Hi there, This is Dr Basu, Experienced Specialist. I am here to address your concerns and provide great service.
Sorry to hear about your symptoms.
If your culture still detects staphylococcus, then you are likely resistant to the antibiotics that have been use so far.
However, the pain you are experiencing on your penile shaft is not likely related to the infection.
Painful areas can be due to the plaque formation.
Do you feel any hard lumps on the shaft?
Also do you have any burning during urination?
no hard lump but the area that pains me is redish iino pain durin urination
do you feel any hardness or induration?
does your penis bend during erection?
its atrange how fliud is comin out frm my penis when by only talking to my girl friend i wasnt lyk tht before
Ok so you mean premature ejaculation?
yes it bends somtyms
now do you mean premature ejaculation?
i dont knw
its nt sperm
that is precum or prostate fluid
now are you able to maintain erection?
it is lyk semen
yes precum menas that secretions from prostate gland
does it had to do with the infection?
See, if you have prostate infection then this is possible.
But your penis shaft problem can be early stages of Peyronies
how do.i knw tht?
Few things --
check serum PSA level which will be elevated.
Get a prostate fluid sample and send it to the lab for culture.
This is done by a urologist by prostate massage.
wht can i do with the staph?
See, the staph you have needs to be checked for antibiotic sensitivity again.
Usually we suggest IV vancomycin treatment for 14 days.
Vancomycin clears any resistant staph.
wht is peronies?
Peronies disease refers to the bending of the penis during erection due to the damage to the penile shaft muscle.
You may sometimes feel hard nodules or plaques but sometimes you may not.
Pain with erection is typical symptom.
There are certain medications to treat this condition.
Pentoxifylline is one such medication that can be used 400 mg daily
Also local injections can be tried in the penile shaft.
Injection of verapamil at the painful area may be effective as well.
ii dont wear any hard mTerial lyk jeans coz qhen it touches the penis its paindul
Yes that is also a problem.
wht may hav caused the damage?
Infection can be one possibility.
Also sexual trauma.
Rough sex or masturbation can cause this.
Even rubbing against the jeans also can cause this.
ok now can i try ths drugs?
Yes of course.
Have you seen a urologist yet?
Ok that is your next step.
The local injections are performed by a urologist.
Penxifylline can be tried meanwhile as it is an oral pill.
ok before seing the urologist which one shud i use?
Please start Pentoxifylline for now.
Usually you should see improvement within a month.
If not, then you will need injections.
And regarding staph, i will suggest another culture and sensitivity.
unfortunatelly in my country we lack experts on cases lyk this thts y am findin it difficult
which country you are from?
Still a urologist should be able to do the injections at least.
surgery is not required.
I will suggest the oral pill first.
And do you have any burning or pain during urination?
they my have they on diagonosis tht is nt inline with the infection he may not blv me on less u help me with details of the infection so i can explain to him
do you have any burning or pain during urination?
thts y am here seeking for help from experts coz am worried
no pain or burinin
do you get any stomach pain or back pain?
do you get any fever?
but i feel some pulse in diffrent part of my body lyk it comin from my veins
So your symptoms are not related to any infection.
Not at least now.
Your symptoms are suggestive of Peyronies.
A urologist will understand this term
Since your pain is mainly limited to the penile shaft, this is the most likely possibility.
The vein sensation can be related to the anxiety you are experiencing.
The medications I mentioned above will help you most.
Antibiotics are not required and just waste of money and side effects.
There are other medications also.
But the ones I mentioned above are standard.
is this staph degerous living with it?
Not dangerous since it is not causing you any symptoms.
Also if your blood count is normal, that also speaks against any active infection.
u are goin to sumerise all the drugs am suppose to take after this chat pls
pus cell was positive
pus cell from where?
from my urine
+ thts wht i sow on the reault
if there is no nitrites then this is not likely infection.
Pus cells are due to the inflammation.
now, the staph you are talking about grew from urine?
no from semen
coliforms grew frm urine
now the urine culture should be repeated again.
and strepticacus from swap test
ok these bacteria can live in your body without causing any symptoms.
we call colonization not infection.
it may be fals ryt? shud i change to another lab?
if the samples are not collected properly, then they can be found from contamination.
Please make sure to swab the tup of penis with alcohol and then catch the mid strream urine
i dont understand
Before you collect your urine sample, you will need to wipe your penis tip with alcohol swab.
And then you should urinate little bit, then collect the mid stream meaning in the middle of urination.
ok i got it
This way you avoid any contamination.
That way your result will be accurate.
I think you should not worry about infection.
now if ths tests turns out to be true can it be getin rid off despite all the antiboitics i took?
still it does not mean you have infection.
ok i understnd
I will suggest you to discuss Peyronies with urologist.
ok .wht of the excessive flow of the fluid am having with a litle erection
That is also due to the same condition.
Or you have premature ejaculation problem.
following medications will help:
1. Pemtoxifylline 400 mg daily
2. Sildenafil 50 mg 30 minutes before sexual activity.
3. Vitamin E 400 mg daily.
4. Local injection Verapamil if pentoxifyllin fails.
That will be all for now.
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this pemtoxifylline is for how manyvdays?
at least for 2 months.
Vitamin E 400 mg daily also for 2 months.
SIldenafil 50 mg as needed for 2 months.
Sildenafil should be taken only before sex.
Please leave a positive feedback before you leave the chat :)
i have mis interpteted the meaning of my penis shaft. what i meant was the penis ring i was saying shaft instead of ring... i sicerly apologies formy english miss use. wil it be thesame diagonose or it changes?
pls am waiting for this important feedback
Yes it will still be the same diagnosis.
Try out the same medications as above.