Since the mild pain in your right testicle has come back after finishing your antibiotics and Alfoo (alfuzosin), it is very important to contact your prescribing doctor or a urologist for a follow-up. Sometimes, infections require a slightly longer course of medication, or we may need to investigate other common, non-serious causes for the lingering pain. In the meantime, wearing supportive underwear, getting plenty of rest, and taking warm baths can help soothe the area. Please be reassured that this is a very manageable situation, and your doctor will help you find lasting relief.

Alfoo (alfuzosin) does not cause permanent infertility. It can sometimes cause a temporary, harmless side effect where semen flows back into the bladder during ejaculation, but this reverses completely once you stop the medication. Regarding your pain starting after masturbating, Alfoo is safe to use. It works by relaxing the muscles in your prostate and bladder, which can actually help relieve this type of spasm-related discomfort. However, because the pain started after ejaculation, it is best to consult your doctor to rule out any mild infection or pelvic muscle strain.

Since your symptoms returned after stopping Alfoo (alfuzosin) and prior bladder tests were normal, this strongly suggests pelvic floor muscle dysfunction or spasm. The muscles supporting your bladder and bowel are closely linked to your lower back and buttocks. I highly recommend asking your doctor for a referral to a pelvic floor physical therapist, which can provide lasting relief by retraining these tight muscles. Additionally, a pelvic MRI or a specialized prostate/pelvic exam can help rule out nerve irritation. Please be reassured that this is a very treatable condition, and you can get through this.

Alfoo (alfuzosin) is generally safe and well-tolerated for long-term use under medical supervision. Some common side effects include mild dizziness, headaches, or tiredness. Regarding a permanent solution, a minor, minimally invasive procedure called a transurethral incision of the bladder neck can effectively widen the opening and relieve the blockage permanently. I gently encourage you to discuss these surgical and medical options with a urologist to find the safest, most comfortable long-term plan for your health and peace of mind.

Since your infections were treated with antibiotics and alfuzosin (Alfoo), this ongoing discomfort?especially when holding urine?might be due to residual inflammation in the prostate or spasms in your pelvic floor muscles, a condition often called chronic pelvic pain syndrome. Even after the bacteria are gone, tissues can remain sensitive and irritated. Please try to avoid holding your urine and stay well-hydrated. I highly recommend following up with your urologist to confirm the infection is fully cleared and to discuss gentle pelvic floor therapies or anti-inflammatory options to help soothe this area.

Alfoo (alfuzosin) relaxes the muscles in your bladder neck, which commonly causes temporary changes like thin semen. Once you stop taking this medication, it leaves your body within a few days, and your semen should return to normal. The burning sensation you feel after masturbating should also resolve as your bladder muscles recover. Since you are 26, your body typically recovers quickly. However, if the burning persists for more than a few days, please consult your doctor to rule out a mild urinary infection.