Case 20

Thirty-four years guy, diabetic on insulin, since 3 years he complained from severe penile burning, from then he went into dilemma of many urological consultations, investigations and treatments, paid off what he had had, lost his interest and his ability to work throughout these years, had undergone many cystescopies (3 times), I.V.P., pressure flow studies, many urine cultures, many studies for T.B. bacilli detection etc.

The results of all these consultations and investigations proved nothing, but he was worse than ever, in a desperate resort his last urologist advised him to go to an internist for more adjustment of the blood sugar perhaps there was a relationship of diabetes to his problem.

So he headed to us with a broken heart and lost hope. Our detailed history revealed that he was under extreme pressure because of his condition which has no cure plus financial related pressures, so he usually weeps his young girls if he left in this life, also revealed that the burning is restricted to the urethra, so that it is meticulously to say " he is complaining from severe urethral burning". Lastly he also used to suffer from erectile dysfunction.

Examination:

Revealed nothing apart from overweight and glove and stokes hypoesthesia.

What could be the case?

 

 

 

 

 

 

 

 

 

 

Answer

 

Answer