Urine is flowing and massive erection problems.
February 21, 2017 | 50,00 EUR | answered by Dr. David Meyer
Hello,
I have the following problem... in November of last year, I contracted a gonococcal infection with urethral infection and balanitis. As a result, I was prescribed Doxycycline, which I had to take for 10 days. About 5 days after finishing the Doxycycline, my penis started itching (since then I have had massive erection problems). I then went back to the urologist... who then prescribed me Nifurantin. Unfortunately, that didn't help either. In early January, I went to the dermatologist. He took various swabs for bacteria. All negative. Urine was also sent to the lab... Result negative. My glans is still red in some areas. Additionally, after urinating, more urine leaks out than before (previously it was only 1-2 drops... now I always have a pretty large spot in my underwear. Also, from time to time, I have a strange discharge (thin yellowish milky discharge). My urologist doesn't know what to do anymore.
I don't know if it's relevant, but I have had constantly cold hands recently.
I urgently ask for help.
A little about me... I recently turned 30 years old.
Dear inquirer,
I don't know if this is relevant to you, but in infections such as a gonococcal infection, treating your partner is just as important as treating yourself. Otherwise, there can be a ping-pong infection. This applies to bacteria like gonococci, as well as fungi or viruses.
Has this been done, or did you engage in unprotected sex after treatment? Does your partner have any symptoms? There are urogenital infections that can be asymptomatic or mild in women.
Was a specific diagnosis of a gonococcal infection made? What symptoms led you to see a doctor back in November? I assume itching and discharge?
Was another urethral swab taken recently, after finishing the nitrofurantoin treatment? (This test goes deep into the urethra and can be a bit painful.) Is the entire glans red? Just the glans, or also the foreskin? What do the spots look like? Like hives or like sprout-like points?
With milky discharge from the urethra again, one would naturally think of a recurrent urethritis, whether gonococcal or non-gonococcal.
If I were your urologist, I would definitely recommend another deep urethral swab, as well as an examination of the prostate. If no pathogen is found again, there are specific guidelines to follow, and microbiologists are often consulted nowadays to avoid misdiagnoses.
The itching and discharge fit with the current symptoms. I would suggest putting the cold hands on the back burner for now, until the cause of the urological symptoms is clarified.
I recommend taking this seriously, as you are doing, and being patient. Microbiological tests in urology can be frustrating at times, and you don't always get the desired result right away - Pathogen A, Antibiotic B, Patient cured.
I wish you all the best in the meantime.
Dr. Meyer
Urology
