Ongoing sensation in Urethra

[Anton785]

Hi,

I have been having ongoing isues with a sensation right down my urethra for approx 7 years now. I got Chlamydia approx 7 years ago but I took Anti-biotics which got rid of this.

However, since it seems I am still getting the syptoms of a sensation down my urethra. I have been tested for STD's as recently as a month ago and I am all clear and my urine sample was negative too.
I have had 2 endoscopies and had my sperm checked (All being fine except slightly down on morphology).
I also notice that the veins on my penis (When flacid and errect) appear to be darker and more noticable than in the past and the head of my penis also appears to be redder than usual.
Could you please give me any advice or help as this is really starting to concern me. Am I always going to have these symptoms? Is my future fertility at potential risk??

Any help is greatly appreicated
Regards

[Stephen Liroff, MD]

I have seen many patients who have persistent symptoms after a sexually transmitted infection, particularly if they have contracted the infection during an extramarital encounter. It is an emotional issue and I would suggest you do what you need to in order to come to terms with it. Obviously you have had multiple assurances that things are OK now. You had a straight forward infection and had it treated and now you are cured. If you cannot shake the feeling in your urethra, consider professional emotional help to assist you. I certainly would not expect any long term physical sequelae to this type of infection, and the longer you have the anxiety related to it, the more difficult it will be to get over it. See someone soon so that you can be freed!
S.A.Liroff, M.D.

This information is provided for general medical educational purposes only. It
does not necessarily reflect the opinions of Henry Ford  Hospital  or the
Vattikuti Urologic Institute.  Please consult your physician for diagnostic
and treatment options pertaining to your specific medical  condition.

[Anton785]

Also, too add to that. When I urinate my urine occassionally has a burning smell to it.

[Anton785]

Hi Doctor,

Thankyou for you swift response. I just find it difficult believing that it is a psychological issue. I got Chlamydia on a holiday with friends when I was single and it was never an issue for me.
It is hard believing it is psychological when you are physically feeling the sensation every day and at times I get such an itch down my urethra that I need to squeeze it in order for it to be less of a hindrance.
The urolgist I went to last time believes I had mild prosatisis but I am concerned that if I leave whatever it is untreated it could become a problem for me in later life (i.e. affect fertility etc).

Symptoms - Sensation down urethra, dark veins on penis, red end of penis, sometimes a 'pumping' sensation in penis.

Is there any chance this could be 'trich' which I have heard mentioned on here before?

Regards

[Stephen Liroff, MD]

Trichomonas is a possible. Usually there is a discharge. Your urologist will need to do a prostatic massage and then look at the fluid in order to make the diagnosis. A semen culture for trich might also work.
When the symptoms go on this long without changing, I doubt that this is what is happening. Then again, I never say "never" in medicine! Give it a last "shot" and see what they find.
S.A.Liroff, M.D.