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Urology  (Expert Forum)
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233190?1193370436
Pain after urination
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Pain after urination

by the wizzard, Dec 15, 2003 12:00AM
Two days ago I urinated and it was very painful with a feeling of the pain moving up my urethra from the end of my penis.

Ever since then I have had a dull pain after urinating in my lower front abdomen. I also have a feeling as if my testicles are being squeezed and so giving me slight pain. What is wrong with me and what should I do?

by Kevin Pho, MD, Dec 17, 2003 12:00AM
Infection would be the most common reason why there would be pain after urination.  



I would test the urine for infection as well as obtain urethral swabs for gonrrhea and chlamydia.



Prostatitis can also cause pain after urination.  A digital rectal exam to evaluate the prostate and any prostatic secretions should be tested for.  If negative, a transrectal ultrasound can be considered to evaluate for abscesses.



Non-infectious causes can include urethral strictures or polyps.  They are evaluated via a cystoscopy that is arranged through your urologist.



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Thanks,

Kevin, M.D.

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