I'm responding this time, but I reviewed your recent discussion with Dr. Hook. I agree with all he said. With your recurrent symptoms after sex with your wife, you may indeed have an internal urogenital tract problem, likely prostatitis -- especially in few of past symptoms and MRI showing an enlarged prostate. (How old are you, by the way?) Further, your urologist has treated you in a manner suggesting s/he also thinks this is the likely problem. That your symptoms initially started 10 days after the semi-sexual event you described in your other thread supports the conclusion that no STD is responsible; that's too long for STD symptoms. And your negative STD tests are reliable; and as already discussed, the exposure described is not a possible source of an STD or any other infection. Finally, your symptoms don't fit with STDs:  despite use of the term urethritis, you have no evidence your urethra is inflamed; the main symptom is discharge, and clear fluid is entirely normal in all males when sexually aroused. I also wonder if your testicles really are swollen and tender, or just uncomfortable -- which fits well with prostatitis.

Frankly, I see no need for your wife to be tested for STDs (assuming you are confident she has not had any other sex partners recently). There is no possibility you infected her, and no realistic possibility you acquired any infection from her. Almost certainly this is reactivation of an internal, preexisting problem -- like prostatitis.

As your urologist will confirm, it is not surprising your symptoms haven't improved with the antibiotics you have taken. The causes of prostatitis often are mysterious:  usually no bacterial infection can be identified and antibiotics often are ineffective. They usually are tried in the hope they will help but often do not.

So my advice at this point is to return to your urologist; and that your wife doesn't need STD testing. And please be assured your massage experience a few weeks ago is not the source of any infection, even if that event had a possible minor role in triggering your prostate symptoms.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD