What causes frequent and painful urination and itchy swollen penis shaft?

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Posted on Mon, 8 Jun 2015 in General Health
Question: Hello Dr. Shafi Ullah XXXXXXX Thank you for your response and care, I have taken the Doxycycline for 7 days and also a broad spectrum drugs as you have prescribed but I still have the discharge and also still have that discomfort and I still do urinate every 15 - 20 minutes as before. please doctor....I am getting scared again and I also forgot to tell you that I do have these itchy and swollen water filled on the shaft of my penis and also a sour on the tip of my penis which causes discomfort when urinating and if the swollen is been popped, it becomes a sour and takes about 3 days to dry up but also leaves a scar.....Please I need your help on this matter..... XXXXXXX
doctor
Answered by Dr. Shafi Ullah Khan 24 hours later
Brief Answer:
Likely Herpes,needs work up

Detailed Answer:
Thank you for getting back to me

Pardon the delayed reply due to bad weather and out of order network here. I am sorry the problem persists. But the incomplete history and missing the point of blisters on your genitals made me suspect some sexually transmitted disease. After no response to UTI treatment, your current status of these blisters and painful urination all point towards a herpes infection or a genital wart due to some other condition like condylomas , chancroid etc.

These symptoms are likely due to herpes involving urethral meatus thus causing frequency and painful urination symptoms.

Here is what you need to do. Get a course of antiviral for genital Herpes prophylactically. Get a blood test for HSV antibody, viral culture and PCR for the confirmation. Get all your partners tested. Get a complete STD panel assessment and rule out all the sexually transmissible causes. Latex condom protection is needed. Avoid intimacy for a while.

for the relief of the pain apply topical anesthetic gels and hydro cortisone gels for the relief.

Seek an infectious disease specialist and let them help you in this regard. An internist is also good. Who ever is available at earliest convenience. You need work up and antivirals.

I hope it helps. Take good care of yourself and don't forget to close the discussion please.

Regards
Khan
Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3614 Questions

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