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Hi. I am 36.
Around April this year, I had three episodes of gross hematuria. Scared, I went to a nephrologist & then another urologist. They conducted a number of tests on me including urinalysis, urine culture, X-ray and USG of KUB, phase contrast microscopy, lever and kidney function tests and a range of other blood tests. Almost everything came normal and the phase contrast microscopy found that the blood was coming from lower urinary tract. The doctors did not find any stones, lesions or tumors during the USG.
One morning in August, I passed a nearly 2mm stone through my urine. The urologist says I do not need to be scared anymore.
Now ever since then, I have been facing a number of issues:
1) Ever since, right after the hematuria episodes, at times, when I strain to pass a stool, drops of whitish semen-like substance comes out of my penis. In order to tackle this situation, I stopped straining at least a week back and it had nearly stopped. But over the past two weeks, I have noticed on one occasion, a small jelly-like transparent substance come out after I finish peeing. It usually sticks to the bowl and when I drop water on it, it rolls off into the water and sinks. Is this something to worry about?
FYI: My wife is pregnant. And I haven’t had sex or masturbated since September this year.
2) Often when I am sitting down, I feel a slight burning sensation near the head of my penis.
3) Often I do feel some pain during ejaculation but not always.
Now I do not have extreme pain in my pelvic area, near the base of my penis or near my rectum. There is no fever or chills.
Also, my urinary urgency is nowhere close to when I had the stone. I now visit the bathroom at a 3-4 hour interval.
I have recently visited an urologist who without listening to me properly told me that I may have chronic prostatitis. He gave me a bunch of tests again includign USG of KUB-PVR (60 ml pvr), Uroflowmetry, Urine profile and Uric acid (within range). Without even waiting for the results, he prescribed me three medicines including Finasteride 5mg, Flupentixol 0.5mg and Ofloxacin 200mg.
I waited for the tests. The urine profile did not have any RBC, WBC or anything else. Just 2-3 epithelial cells HPF and 0-1 pus cells.
Uric acid was within range.
Just to be safe, I also did a PSA test which came to 0.42 ng/ml, BUN and creatinine (1 ng/ml) . I have read in two different websites that prostatitis would usually yank up PSA level to over 1 ng/ml.
Uroflowmetry had an average flow of 29 ml/sec.
As the levels seemed okay, I went to a second urologist. He saw the prescription by the first guy, cancelled the three medicines the former doctor had prescribed and instead gave me Doxycycline 200mg, Suliandac and Bactrim. As I had an allergic reaction to Bactrim, I am now only on Doxycycline and Sulindac.
So, here is my question: Do you think this is chronic prostatitis?
Your answers would be appreciated. Thanks in advance.
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