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Question
recently ive found that when going to the restroom i have a slight burning sensation in the tip of my penis. it feels the equivalent to when you accidentally get soap in it from a shower. the pain only last for a few seconds until the stream is what i think to be at its max. i am sexually active with my girlfriend and have been for sometime now. in the past she was told from her doctor she has HSV-1. we participate in both vaginal and oral sex and until now have seen no symptoms linking the HSV-1 to myself. i have also noticed i have about 4-5 pimple looking dots on the under side of my penis directly under the head. (circumsized)i am familiar with pearly penile papules which i do have but these new bumps look completely different. could this all be a result of the virus being spread to me or could this just be something random happening?

Answer
Daniel,
I would say if your GF has herpes S1 and you are seeing clear/red dome shaped blisters and there is associated urethral dysuria (mild or severe) then its likely you have the virus. The only way to confirm is through a blood test and physicians physical examination. The virus is easily treated with anti viral agents like Valtrex that can be taken every other day to fend off outbreaks. Many people have a partner that has been exposed and never get the virus themselves if not exposed directly to a break out blister. Since pearly papules do not spread or have the same appearance then I would say you have reason enough to get tested to confirm and if so start a regiment of Valtrex. This may very well be something else but to guess is not appropriate and the break outs can get worse and very uncomfortable. Best of wishes.  

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Thomas A Suppe RDMS CLT

Expertise

Invervential urologic radiology , urologic laser surgery, cryotherapy of the prostate and kidney, extracorporal shockwave lithotripsy, holmium laser lithotripsy, urodynamics (video-non video),male infertility, erectile dysfunction, Peyronies disease, hypogonadism ,kidney stones, prostate cancer detection, BPH, voiding dysfunction, bladder cancer and continent diversions.

Experience

For the past 20 years performing intervential and diagnostic uro-radiology for a multitude of urologic surgeons from New York, New Jersey, Lousianna and Texas. Founder of DMS medical LLC introducing the Texas Medical Center to the first high power Green Light laser for the treatment of BPH just after its release by the FDA from Laserscope and its sucessful trials at the Mayo Clinc.

Organizations
American Registery of Diagnostic Medical Sonographers (ARDMS), American Urologic Assocoation (AUA), American Medical Systems (AMS) Laserscope,Oncura, Allergan and Auxilliam pharmaceuticals.

Publications
Comprehention of Urologic Ultrasonography for the Resident Physician (Journal of Urology 2012), Author of the syllabus for the uro-radiology residency course at The Scott Dept of Urology at Baylor College of Medicine Houston Texas (2010 to present). Past Clinical Studies: Principal radiology investigator Allergan Inc for "The treatment of BPH with intra-prostatic injections of Botox" with Larry I Lipshultz MD 2011-2012, principal radiology investigator for Allergan Inc for "The treatment of Peyronies disease by intra-lesional penile injections of Botox" with Mohit Khera MD MBA MPH (2011-2012). Current studies: Principal investigator of "Blood pressure risk factors of intra cavernosal injections of Trimix and PGE1 during Penile Duplex's.

Education/Credentials
BS from Ramapo College of NJ, Registered diagnostic medical sonographer with the ARDMS, 2 year fellowship of Uro-Radiology and intervential sonography at Baylor College of Medicine Houston TX, laser safty officer in state of Texas and certified in KTP, Holmium and Lithium Tri-boride laser systems from Laserscope San Jose, California and American Medical Systems Minnatonka Minnasota, trained and certified by Oncura Inc Isreal in ultrasound guided argon cryotherapy of the prostate and kidney.

Awards and Honors
Honorary instructor of GU ultrasound course 2012 international meeting of the American Urologic Association. Author of the the AUA course for "Ultrasonography of the Testes and Scrotum" 2012.

Past/Present Clients
Baylor College of Medicine (BCM) Lousianna State University (LSU), LSU Medical Center Shreeveport LA, The Methodist Hospital Houston Texas, St Lukes Episcopal Hospital Houston Texas, Memorial Herman Health Systems Houston Texas, Palestine RMC Texas, Doctors Regional Hospital Corpus Christi Texas, Valverde Regional Medical Center DelRio Texas, Current instructor/technologist for two internationally recognized urologists : Larry I Lipshultz MD and Mohit Khera MD, MBA, MPH at Baylor College of Medicine. I served as intervential sonography consultant for Oncura Inc cryotherapy systems. Former lead trainer for Urosource mobile medical services , training new surgeons in PVP or photo-selective vaporization of the prostate for BPH, BNCs and urethral stricture vaporization.

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