Chronic Prostatitis

Chronic prostatitis is a persistent inflammation of the prostate gland which develops gradually and lasts for more than three months. The symptoms of chronic prostatitis include an urge to urinate, pain while urinating, pain in the lower back, rectum, penis, or testicles. Chronic prostatitis is treated depending on the underlying cause.

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Why is the severity of my testicular pain after unprotected intercourse not reducing since a month?

Query: Hello doctor, I am having testicular pain after unprotected intercourse, and my doctor has suspected STD after a scrotal scan. The pain lasted for a month, and the severity decreased after taking several antibiotics. The pain had almost subsided but started again when I masturbated two days back. N...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to I understand your concern and will surely help you out. You have chronic prostatitis, and the treatment is by alpha-blockers and antibiotics together for four weeks. I suggest you give a sample of semen for culture in the laboratory before you start antibiotics. You...  Read Full »

Can I take Sildoo 8 for UTI and urine retention?

Query: Hello doctor, I am 36 years old suffering from UTI and urine retention. I am a father of two, height is six feet and weighing 87 kg. I was suffering from mild constipation (first poop is easy but clearing remaining used to take some time from past few months. I used to spend at least 15-20 minutes...  Read Full »

Dr. Sandeep. P

Answer: Hi, Welcome to With your elaborate history what I could make out is that you had a severe episode of acute prostatitis which was undertreated and now it is chronic prostatitis syndrome. Also, you have severe constipation. Sildoo is silodosin which is a highly potent alpha-blocker. I wou...  Read Full »

The burning sensation in my penis is not subsiding even after drinking lots of water. Please help.

Query: Hello doctor, Yesterday I went outside and had alcohol. Since then, there is an extreme burning sensation in my penis. It is burning while I am even urinating. It is constantly there. I drank seven to nine bottles of water but of no help. Earlier this used to happen maybe once in three months, even ...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to I understand your concern and will try to help you. Your symptoms are consistent with chronic prostatitis. It is the inflammation of the prostate gland which requires treatment with long-term antibiotics and alpha-blockers. Please do a semen culture. I suggest you...  Read Full »

Is my penile head dry, sensitive, inflamed, and burning due to unprotected sex?

Query: Hi doctor, I have been dealing with what I thought was a UTI for three months. It started with a fever and got worse one month back. I rubbed my genitals with a transgender girl and used her semen to masturbate until I cummed. We did not have sex. She did give me oral sex. I got prescribed Ciproflox...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to I understand your concern. To me, those symptoms seem to be chronic prostatitis, and it has two types, one is with bacterial infection, and the other is without infection. Diagnosis is by semen culture, which is done in any laboratory. If it is positive bacteria, then I...  Read Full »

Is anejaculation a side effect of Silodal?

Query: Hello doctor, I have enlarged prostate and some lesion on the prostate. The report has been¬†attached. For the past four years, I have been suffering from urinary tract infections and kidney stones and my life is very much disturbed. I am attaching the files of my reports and the medicines which I a...  Read Full »

Dr. Gopinath

Answer: Hi, Welcome to 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...  Read Full »

Is it essential to get a PCR test done for chronic prostatitis?

Query: Hi doctor, We spoke yesterday regarding my chronic pelvic pain condition. I would be doing both urine and semen culture soon. Is there any specific culture or PCR testing to be done? The reason I am asking this is that the traditional dipstick and culture test does not seem to be accurate based on ...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome back to The method varies, and the PCR (polymerase chain reaction) is accurate when there are atypical bacteria like TB (tuberculosis), for example. Your urine microscopic analysis showed no bacteria. The thing I am trying to get is the sample that contains the organis...  Read Full »

Four months ago, I faced severe pain in the lower abdomen area with a discharge from my penis along with itching and a burning sensation. Why

Query: Hello doctor, Four months ago, I faced severe pain in the lower abdomen area with a discharge from my penis twice. After that, inside the penis, there was itching and a burning sensation. I cannot hold urine for more than 2 hours while sitting. Sometimes I can see transparent pus on my penis in the ...  Read Full »

Dr. Vaibhav Vishal

Answer: Hello, Welcome to Having gone through your symptoms, it seems you are having a problem known as chronic prostatitis. This is an infection of the prostate gland, and it has a tendency to reoccurrence and increase and decrease in severity. Your earlier medication of Doxycycline will hav...  Read Full »

Will tablet Levofloxacin help in the recovery of my chlamydia infection?

Query: Hi doctor,I was recently tested for chlamydia and had a reading of IgM - 0.9 and IgG - 1.3. I was prescribed tablet Levofloxacin treatment once daily for 14 days. Will this cure the chlamydia infection and make it negative?   Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hi,Welcome to, tablet Levofloxacine is used to treat chlamydia and gonococcal infections. A course for seven days should be fine. You can repeat the test after a week. Please share the result with me.   Read Full »

Why do I have a burning sensation on the lower side of my penis and the tip of the urethra despite testing negative for urinary tract infections?

Query: Hello doctor, I am having burning sensation in the tip of the urethra and the lower side of the penis that keeps on coming and going. I have undergone UTI (urinary tract infections) test. I did not notice any discharge or change in the color of the penis or urine.  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to I think you have chronic prostatitis with inflammation of the prostate gland. I suggest you take the tablet Tamsulosine 0.4 mg once at night for 30 days and the tablet Ciprofloxacin 500 mg twice daily for 28 days (consult a specialist doctor, talk with him or her, an...  Read Full »

I have been diagnosed with UTI with pain in the tip of the penis. What should I do?

Query: Hello doctor, Two months back, my doctor diagnosed me with UTI. I had symptoms such as frequent urge to urinate and pain in the penis while having intercourse. I was prescribed Orelox 200 mg, Canesten cream, Luliconazole and Mupirocin cream. It got better after that, but the pain has returned. Last...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to This seems to be prostatitis. It can be caused by sexual contact mostly. And treatment is with long-term antibiotics and alpha-blockers. I suggest you consult a specialist and take the following medicines with his or her consent. Tablet Ciprofloxacin 500 mg twice dai...  Read Full »

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