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My Urethra Hates Me
The first incident (3 months ago) coincided with masturbation after a 2 week refrain. I felt an odd sensation about an inch inside my urethra. It gave me the sensation that something was in there and I wanted to get it out. During ejaculation I felt an intense burning sensation along with that feeling of something inside the urethra. 4 hours later I peed blood. Gross hematuria if you will.
The blood cleared after a few evacuations. 4 days later I woke up with an erection and then peed a little bit of blood (much less than the first time). The week following I developed a significant amount of pain. I would say it was a 6 on the pain scale for about a week. I was put on Doxycycline (7 days) and then Bactrim (14 days). I noticed no significant improvements with the antibiotics although the condition did improve a bit. After about a month I peed a little blood again (in clot form) and this was following a violent sneeze (maybe related but who knows these things). My urologist then took a look up there and found nothing more than a little redness, but nothing abnormal. He literally said, "This has us scratching our heads." Since then, no more blood and that was almost 8 weeks ago now. Currently it feels irritated and if I press on the head I feel a slight jolt of pain. Basically, I am seeing my problem coming from a localized spot in my penis.
Do you recommend I get another specialists opinon?
Is it normal for there to be some redness near the tip of the urethra? I've noticed that the bottom half of it is redder and somewhat elevated. The top half looks more normal.
Hello,
I have had a cystoscopy and many blood and urine tests. My urologist is puzzled. The basic things I know are:
1) I felt no symptoms prior to the first incident.
2) The blood was at the beginning of the stream and then cleared up that first time.
3) The other two occasions where there was blood, the amount was significantly less than the first time.
4) When I put pressure on certain areas of my penis I feel either a jolt of pain or irritation. On the bottom of the penis.
5) I have had a kidney ultrasound, a test to make sure my bladder was emptying, a cystoscopy, many blood and urine tests, two (yikes) prostate exams and a course of Doxycycline and Bactrim (7 and then 14 days).
6) The pain was significant the first 2 weeks but has since lessened. Sometimes there is irritation associated with urination, but not always.
7) My trips to the bathroom have basically remained normal. Maybe 3-5 hours between them. On days when my urethra feels more sensitive I go more of course.
So, that is the rundown. I have a followup with the same urologist in April and soon after I go home for summer break (I'm in college). If my symptoms persist do you recommend I continue with my local primary care and attempt to get another opinion from a urologist?
It's a mystery really. I'm not sexually active. No history of urinary things in my family outside of my sister getting a uti now and then. If I hurt myself physically, wouldn't it heal by now?
Anyway, thanks for any input. I have a lot of support and I am thankful for it. I'm new to the whole "we don't know why you feel this way" thing.
Thanks again.
I have had a cystoscopy and many blood and urine tests. My urologist is puzzled. The basic things I know are:
1) I felt no symptoms prior to the first incident.
2) The blood was at the beginning of the stream and then cleared up that first time.
3) The other two occasions where there was blood, the amount was significantly less than the first time.
4) When I put pressure on certain areas of my penis I feel either a jolt of pain or irritation. On the bottom of the penis.
5) I have had a kidney ultrasound, a test to make sure my bladder was emptying, a cystoscopy, many blood and urine tests, two (yikes) prostate exams and a course of Doxycycline and Bactrim (7 and then 14 days).
6) The pain was significant the first 2 weeks but has since lessened. Sometimes there is irritation associated with urination, but not always.
7) My trips to the bathroom have basically remained normal. Maybe 3-5 hours between them. On days when my urethra feels more sensitive I go more of course.
So, that is the rundown. I have a followup with the same urologist in April and soon after I go home for summer break (I'm in college). If my symptoms persist do you recommend I continue with my local primary care and attempt to get another opinion from a urologist?
It's a mystery really. I'm not sexually active. No history of urinary things in my family outside of my sister getting a uti now and then. If I hurt myself physically, wouldn't it heal by now?
Anyway, thanks for any input. I have a lot of support and I am thankful for it. I'm new to the whole "we don't know why you feel this way" thing.
Thanks again.
MEDICAL PROFESSIONAL
I agree with the presumptive treatment for infection, as this should be ruled out as a cause. Obtaining a urethral swab or urine tests to evaluate for gonorrhea and chlamydia should be considered as well.
A cystoscopy can be done to evaluate for any anatomical issues like a urethral stricture or polyp. I would also evaluate the prostate to exclude infection there.
If the symptoms continue, another urology opinion can be sought at a major academic medical center.
These options can be discussed with your personal physician.
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 patients education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
www.kevinmd.com
A cystoscopy can be done to evaluate for any anatomical issues like a urethral stricture or polyp. I would also evaluate the prostate to exclude infection there.
If the symptoms continue, another urology opinion can be sought at a major academic medical center.
These options can be discussed with your personal physician.
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 patients education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
www.kevinmd.com
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