A 26 year old unmarried truck driver from North east region of India complains of premature ejaculation and passing? Turbid urine since three months. He says that there is discharge of a few drops of semen before micturition everytime followed by passage of slightly cloudy urine. Has mild and vague pain in the left flank. No h/o fever, no dysuria. He has reportedly lost 3 kgs of weight in a span of 3 months.
Has a single sexual partner, a virgin from college, who is said to be loyal to him. But he had exposure to another lady previously whose credentials are unknown. He has not had coitus since one month. He smokes cigarettes and takes alcohol but not physically or psychologically dependent on them, and no substance abuse. Due to the current problem his sleep and appetite are affected and he is worried. He is not known diabetic or hypertensive and clinical examination is unremarkable.…
