The test which I have suggested earlier are relevant to find out cause for your problem of ED has to be done.
get these tests done and do write again with reports
Thanks and Regards
Dr Patil
Please get the other tests suggested done
Detailed Answer:
Hello
Thanks for follow up
The test which I have suggested earlier are relevant to find out cause for your problem of ED has to be done.
get these tests done and do write again with reports
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. Chakravarthy Mazumdar
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