How to manage pain in penis?

Question

Hello doctor,

I have pain at the right side near the penis for 20 days. MRI done on pelvic region showing infective etiology likely, there is thickening of right side epididymis, and vas deferens, right side seminal vesicle is thickened. Mild hydrocele on the right side. A thick-walled, 22.5*21*34 mm complex cystic area seen in the right inguinal region just posterior to and abutting the spermatic cord adjacent to the root of the penis. Current medications are Naprosyn 500 mg, Omeprazole 20 mg, Chymoral forte tablet, Methylcobalamin, Alpha Lipoic Acid, Folic acid, Pyridoxine hydrochloride and Oxidation plus capsule.

Answer 1

Hello,

Welcome to icliniq.com.

It is the infection involving right testis, right sperm tube and both sides of groin lymph nodes. Please get a urine routine and culture test done. From the list of medications, I do not see any antibiotic. I suggest you start capsule Doxycycline 100 mg twice daily, to be taken for 14 days with the consent of your treating doctor. Is there any recent history of sexual exposure? You can contact me in about five to seven days after getting a sonography of right inguinal and KUB region (kidney, ureter, and urinary bladder). Take care.

Answer 2

Hello,

Welcome back to icliniq.com.

If incision and drainage were done, the please check if any pus or fluid was sent for culture and AFB smear (Acid-Fast Bacilli), antibiotics can be changed as per culture report. You can continue Chymoral Forte tablet three times a day for another four to five days to reduce swelling. Things should improve in about 15-20 days. Doxy (Doxycycline Hyclate) can be taken for 21 days total. Please get back after a week or ten days about progress.

Answer 3

Hi,

Welcome to icliniq.com.

Was any urine or pus culture done?

Sonography shows right spermatic cord swelling with right hydrocele. This fluid collection is usually secondary to infection. If the fluid collection persists after the infection has gone, it can be removed by hydrocele surgery.

Thank you.

Answer 4

Hi,

Welcome back to icliniq.com.

Can you send a sensitivity report for Klebsiella? Yes, we should be able to treat it with antibiotics.

Thank you.

Answer 5

Hi,

Welcome to icliniq.com.

How is the swelling? How is the wound?

I have seen the culture report for Streptococcus (attachment removed for patient identity protection). I do not see a culture report for Klebsiella. You can take a tablet of Ciplox 500 milligrams twice daily for about 10 days till the wound heals.

Thank you.