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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 28194
Experience:  MD
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Hi, I have pain on the shaft of my and some discomforts

Customer Question

Hi,
I have pain on the shaft of my penis and some discomforts on the genital it started for over eight month from now.. I took several antibiotics prescribed by diffrent doctors such as doxycycline , afloxacin, ciprofloxacin ,levofloxacin zithromax the after all this drugs I am still havin pains on the penis I used several anti bacterial and antifungal creams on the genital but it didnt work. I dis swab test the culture yield the growth of strepp app they game me gentimycin injection among the sensitive drugs for the culture I did another culture but the result was still thesame I later took levoflacin after some month I did urine test. Califorms was detected I did semen test and staphlicacus aureus was detected in the semen.

Is my body resistant to Antibiotics?

Wht is the cause of the pain am havin on the shaft of my penis?
Even with the slightest sex fantacy I have too much flow of fluid from my penis tht looks lyk a a
Semen it continues flowing even when Am calm
ithout erection
Wht could be hapenin to me?
Wht can i do?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr Basu replied 2 years ago.

Dr Basu :

Hi there, This is Dr Basu, Experienced Specialist. I am here to address your concerns and provide great service.

Dr Basu :

Sorry to hear about your symptoms.

Dr Basu :

If your culture still detects staphylococcus, then you are likely resistant to the antibiotics that have been use so far.

Dr Basu :

However, the pain you are experiencing on your penile shaft is not likely related to the infection.

Dr Basu :

Painful areas can be due to the plaque formation.

Dr Basu :

Do you feel any hard lumps on the shaft?

Dr Basu :

Also do you have any burning during urination?

JACUSTOMER-qwf2w5a0- :

no hard lump but the area that pains me is redish iino pain durin urination

Dr Basu :

do you feel any hardness or induration?

JACUSTOMER-qwf2w5a0- :

no

Dr Basu :

does your penis bend during erection?

JACUSTOMER-qwf2w5a0- :

its atrange how fliud is comin out frm my penis when by only talking to my girl friend i wasnt lyk tht before

Dr Basu :

Ok so you mean premature ejaculation?

JACUSTOMER-qwf2w5a0- :

yes it bends somtyms

Dr Basu :

ok

Dr Basu :

now do you mean premature ejaculation?

JACUSTOMER-qwf2w5a0- :

i dont knw

JACUSTOMER-qwf2w5a0- :

its nt sperm

Dr Basu :

that is precum or prostate fluid

Dr Basu :

now are you able to maintain erection?

JACUSTOMER-qwf2w5a0- :

it is lyk semen

Dr Basu :

yes precum menas that secretions from prostate gland

JACUSTOMER-qwf2w5a0- :

does it had to do with the infection?

Dr Basu :

See, if you have prostate infection then this is possible.

Dr Basu :

But your penis shaft problem can be early stages of Peyronies

JACUSTOMER-qwf2w5a0- :

how do.i knw tht?

Dr Basu :

Few things --

Dr Basu :

check serum PSA level which will be elevated.

Dr Basu :

Get a prostate fluid sample and send it to the lab for culture.

Dr Basu :

This is done by a urologist by prostate massage.

JACUSTOMER-qwf2w5a0- :

wht can i do with the staph?

Dr Basu :

See, the staph you have needs to be checked for antibiotic sensitivity again.

Dr Basu :

Usually we suggest IV vancomycin treatment for 14 days.

Dr Basu :

Vancomycin clears any resistant staph.

JACUSTOMER-qwf2w5a0- :

wht is peronies?

Dr Basu :

Peronies disease refers to the bending of the penis during erection due to the damage to the penile shaft muscle.

Dr Basu :

You may sometimes feel hard nodules or plaques but sometimes you may not.

Dr Basu :

Pain with erection is typical symptom.

Dr Basu :

There are certain medications to treat this condition.

Dr Basu :

Pentoxifylline is one such medication that can be used 400 mg daily

Dr Basu :

Also local injections can be tried in the penile shaft.

Dr Basu :

Injection of verapamil at the painful area may be effective as well.

JACUSTOMER-qwf2w5a0- :

ii dont wear any hard mTerial lyk jeans coz qhen it touches the penis its paindul

Dr Basu :

Yes that is also a problem.

JACUSTOMER-qwf2w5a0- :

wht may hav caused the damage?

Dr Basu :

Infection can be one possibility.

Dr Basu :

Also sexual trauma.

Dr Basu :

Rough sex or masturbation can cause this.

Dr Basu :

Even rubbing against the jeans also can cause this.

JACUSTOMER-qwf2w5a0- :

ok now can i try ths drugs?

Dr Basu :

Yes of course.

Dr Basu :

Have you seen a urologist yet?

JACUSTOMER-qwf2w5a0- :

no

Dr Basu :

Ok that is your next step.

Dr Basu :

The local injections are performed by a urologist.

Dr Basu :

Penxifylline can be tried meanwhile as it is an oral pill.

Dr Basu :

Pentoxifylline

JACUSTOMER-qwf2w5a0- :

ok before seing the urologist which one shud i use?

Dr Basu :

Please start Pentoxifylline for now.

Dr Basu :

Usually you should see improvement within a month.

Dr Basu :

If not, then you will need injections.

Dr Basu :

And regarding staph, i will suggest another culture and sensitivity.

JACUSTOMER-qwf2w5a0- :

unfortunatelly in my country we lack experts on cases lyk this thts y am findin it difficult

Dr Basu :

which country you are from?

JACUSTOMER-qwf2w5a0- :

nigeria

Dr Basu :

ok

Dr Basu :

Still a urologist should be able to do the injections at least.

Dr Basu :

surgery is not required.

Dr Basu :

I will suggest the oral pill first.

Dr Basu :

And do you have any burning or pain during urination?

JACUSTOMER-qwf2w5a0- :

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

Dr Basu :

ok

Dr Basu :

do you have any burning or pain during urination?

JACUSTOMER-qwf2w5a0- :

thts y am here seeking for help from experts coz am worried

JACUSTOMER-qwf2w5a0- :

no pain or burinin

Dr Basu :

do you get any stomach pain or back pain?

JACUSTOMER-qwf2w5a0- :

no

Dr Basu :

do you get any fever?

JACUSTOMER-qwf2w5a0- :

but i feel some pulse in diffrent part of my body lyk it comin from my veins

JACUSTOMER-qwf2w5a0- :

no fever

Dr Basu :

So your symptoms are not related to any infection.

Dr Basu :

Not at least now.

Dr Basu :

Your symptoms are suggestive of Peyronies.

Dr Basu :

A urologist will understand this term

Dr Basu :

Since your pain is mainly limited to the penile shaft, this is the most likely possibility.

Dr Basu :

The vein sensation can be related to the anxiety you are experiencing.

Dr Basu :

The medications I mentioned above will help you most.

Dr Basu :

Antibiotics are not required and just waste of money and side effects.

Dr Basu :

There are other medications also.

Dr Basu :

But the ones I mentioned above are standard.

JACUSTOMER-qwf2w5a0- :

is this staph degerous living with it?

Dr Basu :

Not dangerous since it is not causing you any symptoms.

Dr Basu :

Also if your blood count is normal, that also speaks against any active infection.

JACUSTOMER-qwf2w5a0- :

u are goin to sumerise all the drugs am suppose to take after this chat pls

JACUSTOMER-qwf2w5a0- :

pus cell was positive

Dr Basu :

pus cell from where?

JACUSTOMER-qwf2w5a0- :

from my urine

JACUSTOMER-qwf2w5a0- :

+ thts wht i sow on the reault

Dr Basu :

if there is no nitrites then this is not likely infection.

Dr Basu :

Pus cells are due to the inflammation.

Dr Basu :

now, the staph you are talking about grew from urine?

JACUSTOMER-qwf2w5a0- :

no from semen

JACUSTOMER-qwf2w5a0- :

coliforms grew frm urine

Dr Basu :

now the urine culture should be repeated again.

JACUSTOMER-qwf2w5a0- :

and strepticacus from swap test

Dr Basu :

ok these bacteria can live in your body without causing any symptoms.

Dr Basu :

we call colonization not infection.

JACUSTOMER-qwf2w5a0- :

it may be fals ryt? shud i change to another lab?

Dr Basu :

yes definitely.

JACUSTOMER-qwf2w5a0- :

0::ok doctor

Dr Basu :

if the samples are not collected properly, then they can be found from contamination.

Dr Basu :

Please make sure to swab the tup of penis with alcohol and then catch the mid strream urine

JACUSTOMER-qwf2w5a0- :

i dont understand

Dr Basu :

Before you collect your urine sample, you will need to wipe your penis tip with alcohol swab.

Dr Basu :

And then you should urinate little bit, then collect the mid stream meaning in the middle of urination.

JACUSTOMER-qwf2w5a0- :

ok i got it

Dr Basu :

This way you avoid any contamination.

Dr Basu :

That way your result will be accurate.

Dr Basu :

I think you should not worry about infection.

JACUSTOMER-qwf2w5a0- :

now if ths tests turns out to be true can it be getin rid off despite all the antiboitics i took?

Dr Basu :

still it does not mean you have infection.

JACUSTOMER-qwf2w5a0- :

ok i understnd

Dr Basu :

I will suggest you to discuss Peyronies with urologist.

JACUSTOMER-qwf2w5a0- :

ok .wht of the excessive flow of the fluid am having with a litle erection

Dr Basu :

That is also due to the same condition.

Dr Basu :

Or you have premature ejaculation problem.

Dr Basu :

following medications will help:

Dr Basu :

1. Pemtoxifylline 400 mg daily

Dr Basu :

2. Sildenafil 50 mg 30 minutes before sexual activity.

Dr Basu :

3. Vitamin E 400 mg daily.

Dr Basu :

4. Local injection Verapamil if pentoxifyllin fails.

Dr Basu :

That will be all for now.

Dr Basu :

It was my pleasure to help you today.
I am Dr Basu experienced in Urological Diseases.
If I have answered all your questions, Please rate my response Excellent (click on the smiley faces) under this chat box only.
Please bookmark my profile for asking further questions!
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http://www.justanswer.com/medical/expert-mysticdoc/

JACUSTOMER-qwf2w5a0- :

ok doc

Dr Basu :

Best wishes,

JACUSTOMER-qwf2w5a0- :

this pemtoxifylline is for how manyvdays?

Dr Basu :

at least for 2 months.

Dr Basu :

Pentoxifylline

Dr Basu :

Vitamin E 400 mg daily also for 2 months.

Dr Basu :

SIldenafil 50 mg as needed for 2 months.

Dr Basu :

Sildenafil should be taken only before sex.

JACUSTOMER-qwf2w5a0- :

ok thnx

Dr Basu :

Very welcome.

Dr Basu :

Please leave a positive feedback before you leave the chat :)

JACUSTOMER-qwf2w5a0- :

hello doc.

JACUSTOMER-qwf2w5a0- :

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?

JACUSTOMER-qwf2w5a0- :

pls am waiting for this important feedback

Dr Basu :

Yes it will still be the same diagnosis.

Dr Basu :

Try out the same medications as above.

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