[Question #3560] Follow up on burning sensation

37 months ago
Please see my previous question, because this is a follow up. 

So on Saturday, 14 days after my unprotected ora exposure, I went to get tested. While I wait for gonorrhea and chlamydia results, I did a WBC count, which resulted in a very mild infection (2-4). They also did a pelvic scan, and saw an inflamed bladder and that I retain a little bit of urine after urinating. After azythromcin on Wednesday, cipro on Thursday, and fosfomicyn on Saturday, I still have a lot of burning in my penis and a lot of discomfort (mainly in penis head). 

So now, my question is: knowing that I have cystitis, could it be a result of a STI acquired from the exposure? Or maybe my burning sensation, very similar to urethritis, is because of the cystitis? Is the cystitis a cause, a consequence or just a coincidence?

Should I now forget about a STI (probably a NGU) or has it become a real possibility knowing these new facts? 
Edward W. Hook M.D.
Edward W. Hook M.D.
37 months ago
Welcome back to the Forum although I'm sorry that you felt the need to do so. 

Cystitis is NOT an STI.  As I told you just two days ago "You are still fixated on the idea that you have an STI- they seems more and more unlikely.  The pain you describe was uncharacteristic, having trouble starting urination is not typical for any STI although it is consistent with a variety of non-STI urology problems like prostatitis or kidney stones. Similarly, urinary frequency is NOT a sign of any STI. I would put your likelihood of having either gonorrhea or NGU at less than 1%, making it 99% likely it is some other, non-STI process which has coincidentally happened at this time.  I see little benefit from a gonorrhea test.  My strong recommendation is that you see a urologist and not worry about the possibility of STI."  Your cystitis is coincidental to the sexual encounter that you are so worried about.  It is time for you to stop worrying about the possibility of an STI and move forward.  EWH
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36 months ago
Hello again Dr. Edward. 

I know that is very unlikely at this point that my struggles are related to an STI, and that your specialty is sexually transmitted diseases. 

However, I feel the need to find an explanation to my symptoms. My burning sensation has become almost unbearable (please remember that is not only when urinating, but all the time). Also, what was a 'discomfort' in my glans, has become intense pain. I feel like I want to squeeze the right side of my glans, near the corona, to feel better. 

I know I have to visit the urologist, but if you can look at the history and try to tie everything, maybe you can have an idea of what can be wrong. I'm pretty sure at this point, that a simple infection cannot cause this burning/pain in my penis. 
Edward W. Hook M.D.
Edward W. Hook M.D.
36 months ago
Long lasting penile pain syndromes of this sort are not at all suggestive of STI.  They would also be unusual for cystitis.  Involvement of nerves (a "neuropathy") might cause this sort of pain.  Neuropathies can result from injuries like back pain, nutritional problems of for no apparent reason.  A neurologist may be more helpful to you than a neurologist.  EWH
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36 months ago
Ok doctor, just to try to take the most out of my last question. 

Now the burning sensation is not all the time, but only when urinating. What is still bothering me is the pain. I feel I can pinpoint a specific place in my glans that if I squeeze, I feel is the epicenter of the pain. However, it feels like irradiating to the right testicle and right leg. 

Could it be that as I was feeling burning sensation all the time, I didn't feel it when urinating? In that case, could it be that I always had urethritis and the infection hasn't responded to the antibiotics? 

I've read in several websites that prostatitis can cause cystitis and penis pain. Is it a possibility that that's what I've had the whole time? 
Edward W. Hook M.D.
Edward W. Hook M.D.
36 months ago
This question is repetitive and does not incorporate ANY of the information that I have provided in the past.  .  The description you provide is NOT consistent with STI!!!  The changes in symptoms you describe still are not suggestive of an STI.  To be clear, neither prostatitis nor cystitis in men are STIs.  You need to seek help looking for other causes and I have suggested several possible directions.

This thread is now over.  Further repetitive posts may be deleted with comment and without refund of your posting fee.  I wish you the best and hope that all of my comments have been helpful.  EWH
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36 months ago
Dr. Edward,

I know you said the thread was over, but I hoped you could answer one final question. My STD test all came back negative, but I still have excruciating burning sensation in my penis (not when urinating, but all the time). Also, a shooting pain in my penis head, around the glans corona in the right side. As I have taken a lot of antibiotics and symptoms persist, could herpes or adenovirus be the cause of all this?
Edward W. Hook M.D.
Edward W. Hook M.D.
36 months ago
No.  EWH
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