<s>[INST] My urine microscopy result are, Epithelial ++, presence of pus cells, and the doctor spotted bacteria others: nil. culture yielded no growth after 48hrs of incubation at 37 degrees. The doctor went a head and tested syphilis and the results was negative. My penile itch and scrotum . Could this be UTI or Chlamydia? I don t discharge anything in my penile. Please explain this result to me [/INST] HelloThanks for your query, based on the facts that you have posted it appears that you have UTI due to Ecol infection. Please take broad spectrum antibiotics like Čeferin along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria. As itching of the penis is presenting symptom in Diabetes get your blood sugar levels on fasting stomach and 2 hours after lunch done to rule out the same, </s>