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Having Burning Sensation In Penis And Bladder After Urination. Taken Medicine. Reoccurring Again. Worried

Posted on Mon, 23 Jul 2012

Question: Hi Doctor, I ahve been having burning sensation immediately after urination in the penis and bladder. I have consulted doctors and did urine test each time the test came negative. However one doctor prescribed what he said is a mild anibiotic "ZANOCIN 200" twice everyday and CITAL syrup. I took this for 5 days. I saw immediate relief after 1 day. i continued to take it for 5 days. After 25 days I am seeing the symptoms again. I again started taking the medicine prescribed and I am seeing little relief now. I don't wat it to come back. What must be the reason for this coming back aagin now.

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1. Please attach or type out the reports with dates of the tests. Below is the urine report and ultrasound report. They looked normal.
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1. URINE TEST:
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a. Physical Examination
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CUE(Complete Urine Examination)
Qty:20ml
Colour: Pale Yellow
Appearance:Clear
Reaction(PH):Acidic
Specific Gravity:1.010
Deposits:Nil
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b. Chemical Examination
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Albumin: Nil
Glucose:Nil
Bile Salts: --
Bile Pigments: --
Ketone Boidies:--
Urobilinogen:--
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c. Microscopic Examination
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W.B.C/Pus Cells: 2-3/hpf
Epithelial Cells:1-2/hpf
RBC: Nil
Crystals:Nil
Casts:Nil
Others:Nil

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2. Ultra Sonogram of KUB
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Kidneys: Right Kidney:90x41mm, Left Kidney:93x47mm
Both kidneys are normal in size, shape and echoanatomy.
Collecting system is normal. No evidence of calculi.

Urinary Bladder: Normal. No calculi seen.

Prostate: size:35x29x32mm(volume:17 cc). Normal in size, shape and echotexture.

No paraaortic adenopathy. No ascites.

Impression: Normal Study.

2. Does your partner suffer from similar issues?
No
3. Have you been tested for diabetes?
I never had a specific test done for diabetes, so do not know.
4. Do you carry out safe sex practices
Yes, my wife is my only partner.
Hi Doctor, I ahve been having burning sensation immediately after urination in the penis and bladder. I have consulted doctors and did urine test each time the test came negative. However one doctor prescribed what he said is a mild anibiotic "ZANOCIN 200" twice everyday and CITAL syrup. I took this for 5 days. I saw immediate relief after 1 day. i continued to take it for 5 days. After 25 days I am seeing the symptoms again. I again started taking the medicine prescribed and I am seeing little relief now. I don't wat it to come back. What must be the reason for this coming back aagin now.

Answered by Dr. G.Srinivasan (39 minutes later)

Hi Mr XXXXXXX

Thanks for writing.
You seem to have recurrent UTI.
The usual cause is stone or block in the urine passage.
Since the scan does not show a stone, it is worthwhile doing uroflowmetry to check for block if any.
If there is block , it needs to be addressed.
If the flow test is normal, then u need long term antibiotics to prevent reinfection. About 3 to 6 month of low dose antibiotics could do the trick.
Hope I answered your query, kindly get back for doubts if any..
Regards
DR G Srinivasan

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

Follow up: Dr. G.Srinivasan (7 minutes later)

Hi Doctor,
I also have phimosis because of which my foresking is tight. I have been trying
to loosen the skin from past one year. i am now able to retreive the foreskin backward and then urine but it still seems tight. Can this be the cause of urinary infection. It occured to me when you said blockage. Also is there any home remedy I can practice to loosen the tight foreskin.

Answered by Dr. G.Srinivasan (2 hours later)

Hi Mr XXXXXXX

You are right. Phimosis is a predisposing factor for recurrent UTI.
The best solution is circumcision. If u are keen to retain the foreskin, u may try using lubricants or oil and try to retract during showers daily.

Get yourself physically examined and your doctor would be the best judge to decide on circumcision.
Hope i helped u. If u have further doubts, pls get back or If u r satisfied rate my answer.
Get well soon.
Regards
DR GS

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

Follow up: Dr. G.Srinivasan (17 minutes later)

Hi Doctor,

Thanks for the clear reply. One final question. How long does the circumcission
operation heal after the surgery. Just need an estimate. Would one need bed rest after the operation. Thanks!

Answered by Dr. G.Srinivasan (10 hours later)

Hi
Thank you for the compliment. U can go home the same evening if operated in the morning.
You need rest for about 3 to 5 days at home. Ne need for absolute bed rest and you can do daily activities at home and probably return to work in a week.
All the best.
Regards
Dr GS

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