What is the cause of frequent and burning urination with swollen penis?

Question

Hello doctor,

I am frequently urinating, and it is burning afterward and after sex. It got better for a week, and I had left flank pain for a day. I have burning in my back, stomach, and penis. The penis feels swollen a little. This problem started a month back and came and went. I drank alkaline water (honey and lemon) yesterday and went to a urologist last week. He prescribed Doxycycline for ten days and was better until the end of the week, and now no results. Previously, I was diagnosed with prostatitis 20 years ago, and I had the problem of frequent urination also. Prostatitis starts if I drink certain beverages, last for hours, and go away. Currently, I am taking Nifedipine, Lipitor (Atorvastatin), Potassium, Baby aspirin (Aspirin), and Ciprofloxacin only when needed. Nifedipine causes me to wake two to three times at night, and I am used to it. I have discontinued Bystolic (Nebivolol) due to burning urine for two years. I have performed multiple lab tests, and mycoplasma was performed. PSA was good with negative results when I took it two months ago.

Answer 1

Hello,

Welcome to icliniq.com.

This is a combination between prostatitis and enlargement of the prostate. After 50 years, the prostate physiologically starts to get bigger and can obstruct urine, but it does not cause burning. However, prostatitis can cause burning in micturation. I suggest investigations like urine analysis and post-ejaculation urine culture and ultrasound kub (ultrasound of kidneys, ureters, and urinary bladder), and blood test of PSA (Prostate-specific antigen test) uroflowmetery. I suggest Ciprofloxacin 500 mg twice daily for 28 days and Tamsulosin 0.4 mg once before bed. Further treatment will be after the completion of the required investigations. The flank pain could be due to obstruction of prostate and a reflux of urine to that side.

We will handle the matter. Proceed with investigations and treatment and just follow up. If you have any more queries, please let me know.

Kind regards.