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Urology/Prostate pain and penis discharge


I am 22 years old. Had a UTI a year ago. High WBC's but culture was negative. Treated with Cipro for 10 days. A couple of months later started having prostate and back pain with penis discharge. I  have been to the GP several times. I have been treated with two Zpacks, a month of cipro, another month of Bactrim, a shot of Rocephin, and Doxcycline over the course of the year. GP referred me to a urologist. He checked my prostate which about killed me due to the pain and was able to get secretions to culture which were negative and treated me with another month of Cipro and Mobic. Went back with c/o that symptoms were not any better. He did a cystoscopy that was normal. A ultrasound and CAT scan that were normal. He wants to refer me to Mayo Clinic. Please can you give me some advise. So in summmary my symptoms are my prostate is tender and hurts. No problems at all voiding. The penis discharge happens all day.  It is clear sometimes cloudy and happens after I void and sometimes just randomly. I have been research internet. Read that taking Flomax and Mobic for 6 weeks. Would you suggest this?  Thank you for your advise.


It sounds like you have a complex prostatitis.  Treatment usually includes hot sitz baths 2-3 times a dya for 5-10 minutes, an NSAID like ibuprofen or "Aleve" regularly, avoidance of caffeine and alcohol, use of alpha blockers like "Flomax" and 5ARIs like finasteride and sometimes use of a nutritional supplement, quercetin, which has evidence to show it is useful in reducing prostate inflammation.  You may want to get a second opinion from another local urologist before going to Mayo.

The penis discharge is another issue.  It sounds like you've had a complete workup and no particular cause has been identified.  The finasteride might help.


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Stephen W. Leslie, MD


Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.


Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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