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>This is a very interesting case with serious injury. This guy came down with
>the infection INSIDE his you can guess,
Maybe we can guess, and maybe not. Humor us and tell as where he had
the infection.
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>so he goes to the hospital and to his
>personal physician. In neither place is he instructed to give a {*filter*} or a
>urine sample (EITHER OF WHICH ROUTINE PROCEDURES WOULD HAVE EVIDENCED HIS NEW
>DIABETIC STATUS
Um, not exactly. We don't have a test known as "{*filter*} test". We have
tests that specifically tell us what we need to know to treat or
monitor a specific disease. The "{*filter*} test" to which you are
referring is a serum glucose, which is neither indicated nor useful in
the treatment of balanitis. And as far as the "urine test" goes. The
only tests that would have even been considered for this case are a
urine culture and a urinalysis, and neither of these tests would have
been useful in this case, because the foreskin/glans area was the
apparent infected area, and any attempts to do either of these tests
would have been contaminated by the infection affecting the
foreskin/glans area. Therefore, I would not have ordered either one
of these tests.
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>The high {*filter*} sugar was why the antibiotics had no effect.
Hogwash! Show me a reference where high {*filter*} sugar inactivates
antibiotics.
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>So his personal physician directs him to
>a urologist, who prescribes the one day course of antibiotics and instructs him
>to come back the next day. He took the {*filter*} and came back and the infection
>was still raging. (Still no {*filter*} or urine test is ordered.)
(Still not necessarily indicated.)
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>Then the physician
>performs a surgery in his office by cutting down the length of the you can guess
>and opening it up like a breakfast sausage and cleaning out the infection and
>sewing it back up again.
Which may have saved him from an even worse outcome, such as
erosion/scarring of the glans of the {*filter*}. Don't know that for sure
though.
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>2 days later he goes to the hospital for a routine uranalysis to determine the
>elimation of the infection,
Which would be appropriate at this time, when the foreskin is
retractable, and , hopefully infection free, so as to not contaminate
the urine specimen.
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>and his diabetic condition is discovered.
>The guy is a mess for weeks or months. His wife refuses to have sex with him
>b/c he's a frankenstein. He can't stand to look at himself. There are other
>problems.
>The crux of the thing is that he's know informed that the surgery was ENTIRELY
>UNECESSARY.
And by whom, pray tell, was he informed of this fact that the surgery
was unnecessary? Was it Ol' Uncle Clem from West {*filter*}ny? Unless
the person who offered this new opinion was present at the time the
surgery was performed, he/she really has no idea whether it was
necessary or not. One day can make a WORLD of difference in a
properly treated infectious disease.
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>A urine or {*filter*} test would have revealed the diabetes and the
>sugar level could have been lowered to a point to make the antibiotics
>effective.
More Hogwash. See above.
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>Any advice that you could provide me or my friend would be appreciated.
My advice would be to pay more attention to cleanliness in the
glans/foreskin area to prevent further infections from occurring,
especially now that he has diabetes, which can make him more
susceptible to fungal infections, in addition to the usual bugs that
infect that area.
And, also, I recommend that your friend also get advice from someone
that has at least a miniscule idea of what the heck they are talking
about before they go spouting off about everything was done wrong, and
how badly they were mistreated. Sounds to me like this was handled
quite well by both physicians, especially the urologist who attempted
to closely follow the progress of the infection and insure that it
cleared.
This sad tale sounds remarkably like the sad tale of someone who is
hoping to make a fast buck at the expense of a couple of physicians
who appear to have made a good attempt to ensure a good outcome in
this case. It makes me ill.
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>TIA
>Leigh
Skeez
Questions about male urinary tract infection