4 Months of Penile Pain, Irritation, Dribbling, Rash - No STD or Diagnosis. Help!
Posted , 234 users are following.
Hello, I am seeking advice! I am 32 years of age and situation has lasted over 4 months. It started when a female at a strip club slid her hands into my pants and rubbed / grabbed my erect penis near the urinary meatus (opening). I felt a sharp pain at the time (not sure why honestly). I feel like perhaps it was due to her rubbing near the meatus. The symptoms below started almost immediately from what I can recall.
Symptoms:
1. Slight rash on the top of the penis glans (head of penis). It is worse after a hot shower. It comes and goes, and can appear almost like a plaque covering, scaly at times. It sometimes starts at the top of the corona (where head meets shaft) and runs straight down to the urinary meatus (opening) like a stripe.
2. No visible lesions (or blisters) or warts on the exterior skin surface. Does not appear to be any internally as well and doctors have not been able to observe anything.
3. Slight purple on one side of urethra, when the meatus is opened to look inside. A small bump is near the top of the purple, or tip of the meatus; however, two urologists believe it is vein related.
4. After urinating, urine dribbles out of the bottom of the meatus. The meatus opens and closes (at the bottom) and urine drops drip / discharge. I have to wipe considerably. The glans around the meatus looks swollen (more one side) and when I press on it, urine will discharge. It is almost like urine gets stuck in the tip of the urethra.
5. No noticeable discharge, but the penis appears and feels “wet” inside, especially post urination. It seems that I am leaking / dribbling throughout the day, after urinating. Urine color is clear.
6. Pain consistently on the underside of the glans near the meatus. The pain can sometimes be very sharp and burn. I also feel a tickle or tingle sensation in the head of the penis that comes and goes. The entire glans is sensitive to touch. This is extremely irritating.
7. The meatus looks red and inflamed at times. It can be very sensitive or painful to the touch and irritated by clothing. This feeling comes and goes in intensity.
8. The bottom of the meatus opens wide (top remains closed) when the penis has increased blood flow and/or is erect. This is abnormal for my body. You can see directly into the urethra when this happens.
9. When erect, the glans / head region seems larger than it had previously and I would describe it as swollen. There is also an internal pain near the underside of the meatus, where it opens up near the bottom (as described). Feels like it is stretching / pins and needles.
10. The glans has a more prominent reddish rash, during and after an erection. The rash appears like I have scaly / dry skin. Post ejaculation my urethra appears red and inflamed as well, when looking inside the meatus. This subsides after some period of time.
11. Semen color seems to be more yellow that I remembered, prior to this incident. Sometimes I feel like there is pressure on the front of my testicles.
12. The pain and irritation increase throughout the day. When I wake up in the morning the symptoms are not as noticeable, besides a dull pain on the under-side of penis glans. Sometimes there is some redness on the top of the glans area.
Testing:
I have been well tested (multiple times) and am negative for the following STD's; HIV (RNA testing done as well), Chlamydia, Gonorrhea, Trich, HSV-2, Syphilis, Mycoplama & Ureaplasma, Hep A, Hep B, & Hep C. Again, all negative.
I found in this process that I am HSV-1 positive and likely have been for some period (so is a large % of the population). I have had blisters and a HSV like rash on the bottom of my nose in the past. I don’t think this is HSV-1 as there are no lesions in my genitals and this has gone on too long.
Due to viral load factors, I tested the viral infections (HIV, HSV-2, Hep) at 30 days and again at 95 days post exposure. I assume that I am in the clear based on statistics, but am certainly not a doctor. These tests were unlikely to be positive given the event as there was no intercourse.
Urine analysis looked okay. Red and white blood cell counts were okay, no bacteria infection or UTI found or diagnosed based on urine culture.
Treatment:
I have seen 5 urologists, 1 dermatologists and 1 family practice doctor. I have had 2 cystoscopies, and nothing was found (same urologist).
A family practice doctor thought it was due to some soap or lotion, but referred me to the 1st urologist. He thought nothing was visually wrong.
The 1st and 2nd urologist said they have no clue as there was nothing outside of normal visual tolerance. The 2nd urologist gave me the 2 cystoscopies (camera up the urethra to the bladder) and nothing abnormal was found.
2nd urologist thought it was contact dermatitis due to the rash as nothing surfaced in either cystoscopy. My prostate was examined physically and was ruled to be okay. He referred me to another urologist and also said I should see a dermatologist.
The 3rd urologist confirmed the inflammation in the glans. He suggested to try Quercetin (there are clinical trials which have shown it has helped the prostate) and then potentially Doxy over a longer period as a next step (can be anti-inflammatory). My fear is taking an antibiotic without having a bacteria pathogen diagnosis could be pointless.
The 4th urologist (who the 2nd urologist referred me to) believed that this was related to nerves in the penis. He is a pain specialist and put me on Nortriptyline.
The dermatologist (urologist said I should see one) also saw inflammation and diagnosed the rash as a non-infectious seborrheic dermatitis. He prescribed a topical antibiotic / corticosteroid, which I used. I also tried a steroid. It has reduced some of the redness but not relieve any of the described pain or urine dribble. I am concerned about the use of a topical for an extended period (skin thinning) and have stopped using it. I have a follow-up visit with him scheduled.
Medication:
1. Doxycycline 100mg x2 times a day for 10 days, initially when symptoms started. No relief.
2. Topical cream for rash: Ala-Quin initially for 4 weeks, then tried another steroid cream. Has somewhat resolved the rash issue (not totally).
3. Metronidazole (Flagyl) 2g, x 1 dose for Trich as there is not a great test for this (urine apparently has weak sensitivity). Trich can cause swelling, come and go symptoms, etc.
4. Nortriptyline 20mg every day to resolve nerve issue. I just started this.
5. Supplements currently taking: 1g of Quercetin daily (shown to reduce inflation in clinical trials), Multivitamin, AHCC, Folic Acid, Vitamin E and B12.
The symptoms continue to persist and these treatments have not worked.
My Questions:
1. Does this sound like an STD? Could it be another bacteria pathogen or NGU?
2. If this nerve related due to some trauma, would it cause the rash?
3. Are there any ideas regarding further testing or a diagnosis? I was considering a semen culture but don't know where to have this done.
4. Would a HPV virus cause these symptoms? In men, I believe the HPV virus is typically asymptomatic and/or presents itself with warts.
5. How can I test for HPV other than a biopsy of the penis or penis scrape (which most doctors don’t perform)?
6. Could this be yeast related based on the symptoms? I have noticed an increased coating on my tongue which scrapes off and dry mouth symptoms. I have also noticed the coating and dry mouth is much worse after drinking alcohol or eating sugar (yeast related).
I should mention that my anxiety over this is through the roof and am aware of some changes in my body as a result of it (anxious, no hunger at times, weight loss, etc.). I also think the dry mouth could be related to anxiety.
Please, I am looking for some help! I know there is someone out there that can help me as this has gone on for so long. This is such a struggle and always on my mind.
Further, I am terrified about infecting a new person who I just started dating. A couple doctors indicated that I was safe to have intercourse as I was well tested, but I don’t feel right about having intercourse with the symptoms persistent.
Thanks all for your help. - Steve
12 likes, 867 replies
Dickrash123 Guest
Edited
I have this exact issue to the T. Same exact looking rash on my penis. I believe it to have happened after receiving oral on the first date with a very promiscuous women. Have been tested for every STD possible. Have taken multiple courses of antibiotics, Have put every type of cream/lotion to try to cure the rash. Have done multiple urine and blood tests for infection. Have spent a dick ton of money and time with what feels like chasing a ghost. It has been close to 3 years and i have no answers. I am completely lost in what to do next. I have been told I have prostatitis and do feel pressure/pain in my prostate. pain in lower back area. Whether this is related to the rash I have to assume so. My two theories: #1 it is some super form of bacteria that she transfered to me through sucking my weewee and that bacteria has now worked its way all the way up into my prostate causing the prostatitis problems. #2 it is some type of nerve getting pinched in my lower back area that is causing the prostatitis symptoms, (i have read when you have problems in the region it will show symptoms in head of penis). The fact that it is this unknown thing and all these doctors look at me like i am crazy is amazing to me. I have come across a few forums online with this exact condition and no one has an answer. I made this account just to post this rant and pray one of you dudes finds the answer to this hell we live in. l refuse to live like this forever, i am still aggressively trying to solve this issue and will do my best to update this forum and others. please let me know if anyone solves this. My symptoms are frequent urination, dribble after urination, the rash has been there for over a year, and my prostate feels like a balloon and filled up. I am taking 14 days of bactrim right now as there was one time in this sy 3 years where I did have relief from a month on bactrim. I am going to see a different urologist next to get a new opinion, but I am not hopeful. This entire experience has shown me how sy the american health care system is. If you want something done you have to be your own advocate, it is just super demoralizing to never get answers. I am 28, instead of owning a house, I own receipts from medical visits and tests.
ed68163 Dickrash123
Edited
hey man, can you elaborate on the use of bactrim? if you have no sign of bacterial infection why were you prescribed antibiotics? do you think it could be some antinflamatory effect that gives you relief? i took docycycline and it helped swelling but didnt solve anything. ive had this issue for 6 months but symptoms only bother me after sex. im clear of a lot of bacteria that doctors normally test for. maybe theres more bacteria out there that we havent been tested for that isnt a known irritant. i havent been checked for prostatitis but im certain i have inflamation there
noah1836 Dickrash123
Posted
Hey Mate, i'm 24 with the Same symptoms of 3 months. After recieving oral sex from a women. Any update on your condition? Check out my dicussion, explains my situation, Cheers appreciate it
payne.N.johnson Guest
Edited
Add another one to this list. Good to know I am not alone. Mine started with a high-risk encounter where the condom broke. About 7-10 days later, a small, red, painless bump appeared right below my meatus and lasted about 7-10 days along with a shiny, flat, red and painless sore about the size of a dime on the shaft near the head. Tingling and burning were also present All 4-6 STD tests (various tests for everything from two different labs) from 16 days post exposure to 6 months were negative, except for Gardnerella at around 5 months post exposure. Multiple courses of various antibiotics and prednisone followed. As well as a derm visit when both lesions were present, no luck with derm 1. Derm 2 was 3 months later and noticed the scarring.
I did/do have a couple of symptoms that I did not see discussed: persistent diarrhea and a sudden intolerance to lactose.
The diarrhea has gone away but the lactose intolerance remains. I still have a swollen meatus on one side and a bit of scarring on the meatus and right foreskin. I have psoriasis and occasionally have had it on my penis. However, at 48 years old, this hell all started with the encounter. I seem to get the most relief from anti-fungal cream but I believe it is just the moisturizing effect more than anything. Much of the same symptoms as everyone else are/were present as well.
I firmly believe something infected me but the massive guilt of the encounter has been the main culprit. As an example, i was very depressed and sure I was doomed at 92 days when the tests came back negatve for all STDs, my symptoms immediately went away by about 90-95 percent. I've got 2 kids from the woman I love more than anything and I kept replaying the event and was like WTF was I thinking?! Suicidal thoughts, fear of infecting my then GF, now wife, resulted in loss of sleep, appetite and weight. Just this past week, it has improved significantly as I have come to terms with my mistake and decided not to keep touching/checking the area, new sleep meds and shots of BPC-157 healing peptide.
Is Gardnerella to blame? Possibly but I doubt it.
Following this thread in hopes to help and get some help.
Thank you all!
Steves8012 payne.N.johnson
Posted
Sorry to hear your story. The anxiety is definitely one of the worst elements to this. Trouble is if you mention this to doctors they move straight to CPPS which im not convinced by. Now admittedly my doctorate is still to arrive so im probably somewhat less qualified than those im speaking with but have been doing the stretching, as hey why not, which bar making me look like a stranded beetle have not made a huge amount of difference. Salt water seems to ease my pain and symptoms slightly but again doesn't resolve the issue.
eric16001 payne.N.johnson
Posted
In the same boat as you. Anti fungal cream and anti inflammatory stuff seems the only relief but keep on coming back. Definite form of std but undetectable. I am leaning towards a form of lichen as possible cause. My guess is we will have to live with it. Any sexual activity makes it worse. You make me feel worse as you been fighting this for 3 years, I am on my first year
payne.N.johnson eric16001
Posted
Fortunately, my urogenital symptoms have just disappeared this week. I attribute it to talking to my wife about the problem (not the cause) so I didn't feel like I was hiding anything. Also, I cannot ignore taking BPC-157 for my orthopedic injuries. It may sound weird but I had this problem for 7 months with a bit of ebb and flow and now I would say it is 99 percent resolved after taking the peptide....it is the only physical thing that changed. Might just be me but I got mine from my doc, not off the internet so I know it is real. Your mileage may vary but that and tb-500 may be worth try to stack them. I am not even done with the regimen yet and I swear I feel basically cured.I will continue to update as I have 3 more days left. Good luck to everyone!!
john58680 Guest
Posted
i visited my urologist i have a one side swollen red meatus because i teared my meatus and i frequent urination and i always have a urge to pee my urologist took a test a uroflow to see if my meatus is blocking my urination (meatal stenosis) and that was the case obviously the scar tissue made my meatus tighter so it was harder to pee that's why i have the urge because i couldn't empty my bladder fully we decided that I'd get a meatotomy or meatoplasty it's basically a surgery to make the hole bigger so they will cut a piece of my meatus it's a simple surgery hope that will solve my problem completely I've been dealing with this for so long
eric16001 john58680
Posted
A tear in my meatus as become something I look in too. It is possible to tear without blood. If so my tear would be on the outward part of the left meatus lip. Could this be the cause since only friction or sex make it swell more?
john58680 eric16001
Posted
here was no blood indeed not a single drop only itching, pain, and irritation and always a urge to pee even 5 minutes after peeing which made me believe i couldn't empty my bladder because my meatus became tighter because of the tearing and healing process afterwards. I avoided masturbating and having sex for a few weeks and weirdly it still swells out of nowhere so i have no idea it might be the urine flow irritating the meatus
eric16001 john58680
Posted
If you think urine is causing the rash, look into zinc oxide cream. Its very thick and messy but it does protect well. I gave up maybe to quickly with that cream. Not fun to have on
noah1836 john58680
Posted
When did your symptoms start? was it after a sexual encounter?
chris22120 Guest
Posted
ive had the exact problem for over a year been to the doctor like 6 times and dermatologist and had skin removed off my glans and checked for cancer and still nothing its like a stinging pain at the bottom side of the meatus and on my glans I have white like patches growing and more on the right side then left,have dribbling and burning when urinating sometimes worse then other times ive been checked for stds aswell and had my blood work my lymphocytes and monocytes are high but dont know if that would effect that .im only 18 I used to train alot and went from 150 pounds to 215 in a year and a half was drinking 4 cups of water a day so had constant urinating I even had the dribble problem at 17 before the pain started and the skin problem at the gym it was embarassing but I just want to figure what out what is worng with me im 19 now working a landscaping job and it gets in the way as it always hurts and I miss being healthy man Ill do whatever it takes to fix this thats why I got my job to begin with
marcus81611 Guest
Posted
i have read every single comment trying to see if there was hope... im sorry to hear what all is going through. I myself is expericing the same symptoms. my meatus gets stuck together after urination and i've been expericing frequent urination. the only thing is I have received this curse after a masturbation session and my urologist said i have pundendal neuralgia. Ive been going to physio who i felt helped but the urination isnt going down. i will say it sounds like you sit down a lot and that you may of gotten it by the dancer rubbing your love stick. Please keep updating as a lot of us are counting on your success. Stay strong all!
john58680 marcus81611
Posted
ask your urologist if a meatotomy would help you maybe it's a meatal stenosis