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My prostate is boggy, and my semen culture showed E.coli bacteria. What to do?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 27 years old, and I have been suffering from pain during ejaculation. After ejaculation, I feel severe burning during urination at the tip of the penis, from the past six years. From the past year, at the time of ejaculation, the semen does not come out with force, and it remains in the urethra. When I urinate after intercourse, then semen comes out with urine. I started having erectile dysfunction also. The semen culture analysis showed E.coli bacteria. Since then I consulted many urologists and tried all possible antibiotics, but I only had temporary relief. Every time there was an E.coli infection, all the symptoms come back. After a physical examination, my urologist told me that I have grade 1 prostate boggy because my prostate was hurting when he was palpating. I have lost all hope, and I am depressed. I want to know about intraprostatic injection because it is the only thing that can cure me. The ultrasound and uroflowmetry are normal. Please help.

Hello,

Welcome to icliniq.com.

Post-ejaculatory burning in a young male, which is not relieved by antibiotics, may not be of an infective origin. Do not take any injections in the prostate, as that may worsen the scenario. I suggest you try taking the following. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Tablet Dutagen (Dutasteride) 0.5 mg, once daily, tablet Tadaflo (Tadalafil) or Modula 5 mg, once daily, tablet Pregabalin 75 mg, at bedtime, and capsule Terol LA (Tolterodine) 2 mg, once daily. Please share the uroflowmetry reports.

Medically reviewed byiCliniq medical review team

Published At May 12, 2017
Reviewed AtFebruary 12, 2024

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