Thank you for your question, and I am sorry to hear about your symptoms. In order to provide a diagnosis, I would need more information. I would need to review your entire medical history and perform a thorough physical exam. In addition, I would need to review your prior urine test results. Only after collecting this information would it be possible to provide a diagnosis. Therefore, I strongly encourage you to schedule an appointment with a urologist
When any patient has abnormal genital lesions, it is important to rule out a sexually transmitted disease. Herpes, HIV, and syphilis can all skin lesions on the genitals. Diseases such as chlamydia and gonorrhea can also be passed through sexual contact, although they are less commonly associated with genital lesions. Based on your description, you may be suffering from a local skin infection around the foreskin. Patients with intact foreskin are at higher risk for skin infection in this area. Urinary tract infections in men are uncommon. It is possible your urine sample was contaminated by a skin infection or that bacteria traveled from the skin infection into your urinary tract. Another possibility is an infection in the prostate, which typically requires a longer course of antibiotics. Again, I strongly encourage you discuss these possibilities with a urologist.