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Mens Health > Sexual Health - Men Forum > Possibility of a urogenital infection
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Q: Possibility of a urogenital infection
asked by: DoctorQuestion on June 6th, 2009
Dear Doctor,

I have unbearable painful burning in my penis and testicles. Which are also itchy and this also travels down my legs. I'm back to the doctor every week but they have no solution. It's going on for over a year.

STD has been ruled out, a UDI is out, I've been treated for thrush but nothing has worked.

Everyday is a struggle.


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Dr. Goce Aleksovski , MD
replied on June 9th, 2009
Sexual Health - Men Answer A6782


Given the information you provided (painful, itching burning in the penis and testicles that spreads down the legs), it seems likely that you might be experiencing a urogenital infection. This condition might be caused by bacteria or fungi. Which one has caused it cannot be determined without further examination. A complete blood count and urinalysis might be needed to confirm the presence of infection. In case of infection, WBC (white blood cells) might be elevated and bacteria and leucocytes might be found in the urine.

A urine culture might determine the exact bacteria or fungi that caused the condition and the most effective medication that would treat it.


If infection is not detected and there is no pus in the urine, you might want to visit a neurologist to check if the pain is related to a neurological issue affecting the nerves in the pelvis. Evoked potentials might be needed to detect a possible radicular lesion of the nerves responsible for the legs; certain of them might be supplying neurons for the genital area, too.




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The information provided on eHealth Forum is designed to improve, not replace, the relationship between a patient and his/her own physician. Personal consultation(s) with a qualified medical professional is the proper means for diagnosing any medical condition.
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