Q. What could be cause urinary obstruction with inflammation?
Hi doctor,
I have had pain on the tip of my penis for a few months now. I got tested for STDs, there is no STD present. I got tested for a urinary tract infection, there is no bacteria present and no sign of an infection in the urine samples. I also got tested for a mycosis, there does not seem to be a mycosis present. A doctor prescribed oral fluconazole to be taken for three days straight with a local application cream to be applied in the tip of the penis to treat a possible mycosis, but the symptom persists. I have had trouble ever since my early twenties, the urethra does not completely empty itself and continue dripping a few drops after micturition. I have had issues with skin related problems because of this dripping between the scrotum and the left leg. I managed to solve this problem years ago by keeping the area as dry as possible. I wonder if it could be caused by urine getting stuck near the exit and causing inflammation of the inner walls. I did notice, by looking inside that, urine does get stuck there, not exiting until the beginning of the next micturition.
Hi,
Welcome to icliniq.com.
The problem appears to be chronic prostatitis. Often, the symptoms are the sensation of incomplete voiding, dysuria, pain in parts of the urethra or perineum, low backache or pain in the calf. I would suggest, tablet Nitrofurantoin SR 100 mg twice daily for one month, an anti-inflammatory like Ibuprofen (Isobutylphenyl Propionic acid) for about one week if it does not worsen your acidity, and an alpha blocker-like tablet Alfuzosin 10 mg once daily after dinner for one week. Review after one month. There can be remission and relapses. Your doctor may help with the prescriptions. Nitrofurantoin can cause hyperacidity in some patients. If you cannot tolerate Nitrofurantoin, an alternative would be a capsule of Doxycycline 100 mg once daily for one month.
Take care.
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