instruction: hello doctor I have a prostate congestion issue that comes and goes from years lately I am having a slower urine stream even slower than the times I had my prostate congestion before also I am having uncomfortable feeling above my anus itchy or uncomfortable feeling at the tip of my penis and some discharge from my penis I had my tests done urine and semen culture swab from the tip of my penis and s for my urine and semen before the results doctors been telling me that I might have an sti and they gave me a one time injection with tablets of antibiotics when the results came it showed no sign of any bacteria in all my tests the swab is clean no sad I only had a higher abc count in semen culture which was around 10 15 where the normal reading was 5 my doctor told me thay I have an infection in my prostate or inflammation he gave me anti biotics for 10 days and an alpha blocker medicine he did not do physical check or ultra sound I need a second opinion I am afraid I have a cancer it does not make sense to have an infection without bacteria discovered in all the tests
output: hi it looks like prostatitis chronic often in this condition diagnosis is clinical most tests are negative on rectal exam sometimes prostate can feel tender sonography can show swollen prostate uroflow may be reduced there may be bacteria or abc in semen also post prostatic massage urine culture may be positive even if all these are normal and there is clinical suspicion you may be given treatment for prostatitis usual course is for 5 to months symptoms can recur but usually are less severe than first attack people get prostate cancer after age 50