Pain While Urination, Leakage After Urination. Suffered From UTI. What Could This Be?

Posted on Thu, 2 May 2013

Question: Hi 2 months ago i suffered from a UTI (E.Coli) and after treating that a few weeks later i started to get irritation in my penis after urinating. I have had blood taken and had urine tests which have all come back negative. My stream seems a little slower. I do not struggle to urinate and there is no pain during urination. The pain seemed to flair up after masturbation but it could of been coincidental. The irritation is not really painful just irritating and near the head of the penis. There is some leakage after urination. I have been tested for kidney stones and had contrast renal scans all negative.

Answered by Dr. G.Srinivasan (1 hour later)

Hi
Welcome to the forum.
I would treat you this way.
1. Repeat urine culture to see if infection has been eradicated. If infection persists, another course of SENSITIVE antibiotic needs to be given.
2. Ultrasound scan for residual urine.
3. Uroflowmetry test to check the urine flow.
Till results are available, you may take FLAVOXATE thrice a day for 5 days, which is urinary tract specific antispasmodic for symptomatic relief.
Based on the results next steps can be planned.
best regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. G.Srinivasan (17 minutes later)

Hi,
i did the urine culture again was all clear, i had an ultrasound and bladder seemed to empty fine, i did not do the uroflowmetry as the flow i believe only slightly slowed. What does the Flavoxate actually do?

i am currently on a 30 day Doxycycline pill 100mg a day prescribed by a urologist is there anything else i can try to heal my urethra if it is damaged? home remedy etc?

Answered by Dr. G.Srinivasan (1 hour later)

Thanks for the Results.
Flavoxate helps to ease the irritation.
Please continue doxycycline.
Cranberry juice and other fruit juices also should help.
If the slow flow persists, Uroflow may be needed.
Best regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. G.Srinivasan (4 minutes later)

I had been on cranberry juice for a while (problem is most is a concentrate mix not pure cranberry. I had also read its effects had been disproven? Will i need a prescription for Flavoxate? is there another fruit juice particularly that will help? would warm baths or anything also help

Answered by Dr. G.Srinivasan (26 minutes later)

1. Cranberry in pure form or even a mix is beneficial.
2. I am not sure of the practice in Australia, whether prescription is needed for flavoxate.
3. Orange and lemon juice in liberal amounts are beneficial.
4. Baths are not advisable in UTI. Showers are better as water is cleaner.
Best regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. G.Srinivasan (3 minutes later)

Ok thanks, but it is not a UTI as that has been cleared, it is just irritation.

i will try to find some cranberry concentrate pills if you believe this is recommended

Answered by Dr. G.Srinivasan (4 hours later)

Welcome and all the best.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar