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Burning during MICTURITION with PSEUDOMONAS in C/S. USG.

Resolved Question:

i have been suffering from reccurent episodes of burning during micturation since last year, condition is aggrevated by travelling, ejaculation etc. My USG report showed bulky seminal vesicals, last urine C/S report showed growth of pseudomonas which was sensitive for cefalosporins. Now I am again having same symtoms after completing 5 days course of cefixime. what should i do now

Category: Urologist

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Category: Sexually Transmitted Diseases(STD)Specialist
Dr. Rajiv Goel is online now

Expert:  Dr. Rajiv Goel replied 4 Days.

Thank you for your query at DoctorSpring.com

From your symptoms you appear to be suffering from chronic prostatitis. Your symptoms shall have the potential to reoccur and hence your symptoms at this point of time.

You need to be under regular care of urologist. Pseudomonas grows in only hospitalized patients and hence the growth is a contamination. You should start yourself on T. Ofloxacin 400 mg once a day and T. Alfuzocin 10 mg under the care of your urologist. You may also consider getting prostate massage by your urologist and also get expressed prostatic secretions culture. That will be helpful in identifying the exact organisms.
Feel free to discuss further,
Take care.
Rajiv Goel

Patient replied :

In my last two erections I did not ejaculate after which which I suffered pain in my left testicle when erection subsided. Is there some relation between two problems?

Expert:  Dr. Rajiv Goel replied 3 Days.

A lot of patients when on tamsulosin may not ejaculate. Some patients experience retrograde ejaculation when on tamsulosin and hence dry orgasm.
There is no relation between dry orgasm and testicular pain.
There is nothing to worry about and occasionally testicular pain can happen after intercourse or masturbation.
Stay reassured and start treatment of prostatitis.

Take care

Rajiv Goel

Patient replied :

I did not ejaculate deliberately... I didn't want to. So I avoided because it aggrevates the condition. Please also advice me about consuming beer.. is it helpful or bad in such conditions

Expert:  Dr. Rajiv Goel replied 2 Days.

Dear sir,
Intentionally stopping ejaculation can certainly cause pain and also worsen your prostatitis. Refrain from this activity in future and start medications under the care of urologist. This will take care of your condition.

Consuming beer has no relation to your condition.
Take care.

Dr. Rajiv Goel.

Dr. Rajiv Goel
Category: Sexually Transmitted Diseases(STD)Specialist
MCh(urology) Medical Council of India
Fellow, Laparoscopic urology, Germany
Fellow, Urooncology and Robotic urology, Australia
Felloship - MCH, Urology/Genito-Urinary Surgery, AIIMS, 2004
Residency - MS, Master of Surgery, AIIMS, 2001
Medical School - MBBS, Bachelor of Medicine and Bachelor of Surgery, AIIMS, 1998
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