Hi doctor, I am having a weird feeling and discomfort around the opening of my penis for several months now. I have got both UTI and STD urine test done but everything came up negative. The discomfort lessened considerably a week or two, after which it is still around. I went again for another UTI and STD urine sample and a blood test which was clear. But they said I did have a good bit of white blood cells in my urine. The discomfort is tolerable but still mind screwing. I have had genital herpes for about a decade and kidney stones before as well. I am pretty rough when intimate and the first sign of this issue was a couple of days after intercourse. My main concern is that I am starting to get intimate with another person with genital herpes as well. There is no discharge, swelling or blood at all and my erections did not hurt. I did not even remember it unless I think about it or when I am occupied. It seems like its presence is less or gone when I am standing or walking for periods of time. I would like to confirm what it is?
Hi. Yours is one of the most common problems which I see in my outdoor department every day. It has different terminology amongst different clinicians such as urethritis, prostatitis, chronic pelvic pain syndrome, etc. Probable reasons are some irritation of nerves around the prostate area. The reason for it is generally unknown but in majority tends to get worse with stress. It is physically harmless except that it is bothersome. Most of the tests will be normal. It can be controlled with medicines. However, it tends to come and go; aggravated especially during the period of stress and tends to disappear when you stop bothering or thinking about it. Treatment steps are as follows: Most of my patients respond to the above treatment. If the problem comes back again after a few weeks or months, then I generally repeat Amitriptyline for a few more days.