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Prostate Cancer  (Expert Forum)
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Discomfort after urination. Urethritis?
Answered by
Ash Tewari, MD, M.Ch. - Prostate Cancer, Robotic Prostatectomy, Urology, Oncology, Surgery
Weill Medical College of Cornell University New York - NY
This forum is for questions about: Advanced or Metastatic Prostate Cancer, Biopsy, Bone Scan, Blood in Urine or Semen, Benign Prostatic Hyperplasia (BPH), CT Scan, Cystoscopy, Erectile Dysfunction, Hormone Therapy, Incontinence, Pain (abdomen, low back or hip), PSA Test, Prostatitis, Radiation Therapy, Rectal Exam, Recurrent Cancer, Risk Factors, Screening, Staging (Tumor size; Metastasis), Surgery, Transrectal Ultrasound, Urinary Difficulty or Burning, Urinary Urgency (Leaking), Watchful Waiting.

Discomfort after urination. Urethritis?

by rainsong, Jul 07, 2007 12:00AM
im a 20 yr. old male and i think i could have urethritis. up until recently, ive never had any problems urinating. but lately im experiencing frequent urination and discomfort after i void. the discomfort consists of the shaft and opening of my urethra. could this be urethritis? or possibly epididymitis or trichonomis? i've recently had my prostate examined and urine tests have shown no bacteria. My main concern is that this sensation isnt going away. I stopped drinking soda, and thats helped some.

by Ash Tewari, MD, M.Ch., Jul 07, 2007 12:00AM
Urethritis is often associated with Urethral discharge- this is usually seen as a watery or pus like secretion which flows out of the urethra and can stain underwear.

Other possibilities include chronic prostatitis and prostatodynia. Prostatitis is a bacterial or non-bacterial inflammation of theprostate and can be associated with various degrees of Lower Urinary tract symptoms (LUTS). We have discussed this form of disease in some of the previous posts and you could refer to the posts on this forum.

Prostatic massage and culture of the expressed secretions and voided sample of urine (called vb3 by urologists) can help in identifying bacterial causes. Non bacterial prostatitis is often diagnosed by exclusion of other causes of LUTS. Treatment is symptomatic +/- antibiotics.
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