I hope that you can help me. More than a year ago I received a condom protected handjob from a stripper. In my fear I did testing and was negative, this was October of last year.  That test also said that I gave a more volume of urine that could effect sensitive.  Move forward to now and I have been feeling pelvic and genital discomfort which my Md attributes to pelvic floor injury due to muscle strain.  Part of his testing was to do urine for gonorrhea and clamidya.  I did the test, peeped a bit to release, then held and gave the rest of the sample.  That test came back negative for both but with a comment that about first void which it wasn't and if sample was from midstream to be cautious about it.  Am I reading too much into this?  Do those comments actually matter.  My wife is symptom free and her last exams was normal.  Sorry to be a bother 

Going to the closing question:  Yes you are "reading too much into this" -- way too much. These comments "matter" because your symptoms are bothersome, but not on account of STD risk.

You were at zero risk for any and all STDs; none is transmitted by hand-genital contact, even without condom protection. You did not need testing, but in any case your urine tests were valid. When the gonorrhea/chlamydia DNA/RNA tests were first developed over 20 years ago, it was thought they would perform best on an initial small-volume urine sample. But over the years it has become apparent that neither volume of urine nor first vs midstream specimen makes any difference. Many labs have retained the first void advice, but it doesn't matter. As for your symptoms, they are not suggestive of gonorrhea, chlamydia or other STDs; no STD is a likely cause of "pelvic and genital discomfort'; your doctor probably ordered those tests out of an abundance caution -- but in any case the results once again are conclusive.

Your symptoms are most suggestive of prostatitis or the male chronic pelvic pain syndrome (CPPS); you might google CPPS (spell it out); you likely will find your symptoms fit quite well. Then discuss with your doctor. In any case, you were not at risk for any STD and don't have one.

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

HHH, MD

Threads are open for two follow-up comments or clarifying questions. I'll leave this open for a couple more days in case something comes to mind.