UTI --not sure

[Tunde2]

Burning sensation in the penis( tip and side) this pain is periodic and irregular, at times pain move to side of penis, at times at the groin, at times below the abdomen (bladder area)  at times at the entire pelvis , at times the back side of the stomach.
No discharge, no swelling, no blood during urination. urinalysis only showed an acidic urine, no other excesses
Pain has persisted for over a year now.
I am 33 years old.

[Tunde2]

Hello Doctor,
Thank you for your last reply.

I have done KUB and nothing was found.
I have also seen a urologist and he cleared me off his duties.
Remember i said no blood, sugar, protein etc in urine
No pain during urination.
Also, i forgot to mention that there is reduction in semen production and SFA showed low motility

[Tunde2]

I have done KUB and nothing was found.
I have also seen a urologist and he cleared me off his duties.
Remember i said no blood, sugar, protein etc in urine
No pain during urination.
interstitial cystitis? That i have not heard anything about.
Also, i forgot to mention that there is reduction in semen production and SFA showed low motility

[Bhupinder Kaur, MD]

Hello,

Thanks for posting your query.

I can understand your concern for the burning pain because the site of pain is non specific. Moreover the symptoms have been persisting for over an year.

Few possibilities which I feel should be ruled out for such burning pain are:

1) The first possibility is of course urinary tract infection. Although you have got done a urine examination, but it would be better to get a urine culture done to confirm the diagnosis. Any infection of the urinary tract comes up on urine culture.

2) Second possibility is of any kidney stones. It causes intermittent pain that radiates from the flank to the groin or to the genital area and inner thigh. Since you have urine as acidic in reports, calcium oxalate stone should be ruled out. Get an X-Ray(KUB- kidney urinary bladder) and an ultrasound abdomen done to confirm the diagnosis.

3) Third possibility is of interstitial cystitis. Although it is more commonly found in women but men may also be effected. Pain ranging from mild to intense in the bladder and surrounding pelvic region and perineum and anal region may occur in males. It may also cause discomfort in the scrotum or penis in men. There is no one test that is specific for interstitial cystitis but urine culture and cystoscopy are quite helpful in ruling out the conditions which may cause similar symptoms.

I suggest you to consult a urologist and get the above mentioned possibilities ruled out by investigations which I have mentioned. Once the diagnosis is confirmed treatment can be planned.

Till then, drink plenty of water and avoid alcohol, tomatoes, spices, chocolate, caffeinated and citrus drinks, high-acid foods, and foods with artificial sweetener.

Hope that this information helps and hope that you will get better soon.

Wishing you good health.