Hi Everyone,

I feel a bit foolish writing this after living here back in the 90's and constantly since 2010, but things change fast, however medical treatment doesn't seem to change as fast as the skyline does here.

I have had some kind of Urinary Tract Infection that DID NOT occur from sex at the end of July. This is where I am having difficulty getting doctors I think to understand that I had balanitis (fungal infection of my man bits on the outside) never had balanitis b4 and it cleared up within a week once I knew what it was, was easy to self-medicate using steroid cream but as it was healing then the pain and burning inside started to occur. Doctors here seem to be on AUTO-pilot that I had sex with a bar girl when I live on Silk Island with my wife on a small farm!

This UTI has not shown upon 2 x urine sample and 2 x blood test only on a CT scan. I am now on my 5th doctor/hospital have had tonnes of pills thrown at me to which now it is resistant to and am on the verge of serious illness as it has been nearly 3 months, trying to hold my job down while out of it on so many drugs and today my feet started swelling which is a sign that my kidneys are in trouble.

I am prepared to pay if needs are to a top hospital but there are so many contradictory comments on these kinds of forums on every hospital even the Japanese Sunrise and Royal Phnom Penh that look the places to go or are they just aesthetics to charge you more? I'd really appreciate anyone with RECENT advice of where I can treat this. I have already been to and failed with:

Dr. Scott (extremely rude, expensive and looking for gallstones)
Calmette (Initially treated for fungal UTI then another doctor without blood or urine sample blindly changes to bacterial and 18 pills a day - no clue)
Cheda Polyclinic (who gave me a scan gave it back to me in French told me they couldn't find anything and when translated by a friend had a UTI and a cyst on my left kidney)
Another Dr you won't know my Khmer family doctor - every drug you can imagine thrown at me with intravenous 5 days in a row and now:
Preah Ket Mealea Hospital (who have very modern CT scan machines and all the kit but are now also just overloading me with pills unable to fix a UTI - to even get to the point of considering an operation removing the cyst from my kidney).

I have had so many drugs since August 4th that it has started to rot my teeth so I dread to think what my insides look like!

I have lived in Bangkok and appreciate the 'Go-to Thailand' side of things but hopefully, someone knows a reliable UTI specialist/department/hospital here that get results, obviously if it doesn't cost heaven and earth that would help but I'm open to anything right now.

I'd sure appreciate it and be happy to buy you a beer anytime, when I can actually drink one. Thanks in advance for any current advice. All the best

Jason

Jerry Atrick wrote: ↑Thu Oct 18, 2018 8:26 pm Avoid Royal PP.

I would visit Sunrise hospital, or the Sunrise clinic ran by their doctors, were I you.

Good service and not expensive.

Thanks, yeh seen a bit of a mixed reaction to Royal PP namely the price. I trust the Japanese wouldn't be substandard just assumed like the country it would be very pricey.

OP, you're talking about a UTI but in fact that's not a real diagnosis. If a doc tells you you have a UTI it means anything from the kidneys to the tip of your whilly can be infected, and there's quite some organs in that area.

You say you had a fungal infection and 'self treated' it with steroid cream. I'm no expert but steroid cream would not me my first line of treatment for fungus on the whilly, so maybe you went wrong there already.

Infections of the urinary tract can be a bacterial infection, but there's loads of other courses. Your doc's seem to have aimed for bacterial infection, but since the meds didn't improve anything it's probably not a UTI or it a UTI with a non bacterial cause.

I strongly suggest you see a specialist, a urologist, and tell him your whole story from the beginning. Because you've been on so many antibiotics loads of testing can NOT be done but a lot can be done. i have a good experience with this guy:

Dr. Tachko Aleksandr MD, PhD
015 819 760
[email protected]

He's not cheap, his English is basic, but he seemed pretty knowledgeable to me and he told me stuff based on the echo he did others could not tell me. Bring at least 100$ for consultation and checks, probably more. A consultation, echo and some lab tests cost me 96$ a few weeks back but it was money well spent.

Kammekor wrote: ↑Fri Oct 19, 2018 7:21 am OP, you're talking about a UTI but in fact that's not a real diagnosis. If a doc tells you you have a UTI it means anything from the kidneys to the tip of your whilly can be infected, and there's quite some organs in that area.

You say you had a fungal infection and 'self treated' it with steroid cream. I'm no expert but steroid cream would not me my first line of treatment for fungus on the whilly, so maybe you went wrong there already.

Infections of the urinary tract can be a bacterial infection, but there's loads of other courses. Your doc's seem to have aimed for bacterial infection, but since the meds didn't improve anything it's probably not a UTI or it a UTI with a non bacterial cause.

I strongly suggest you see a specialist, a urologist, and tell him your whole story from the beginning. Because you've been on so many antibiotics loads of testing can NOT be done but a lot can be done. i have a good experience with this guy:

Dr. Tachko Aleksandr MD, PhD
015 819 760
[email protected]

He's not cheap, his English is basic, but he seemed pretty knowledgeable to me and he told me stuff based on the echo he did others could not tell me. Bring at least 100$ for consultation and checks, probably more. A consultation, echo and some lab tests cost me 96$ a few weeks back but it was money well spent.

Kammekor, thank you this is exactly what I was looking for. I will be sending him an email today.

Yeh I got it wrong with the steroid cream it was Candid-B antifungal and anti-inflamm cream that I used which is what they would have prescribed for the balanitis, but I left it too long and I'm sure the 2 are related and they are treating me for a broad ranged STD which isn't right. What you said about him reading things from the echo is music to my ears - Chenda didn't even see there is a cyst on the kidney and a UTI when I states it on the result sheet!!

$100 is more than fine I've spent at least that and more on each one of the places I've been so this will be no different but sounds like I'll be in with a better chance.

Thanks again, much appreciated.

Here's a paper on current approaches to treating the condition: Approach to balanitis/balanoposthitis: Current guidelines Ipsa Pandya, Maulik Shinojia, Dipali Vadukul, and Y. S. Marfatia, Indian J Sex Transm Dis AIDS. 2014 Jul-Dec; 35(2): 155–157. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4553848/

Heres some background on why many treatments for Balanitis fail. This is an advertisement type article which while ultimately promoting Suragel, a gel for treating Balanitis, it does provide some useful background information on the condition. The problem with common balanitis treatments 4 reasons why they fail to cure balanitishttps://suragel.com/why-balanitis-treatments-fail.html