Could this be prostatitus?

[DELLMAN]

I am a fifty nine year old male,in excellent health and run in excess of 15 miles/week.Approximately six months ago I noticed a very slight discomfort when I ejaculate...not pain  but a slight burning sensation. Also, the amount of ejaculate seems to be reduced,although this could be just my imagination. I also had a vesectomy (vasectomy)(spelling)thirty years ago. My PSA is 1.2 up slightly from 0.9 a year ago and my digital exam was normal. There is no possibility of any std at play here as I am married and manogomous.
The sensation seems to be localized near the tip of the penis.
I have heard that prostatitus can sometimes manifest as penile pain or discomfort. I have no other symptoms such as low grade fever etc.
In your oppinion, does this warrent a visit to a urologist?
Should I also be concerned about the slight rise in my psa and should I get it checked more frequently?
Your thoughts would be most appreciated.
Thank You

[Kevin Pho, MD]

Pain when ejaculating can be any number of things, including prostatitis.  Other possibilities would be any number of infections, including STDs, urinary tract infection or anatomical abnormalities including strictures or urethral polyps.  The PSA is still relatively low - which would make prostatitis less likely.  I would continue to check this value annually.  

I would be evaluated first by your primary care physician - a basic urinalysis and tests for STDs should be done at minimum.  If not revealing, a referral to a urologist can then be considered.

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.

[malchow]

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