Penile discharge, Herpes related?

[greetings]

Hello Nurse Warren,

First, I’d like to give my condolences to your community after the recent tragedy in your state. I hope you and yours are safe. My heart breaks for all those families.

My medical questions:
A few years ago I had a severe UTI with significant penile discharge and was diagnosed with prostatits resulting from a very high e coli count in my urinalysis. I am a male, 30 years old. Very unusual to come out of the blue like that, and I have had zero sexual activity for several years. To this day I am uncertain how it came about and it has been a couple years since the event. Since, I’ve had trouble ‘getting the last drop out’ when I urinate, and often feel like My stream was ‘cut off.’. Sometimes, when I sit down after urinating it will force some urine out, I assume from the squeeze on my prostate. I dont know if this is run of the mill incontinence associated with prostate problems or something else.

Sometimes, I will feel a sudden slight ‘dispelling’ from my penis randomly. Rarely do I find any stains, in my underwear but occasionally this event has left liquid stain. I dont know if it is urine or prostatic fluid or what…

Does any of this sound herpes related? Could a herpes infection made me more susceptible ti ecoli and brought on the prostatitis?
I hoped you could give some details about penile discharge with herpes. What is it like, does it happen suddenly-all at once like my issue, or is it more of mucous like oozing thing? How common is herpes discharge in men, and does it happen with no visible sores? Do some men get herpetic discharge regularly or is it a primary episode thing? Lots of questions… I appreciate your help so much

[Terri Warren]

Thank you for you comments about our state. We are all just heartbroken over the loss of the young (and older) lives.
None of this sounds anything whatsoever like herpes. Not at all.
The only time I’ve really seen discharge with herpes is with first infection. Its watery discharge. Whenever I see a pretty dramatic first infection in men and they have a discharge, I certainly test them for chlamydia and gonorrhea but usually these are negative and goes away when the primary symptoms resolve. Of course we see a similar thing in women with a watery discharge. With women, we have the advantage of being able to see the cervix with a speculum and recognize the disruption of cervical cells by the virus, bursting the normal cells and causing their contents to be dumped into the vagina , causing the discharge. I suspect the same thing is happening with men.

Your symptoms are quite different and seem to be going on a long time with no lesions. While I don’t know if you have herpes or not, these symptoms are far more consistent with prostate issues than herpetic issues. I hope you will follow up with your urologist about these concerns as they are quite uncommon, I think, among young men your age.

Best to you.

terri

[greetings]

It has been a while, Terri but I appreciate your previous answer. I am currently working with a urologist to figure out my discharge problems. I am glad to read that you only see discharge with primary infection in men… is it always associated with external lesions or would it be possible to have a uretrha only outbreak and not feel anything and have discharge?

Also you describe the discharge as likely being lesions that are expelling their watery contents… would this symptom happen suddenly, or is it more of an ongoing discharge until the outbreak resolves… just trying to get a sense of the difference. Theres no pictures of this kind of thing on the internet

[greetings]

P.s. just out of curiosity… I see in the forum your group is doing a new study. Is there any info on what the focus will be? It would so great for so many people if a cure could come around some day!

[Terri Warren]

I think it is possible to get lesions only in the urethra and have discharge but it would almost certainly be accompanied by pain with urination as there would be open lesions in the urethra with acidic urine passing over them. The discharge associated with an intraurethral outbreak would like last 1-2 weeks, max.

We are doing a study of a therapeutic vaccine, yes, not a cure, but a very hopeful treatment.

terri

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