Hello, Welcome to icliniq.com. From the symptoms, I feel you have a urinary tract infection. Since a course of antibiotics is given already you need a urine culture test and ultrasound abdomen. Culture-specific antibiotic has to be given. If a culture shows no growth it may be due to a condition called interstitial cystitis.
Hi, Welcome to icliniq.com. As you suspect the symptoms might be due to chronic prostatitis or a similar entity chronic prostatic pain syndrome. It needs a per rectal examination. Per rectal examination is not that painful as you suspect. Urine culture after a per rectal examination will turn to be positive if it is chronic prostatitis.
Hi, Welcome to icliniq.com. I went through the reports and prescription (attachment removed to protect patient identity). From the report he has a decreased renal function with increased serum creatinine levels as well as urinary infection seen as increased pus cells. Whenever the culture is negative we have to presume that urinary tract tuberculosis is a possibility. Let us wait for the AFB culture (acid-fast bacteria).
Hi, Welcome to icliniq.com. Presence of one testis is sufficient to father a child. However, you have mild oligospermia (low sperm count). You can take tablet Oligocare twice a day for three months and repeat semen test after three months. Kindly get examined for locating the other testis.
Hi, Welcome to icliniq.com. Azoospermia was confirmed by two reports. So, kindly have him examined by an andrologist. He has to be examined for secondary sexual features, testes size and presence of gas. His FSH levels (follicle-stimulating hormone) must be checked too.
Hi, Welcome to icliniq.com. You need to be examined clinically with per rectal examination. If clinical findings suggest a chronic prostatitis you need a prolonged treatment for it. Did you undergo uroflow test as suggested? It shows whether your urine flow is obstructed or not. Your PSA (prostate-specific antigen) level is normal.
Hi, Welcome to icliniq.com. Hirsuties coronae glandis (pearly penile papule) are normal findings in men. Kindly confirm it with a urologist or venereologist after a proper physical evaluation. It is not contagious. If you are too concerned about it, then the treatment option is CO2 laser ablation.
Hi, Welcome to icliniq.com. First let me say that this is a minor issue and you need not worry. You have had a minor tear in meatus as per your description. It will heal definitely. It may take a couple of weeks still.
Hi, Welcome to icliniq.com. You have a tight prepuce that does not retract. Your preputial orifice is not so narrow as to cause difficulty in urination. However, you run the risk of paraphimosis in which your foreskin may get retracted and form a constriction ring causing the glans to swell. This occurs after intercourse.
Hi, Welcome to icliniq.com. Hope you are fully evaluated with the urodynamic study. Botox injection for urinary external sphincter void dysfunction is not a permanent cure. It has a 70 to 90 percent success rate with five to 12 months duration with a mean of nine months duration of action by various studies. Other drugs for urinary external sphincter void dysfunction depends upon the urodynamic reports and post void residue.
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