What are the reasons for intermittent pain on the tip of my penis?

Hi,

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We will pay close attention to your worries and address all your questions with utmost care.

I feel sorry to hear about your troubles. Please help me with a few details so that we can get to the bottom of your issue:

1. How long have you had this issue?
2. Do you have any trouble passing urine such as increased frequency during the day or night, increased urge to pass urine, the feeling of incomplete passing of urine, bladder emptying, or straining to pass urine?
3. Have you ever had blood in your urine?
4. Are you diabetic or hypertensive?
5. Have you had any surgeries in the past?
6. When was your last ultrasound and PSA (prostate-specific antigen) test done?
7. Are you sexually active or do you masturbate regularly? If so, do you have any pain after ejaculation?
8. Is there any pain in your perineal area, i.e., between your scrotum and anus?

Please answer the above questions so that I can assist you further.

Thank you.

Hello,

Welcome back to icliniq.com.

Glad to have you back.

I suspect that in addition to the non-obstructive kidney stones, you might have some prostatic enlargement and prostatitis. Benign prostatic hyperplasia (BPH) is common as men get old and prostatitis is especially common in men who are not sexually active or those who do not masturbate regularly. I went through your reports (attachments removed to protect the patient's identity), and the PSA is within normal limits which is good. I am unsure how easy it is for you to get the following tests done, but you need to do the following tests:

1. Uroflowmetry post-void residual urine.
2. Urine routine and microscopy urine culture and sensitivity.
3. Semen culture and sensitivity.

Based on the results, you will require treatment with alpha-blockers and a medication to reduce your urgency. Here is some advice that I suggest you follow:

1. Avoid sitting for prolonged periods. Get up every hour or so and walk around for a couple of minutes.
2. Drink at least three liters of water (but limit intake after 7 p.m. to only one or two glasses).
3. Be sexually active or masturbate two to three times a week.

In addition, I recommend you take the tablet Cranpac-D (Cranberry and D-Mannose) one in the morning and another at night for three months. Also, take the capsule Econorm (probiotic) one in the morning and another at night for three months. Once the alpha-blockers are started after your tests, they will provide benefits to both BPH and prostatitis.

I hope this helps. Do get back if you have any further queries.

Thank you.