What are the methods to overcome chronic prostitis?

Hello doctor,

What are these microscopic floating bubble-like particles floating on the top of my urine? They are difficult to notice, but under bright light, they float around on the surface, too little to tell if they are bubbles or not, yet they do not vanish like typical bubbles. They even resemble little globules of something. I have had urinary problems for months. I experienced redness on the glans penis and urethra entrance, which seems to have cleared up with antifungal cream and prescription. I had a urine test 15 days ago, and the results were positive for E. coli and Enterococcus faecalis, both at 100.000 kol per ml. My doctor stated that this was not concerning, but I was still prescribed Amoxicillin three times a day for seven days and Fluconazole two tablets once a week for three weeks. I finished Fluconazole today by taking the final two tablets. I started taking Amoxicillin. The redness from the Fluconazole is nearly gone, and I believe I feel better overall, but I am not sure whether the painful feeling after peeing is completely gone. So, to clarify, are the floating particles normal? I do not recall seeing them in the previous six months. And is 100.000 kol/ml of E.coli and Enterococcus faecalis a UTI infection? Could there be something else I am overlooking that could give me all these issues of redness, burning pee, particles, and yeast infections? I can try to get a photo next time I see the particles and add them here.

Kindly help.

Hello doctor,

It is difficult to photograph the urine, so I will try again tomorrow.I posted a photo this time, which is poor, it is within the red circles, and the darker bits are from the cup. When the redness surrounding my penis was at its worst, I snapped some shots. This happened a few months ago, but it happened multiple times after I stopped using antifungal treatments. Please see the photographs attached. I changed physicians due to a relocation, and my new doctors did not say anything. Let me attempt to respond to your queries. I am not diabetic, and I underwent blood and urine testing.

These are the lab reports I have

Ferritin; P The result was 150 g/L hemoglobin; B The final result was 9,5 mmol/L iron; P. The final result was 26 mol/L leukocytes; B Result Vitamin B12; P 6,5 109/L. The final result was 580 pmol/L calcium; P. eGFR = 2,44 mmol/L / 1,73m2 (CKD-EPI). More than 90 mL/min Kalium;P 4.0 mmol/L Creatinine;P 83 mol/L Natrium;P as a result 138 mmol/L Alanine Transaminase [ALAT]; P The final result was 40 U/L Amylase;P Basisk Fosfatase 32 U/L;P 82 U/L Haemoglobin A1c (IFCC); Hb(B). The final result was 31 mmol/mol Kolesterol HDL;P. Result: 1,2 mmol/L LDL cholesterol;P. The final result was 2,8 mmol/L of cholesterol;P 4,5 mmol/L Triglyceride;P as a result Glucose 1,09 mmol/L, medium (fra HbA1c);P Thyrotropin [TSH]: 5,3 mmol/L; P 1.33 10-3 IU/L C-reactive protein [CRP];P Result: 2,9 mg/L

Do you have any kidney-related issues?

No.

Would you describe your urine is frothy?

It is not mostly clear with a few spots of foam that settle quickly and do not stay around.

Are the particles always floating, or do they eventually evaporate or drop to the bottom?

I just saw it from the top, but the particles do not appear to be settling to the bottom. It remains on top, and it appears to be little globules or a film layer of some type, but if I lightly touch it, it goes away.

Did they give you a urine routine and a culture test?

I have experienced UTI since I was 18 years old. Around two years ago, I had a cystoscopy. They detected nothing, despite many urine tests for UTI that yielded no results. I also examined how effectively I emptied my bladder, which was typical. Pus flakes, frothy urine owing to renal illness, and fat globules are all possibilities. Also, I think that began after I began taking isotretinoin for my skin problems. Or, at least, it was the first thing I noticed after beginning this medication six months ago, however, I stopped taking the medication three months ago.

Coming to the inflammation on your glans:

Are you circumcised? If not, does the skin move back and forth easily or is it stuck?

No, I am uncircumcised, it felt a little more stuck, but I was still able to pull it back.

How long have you been dealing with this problem?

This has been troubling me for about six to seven months. I became aware after having sex with my wife. During intercourse, I felt a burning sensation and then a strong desire to urinate, followed by a few times of urination. I wait a few minutes and pee again, then repeat for another fifteen to twenty minutes. There were quite severe UTI symptoms, but my dipstick was negative, so I phoned my doctor, who felt the penis was red and said it may be yeast because my dipstick was negative. Then I treated it with antifungal creams on and off for a month or two, then went to see my dermatologist, who told me to put steroid cream on and was not very helpful. I returned to my doctor. They performed STI swab testing, and all were negative. The urine sample was clean, although I had to conduct the test on a day when I didn't have urine in my bladder for very long if that counts. Symptoms subsided for a while, but when I started another cycle of isotretinoin, they reappeared. Because of this, I stopped using isotretinoin and have not used it since. The redness would appear in a few days. My internal symptoms are a searing sensation that is difficult to identify and describe accurately. I feel it most when I urinate before going to bed and then lie down on my back. It is like, coming from the urethra or perineum, or maybe it is radiating out. I am not sure how to describe it. But I primarily feel it in bed. I also have sex troubles, ever since my UTI began, I have had discomfort in the perineum after ejaculating, it is a heavy, unpleasant feeling that worsens when I get up. It generally begins quickly after intercourse and worsens after about 20 minutes. Urinating may relieve discomfort if I urinate quickly after sex, which has led to certain unhealthy behaviors such as retaining urine or waiting to urinate after sex. No doctor could tell me what was causing all of this, but I know it is all related.

Is this the first time this has happened, or has it happened before?

I believe I tried it once previously, but I am not sure, it was on a trip when I detected redness around my penis glans and had to go to the hospital, where they discovered I had a UTI.

Do you have to strain to urinate, or do you get the sensation of an incomplete bladder emptying or a sense of urgency?

I generally feel like it is finished. But if I try to urinate and my bladder is not full, I get this cramping sensation. It also happens if I squat down to urinate. I also get frequent intense desires to urinate that come out of nowhere, even though my bladder is not overflowing.

Did your doctor diagnose you with balanoposthitis?

They did not say anything.

Did your doctor also screen you for diabetes?

Yes, he performed all of the above tests and informed me that I do not have diabetes.

A positive urine culture with a colony count of 100k is serious and necessitates therapy (which your doctor has already prescribed). The only weird thing is that when I had UTI in the past, I have generally experienced severe symptoms, and this time I did not experience the same intense symptoms. Please inquire if you require any further information.

Hello doctor.

As you can see from the images, I was feeling better at first. I completed Amoxicillin three times a day until last week after finishing Fluconazole the week before. Now I notice that the tip of my penis is becoming a little itchy. Otherwise, I was fine until today, when I masturbated I felt a mild burning sensation. Twenty minutes later, I had a shower and discovered that the area surrounding the urethra entrance was quite red. I have included a picture of how it now appears, it is already quite red and inflamed compared to just last week. It was less red before masturbating, and masturbating aggravates the condition further even when I am extremely careful. I cannot comprehend this, and it cannot be right. What exactly is going on, and why is this happening? Is this yeast once more? Why would I get this again, and why does it seem to worsen with sexual activity? Is it due to the antibiotics I took? How should I proceed?

Please help.