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Urology/tingling sensantion

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Question
helo dr,

my name is james, 32yo, currently lives in malaysia. my condition right now sometimes i have a tingling sensation, mild discomfort which is happen everyday for around 4 weeks now, sometimes it happens on my left tip penis head, sometimes on the right side. sometimes it feels hurt inside the meatus.

i already took the urine test, and the result is all negative.

i seek a dermatologist, and he said that everything looks normal, and he gave me anti-yeast cream and then he also give me antiviral for herpes but nothing changed, i still have tingling sensation.  is it some kind of uti/sti? or is there any other kind disease like prostate infection?

last time i did intercourse 2 months ago, and i used condom and i didn't have any blowjob from my partner.

thank you

Answer
James:

Given the negative cultures, a UTI or STD is unlikely.  It can be very difficult to treat a sensation with no positive findings.  One possible cause is a neuropathy or nerve issue.  Consider a consulation with a neurologist.  Sometimes an underlying problem like diabetes that affects the nerves can be the underlying issue.

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Stephen W. Leslie, MD

Expertise

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

Experience

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.

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

Publications
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.

Education/Credentials
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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