Appreciate the opportunity to ask this panel of doctors a medical question. I’ve searched this forum and have found similar scenarios like mine, and probably know the answer. But just want peace of mind. 

On Monday i was traveling for work and received an unexpected happy ending massage. the therapist was fully clothed. gave me a full massage and the end they used lotion and pleasured me. They used no saliva at all, and i finished in their hand and they used a to clean me up and finished the massage. I noticed no lesions on her hands. 

I came home yesterday and noticed pain and burning when i peed. i went to urgent care today and told the doctor what happened and he agreed that it is a 0.0000000000001% chance of that happened. I kmow hand to genitalia is safe. But i tested positive for a UTI. 

Should i proceed to be tested for a STD, especially with being testing positive for a UTI? Do you think i got a STD from this encounter?

There is absolutely no chance of any STD from hand-genital contact. That's even if genital fluids are used for lubrication, or saliva for that matter. 

However, I have to raise questions about your symptoms and the diagnosis of urinary tract infections. UTIs are rare in men under 30; and there are many docs who often misdiagnose STDs as UTI. And assuming you're under that age, the STD nongonococcal urethritis (NGU) is far more common than UTIs are and can cause the same urinalysis findings. Have you been at any other STD risk in the last couple of months? Sex aside from the risk-free massage event? If so, indeed STD testing definitely should be done, i.e. gonorrhea and chlamydia. (Presumably your doctor knows of your STD concerns, right? If not, tell him!) But be assured that if an STD is found, it will not be from the massage event. Also, at your age -- presumably fairly young, like in your twenties -- it is imperative that your doctor order a urine culture to evaluate UTI, and not merely guess at the right antibiotic to treat it -- which often is wrong.

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

HHH, MD

So its safe to say that, from this event, the risk of any type of STD is pretty much negligible, given the circumstances of no genital to genitwl contact or in contact with any sores, etc, and simply just using their hands? The frequent burning could be from potentially UTI, anxiety. 

Anxiety is a very common cause of minor urinary discomfort in people who regret a recent sexual decision. It doesn't cause WBC in the urethra or urine -- but a few WBC once in a while isn't necessarily abnormal. Keep working with your doctor on this.

That completes the two follow-up exchanges normally included with each question,, but I'll leave it open for one more comment after your UTI tests are back and/or more conclusive information from your doctor. But nothing more until then, please.

I saw my urologist about 6 days later. My urine culture was perfect and was retested for STDS’s out of caution from my doctor. My symptoms are pretty much gone, and almost done with the antibiotic for the UTI.

Just wanted to say thanks for the advice, you really helped ease my mind. wish you were my actual

doctor!

Take care.