Burning after urination for six months

[JS256]

I had unprotected sex last July and two days later felt pain in my urethra.  Was on the road and went to a doctor who did STD tests (which the next day came back negative) and gave me a round of oxafloxin that immediately seemed to help.  But then, a few days later, I had unprotected sex with someone else (I know, I know--stupid in every way) and a couple days after that the symptoms started up again.  (Most prominent was a burning sensation after urination that would linger 10 - 30 minutes.)  Got back home and was re-tested for STDs--all negative.  My doctor suspected prostatitis and put me on Cipro.  No change.  Went to a urologist who put me on double-strength Bactrim.  No change.  Then saw another urologist who said the prostatitis wasn't caused by an infection and that's why the drugs hadn't worked.  Told me the symptoms would go away and to see him again in 12 months.  The symptoms have not gone away.  Some days are better, some worse--but the burning after urination has been pretty persistent.  Any ideas about what this is or suggestions for treatment?  (I'm still concerned it's an STD of some sort that the tests didn't pick up, but maybe that's just paranoia.)

[Vanessa Lacuesta]

Hi,

It is always best to have a copy of your results.This is important so that you may be aware of your condition. This way you will be able alter or modify your lifestyle, avoid any triggers and get the right management.

Do keep us posted for anything. Good luck!

[JS256]

Thanks you very much for your comments.  I did provide a urine sample on three occasions six months ago back when these symptoms began--once with my PCP and once each with two urologists.  Aside from STDs the first time (which came back negative), I'm not sure what these doctors tested the urine for, and I was never informed of the results.  Sounds like I need to go back for more tests.

[Vanessa Lacuesta]

Hi,

Have you had a urinalysis and urine culture done? A urethral swab and culture of urine with prostatic secretions will be able to determine if any infections are present.The culture will also guide treatment.

If your physician is suspecting prostatitis, chronic prostatitis may present with urinary symptoms, pain in ejaculation ( which may not be as evident as the acute form ) and tenderness in the perineum.Other differentials would be epididymitis, urethritis, urethral syndrome and a urinary tract infection.

A second opinion from another urologist may help. Refrain from any sexual activity until your condition has fully resolved.