Based on the reports you shared:
• Urine culture: No bacterial growth after 48 hours → this means there is no active urinary infection currently.
• Urine routine: Only 3–4 pus cells/hpf and trace
albumin, which can happen after recent catheterization irritation and is not strongly suggestive of infection.
• USG abdomen findings:
• Fatty
Liver (Grade I) – mild and common at this age.
• Bilateral simple renal cortical cysts – usually benign age-related findings.
• Benign Prostatic Hyperplasia (moderate prostate enlargement) – common in elderly men and can cause urinary symptoms.
• **Pleural Effusion with possible Congestive Heart Failure suggestion – this is the most important finding and needs follow-up with his physician.
The burning at the tip of the penis is most likely due to urethral irritation or minor trauma caused by the catheter removal, which can take several days to settle, even when infection is not present.
Next Steps
• Continue the prescribed antibiotic Ciprofloxacin (Ciplox) only if it was specifically advised by the treating doctor, although culture currently shows no infection.
• Apply Nadifloxacin cream externally as advised to reduce local irritation.
• Encourage adequate hydration (2–2.5 liters/day if not restricted) to dilute urine and reduce burning.
• If burning persists beyond 5–7 days, a doctor may consider:
• Urinary alkalizer (e.g., Potassium Citrate syrup)
• Mild anti-inflammatory medication
• Urology review to check for urethral irritation or micro-abrasion.
• Because the ultrasound suggests possible cardiac congestion, it would be advisable to discuss with his physician about cardiac evaluation (ECG / Echo).
Health Tips
• Burning after catheter removal is fairly common in elderly patients and usually improves within a few days to one week.
• Avoid soaps or antiseptics directly on the urethral opening; wash only with plain lukewarm water.
• Encourage him to urinate regularly and not hold urine.
• Seek urgent care if he develops fever, severe pain, blood in urine, or difficulty passing urine.
If you want, you can book an online consultation and share his full discharge summary and medications, and I can help review whether his treatment plan is appropriate and guide you on the next steps for his recovery.