Managing Chronic Urethritis or Prostatitis: A Patient's Journey - Urology

Suspected chronic urethritis or prostatitis, medication issues?

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On January 29 (the fifth day of the Lunar New Year), I soaked in a hot spring in the afternoon.
Later that night, I had to drive and experienced urgent frequent urination.
On January 30, I felt pain during urination, but there were no visible issues.
On February 1, I visited a clinic where a urine test was conducted.
The doctor indicated a bacterial infection and prescribed a three-day course of antibiotics, including phenazopyridine.
After three days, I returned for a follow-up and received a six-day prescription.
My condition improved, but I still experienced pain during urination in the morning, while urination at other times was mostly painless.
However, I felt pain when sitting down to have a bowel movement, and there was discomfort when pressing on the mid-urethra.
On February 1, I went to Hospital A for further evaluation.
The urine test results were normal, and the doctor prescribed one antibiotic and one anti-inflammatory medication.
My symptoms remained the same, with pain during morning urination and tenderness in the mid-urethra.
On February 20, I returned to Hospital A for a follow-up, where a bacterial culture was performed.
A week later, the report showed only 1,000 E.
coli, and the doctor prescribed another week of antibiotics.
On February 28, I injured myself while hiking and did not have time to get a tetanus shot.
On March 2, I visited a family clinic for the wound.
I did not receive a tetanus shot, as the doctor advised it should be administered within 24 hours.
The clinic prescribed the same black antibiotic, and the doctor said I could stop taking the medication prescribed by Hospital A and just take the one from the clinic.
On March 5, I returned to Hospital A for a follow-up.
The doctor suggested that my symptoms might be due to work-related stress and prescribed some relaxants.
My condition persisted, so I sought treatment from a traditional Chinese medicine practitioner, who believed that my symptoms were due to urinary retention and straining during urination.
However, the herbal treatment was ineffective.
From then until April 29, I continued to experience mild pain during the first morning urination, slight pain when sitting to urinate, and occasional urethral tenderness, but otherwise felt fine.
On April 29, after staying up late, I noticed itching at the tip of my penis on April 30, along with redness and swelling around the urethral opening.
Upon inspection, I saw redness and slight white discharge inside the urethra, and in the morning, I found some clear, dried discharge at the urethral opening.
On May 1, I rushed to the clinic for an examination.
A urine test was conducted again, and I inquired about the meaning of the color changes in the test strips, which indicated: 1.
Nitrite reaction 2.
White blood cells 3.
Urinary protein.
The doctor suspected a bacterial infection and prescribed medication, including antibiotics and anti-inflammatory drugs.
From May 1 to 2, after taking the medication, the redness and swelling at the urethral opening decreased, and my condition improved.
On May 3, I felt pain when touching or pressing the urethral opening, but there was no discharge, and the tip appeared slightly red.
On May 4, the tenderness at the urethral opening was more pronounced than the previous day, and I noticed white discharge again.
I felt occasional feverish sensations, and there was slight redness around the urethral opening.
On May 5, I woke up to find clear discharge from the tip of my penis, which stuck to my underwear, and the area around the urethral opening was redder than the day before.
Although I initially felt some improvement with the antibiotics, my condition worsened with continued use.
The medications included CEFFIXIME, VIBRAMYCIN, PHENAZOPYRIDINE, and ACETAL.
On May 5, I went to the largest hospital in Linkou for a bacterial culture, and I was scheduled to return on May 13.
The doctor was concerned that I might develop chronic urethritis or prostatitis and prescribed a five-day course of CIPROFLOXACIN 250 mg, to be taken twice a day, totaling 20 pills, intended to be taken from May 5 to May 9.

During the period from May 5 to May 7, I mistakenly took only one pill instead of two due to misreading the instructions.
On the night of May 7, I realized I had a lot of medication left.
I took the missed dose, which meant I had taken 250 mg five times and 500 mg once, leaving me with 13 pills of 250 mg.
I could still take the remaining medication according to the prescribed dosage for 6.5 times, with the last dose expected to be taken on the night of May 10 or May 11.
However, I would not return for a follow-up until the morning of May 13, and I was concerned about insufficient treatment duration leading to antibiotic resistance.

I would like to ask the doctor how I should take the remaining medication and whether I should return early for a follow-up or wait for the scheduled appointment.
During the period from May 5 to May 7, while taking the 250 mg medication, the redness, swelling, and tenderness of the urethra continued, but I felt a gradual improvement.
After taking the full 500 mg dose on the night of May 7, on the morning of May 8, I noticed no discharge from the tip of my penis, and upon inspection, there was no white discharge, and I did not experience tenderness.
However, after urination, the tip of my penis still felt slightly moist and shiny, and I continued to feel discomfort deep inside during urination.

Thank you for your assistance, and I appreciate your guidance.

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Roro, 30~39 year old female. Ask Date: 2020/05/08