HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Hello, I Have Had Prostatitis Over The Last Year, Went

default
Posted on Tue, 20 Aug 2019
Question: Hello, I have had prostatitis over the last year, went to an urologist, took a lot of ABs and did some blood and urine tests but never got to detect any bacteria, nor did the doctor diagnosed any concrete infection. Also, by the time it started I had some reaction in my glans, like redness and some small raised bumps, and that also slowly when away, although leaving some discreet red marks. Some of the symptoms remained, such as ocasional days with redness in the urethra opening and ocasional burning, not when urinating, but in random situations, I believe associated with stress.
Now I have similar symptoms in my glans. Some red and very small but noticeable pimples/zits/bumps (1mm or less) that don't appear to be filled with liquid, don't seem to be postules, are a bit raised and not painful or itchy, the only thing I feel is an occasional burning, but I think it's because of the creams, since even hidrant creme always caused me a bit of burning when applied on the glans. I have been applying cotrimazole alternate with hidrant or baby diaper cream. It's day 4 since they appeared and the smaller ones seem to be gone but 5 or 6 are more persistant and some appear to have a small red dot in the middle, I can't say that I feel that the situation as gotten much better. As I said, no pain, no itch and I can't feel any lymph nodes on the groin, maybe a little discomfort locally, no fever, but I'm super mega anxious, have lost appetite and feel terrible 100% of the time because of anxiety... I find it strange to be trush or candida because it's mostly unilateral, my best bet would be herpes, but the lesions are very small, not painful, can't feel groin nodes, and the lesions seem dry, I have labial herpes and it's nothing like this. Finally, I haven't used any condoms and can't think of any products that could have caused dermatitis.
I'll attach some pictures.
doctor
Answered by Dr. Dr. P. T. Patil (20 hours later)
Brief Answer:
You have Abacterial Prostatitis with Ballanitis

Detailed Answer:
Hello
Thanks for query
Based on the facts and photographs that you have posted you seem to have have what is called as Abacterial Prostatitis. This is very notorious condition where Patient has all the symptoms of Prostatitis but all the relevant tests do not reveal any positive evidence of bacterial infection.

The only best treatment option is to discharge prostatic secretions by doing Prostate Massage every day You can discuss this modality or treatment with your Urologist.

As regards lesions on the glans these are benign Penile Purple Papules (PPP) which fade away spontaneously
They do not beer to be treated with antibiotics or steroids

Washing genitals with plain warm water thrice daily does help to fade away faster.

Thanks and Regards
DrPatil
Above answer was peer-reviewed by : Dr. Kampana
doctor
default
Follow up: Dr. Dr. P. T. Patil (25 minutes later)
Thank you for your answer doctor. I will send a couple more photos so you can double check for herpes, because over the last day it has been burning frequently. I'm using baby hidrant cream. Best regards
doctor
Answered by Dr. Dr. P. T. Patil (29 minutes later)
Brief Answer:
It is not a Herpes Infection

Detailed Answer:
Hello
Thanks for follow up
Since there are no vesicles it is unlikely to be Herpes infection.

Tryto avoid any chemicals for cleaning or cream as well
Thanks and Regards
DrPatil
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. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10586 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Hello, I Have Had Prostatitis Over The Last Year, Went

Brief Answer: You have Abacterial Prostatitis with Ballanitis Detailed Answer: Hello Thanks for query Based on the facts and photographs that you have posted you seem to have have what is called as Abacterial Prostatitis. This is very notorious condition where Patient has all the symptoms of Prostatitis but all the relevant tests do not reveal any positive evidence of bacterial infection. The only best treatment option is to discharge prostatic secretions by doing Prostate Massage every day You can discuss this modality or treatment with your Urologist. As regards lesions on the glans these are benign Penile Purple Papules (PPP) which fade away spontaneously They do not beer to be treated with antibiotics or steroids Washing genitals with plain warm water thrice daily does help to fade away faster. Thanks and Regards DrPatil