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What Causes Stinging Pain At Penis Tip And Pain After Urination?

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Posted on Tue, 24 Feb 2015
Question: I'm male 36 year. I have a sting like pain in the head of penis tip, however it worsens after I pee. I have tingling pain above inter knee. This is the second time in about 2 months this has happen. Feels like pee could be trap a head of penis . I have a little back pain, but does not last long. I do pee often, but it is cold out. No visible sores, no bumps, no discharge. Have had protected sex 8 weeks ago. Awaiting herpes swab test, in fact after they rubbed q-tip inside pens it felt better. I had to make the doctor give me one. He felt that it was pointless. Going to urologists this coming week. This has driven me crazy, because it is all I think about.
doctor
Answered by Dr. Moumita Chakraborty,MD (4 hours later)
Brief Answer:
Prostatitis/Nerve compression

Detailed Answer:
Hello Sir!

Welcome to HealthcareMagic.

I understand your concern.Your symptoms makes me come to two provisional diagnosis 1)Prostatitis 2)Lumbo sacral nerve compression.

Prostatitis could be a reason for your pain and it needs few weeks of antibiotic treatment..It can be bacterial and non bacterial,treatment depends on this.This pain gradually subsides with the treatment.A cystoscopy could help getting a proper view of prostates.

Once you rule out prostatitis,another possibility could be nerve compression in your lumbar spine,which might cause irritation to nerves supplying your penis.You can then go for an MRI LS spine to look for any defect.Further management can be done as per the report.

Hope this helps.Feel free to ask more.
Dr.Moumita Chakraborty
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Moumita Chakraborty,MD (2 days later)
My swab test for herpes and Chlamydia came back negative. However the doctor prescribed azithromycin. The consist pain had stopped over the weekend until this morning. It felt more like my urine was cutting me when I urinated. Sitting at my desk it seems to be flaring up. Like a numbness with a pulsing sensation. My lower back was itching and so was my butt over the weekend.
doctor
Answered by Dr. Moumita Chakraborty,MD (3 hours later)
Brief Answer:
Sounds like Urinary tract infection

Detailed Answer:
Hello Sir,

Thank you so much for writing back!

Your symptom sounds like a severe UTI(might not be due to chlamydia). Please take azithromycin as prescribed by your doctor.Hope that you will get relief with this.

If you do not recover after this,then you should go for an MRI LS spine to look for nerve compression.

Hope this helps.If you have no further clarification,please rate this answer and close this discussion.
Dr.Moumita XXXXXXX
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Moumita Chakraborty,MD (22 days later)
Hello Doctor,

The Urologist prescribed Cipro, which I have been taking. It appeared that the medication was working, however a red itchy patch came up around the neck of the shaft and gland. I started to use a jock spray for a day or two and it cleared up.

I ejaculated a few days later and it all came back. This time my nut was sore for a day. The penis tip was swollen and a purplish dot appeared. When the purplish dot settles down it does not hurt as much. I've made another appoint for Urologist.

What are your thoughts?
doctor
Answered by Dr. Moumita Chakraborty,MD (19 minutes later)
Brief Answer:
Could be an infection resistant to lot of antibiotics

Detailed Answer:
Hello Sir!

Welcome back!

After reading your complaints it feels like you should go for urine culture to look for any bacteria's and it is resistance or sensitivity to an antibiotic.Until it gets the right antibiotic,the infection might just be on and off without complete cure.

So talk to your urologist about this test to get an overview of the same.

Hope this helps.
Dr.Moumita Chakraborty
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Moumita Chakraborty,MD

General & Family Physician

Practicing since :2010

Answered : 252 Questions

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What Causes Stinging Pain At Penis Tip And Pain After Urination?

Brief Answer: Prostatitis/Nerve compression Detailed Answer: Hello Sir! Welcome to HealthcareMagic. I understand your concern.Your symptoms makes me come to two provisional diagnosis 1)Prostatitis 2)Lumbo sacral nerve compression. Prostatitis could be a reason for your pain and it needs few weeks of antibiotic treatment..It can be bacterial and non bacterial,treatment depends on this.This pain gradually subsides with the treatment.A cystoscopy could help getting a proper view of prostates. Once you rule out prostatitis,another possibility could be nerve compression in your lumbar spine,which might cause irritation to nerves supplying your penis.You can then go for an MRI LS spine to look for any defect.Further management can be done as per the report. Hope this helps.Feel free to ask more. Dr.Moumita Chakraborty