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Urology (Expert Forum)
Discomfort during Ejaculatiom
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.
Discomfort during Ejaculatiom
by kamedos, Mar 26, 2007 12:00AM
HI
For the last couple of years I have had a slight pain or discomfort in my urethra while ejaculating. This happens occasionaly and at times, my semen is a bit clumpy. I am 38 years old, I have had Chlamydia tests done and they are always negative. I have also done urine analysis and the results are normal as well. I masturbate usually everyday. I am worried that it could be something serious!?
For the last couple of years I have had a slight pain or discomfort in my urethra while ejaculating. This happens occasionaly and at times, my semen is a bit clumpy. I am 38 years old, I have had Chlamydia tests done and they are always negative. I have also done urine analysis and the results are normal as well. I masturbate usually everyday. I am worried that it could be something serious!?
Doctor's Answer
by Kevin Pho, MD, Mar 26, 2007 12:00AM
, Mar 26, 2007 12:00AM
Infection needs to be ruled out - I agree with the Chlamydia tests. Urethral swabs and urine tests can be done as an initial test.
The prostate should also be evaluated. A digital rectal exam and prostatic massage can also be done, with any prostatic fluid being sent for culture and analysis. A transrectal ultrasound can also be done to rule out an abscess.
If infection has been ruled out, a cystoscopy can be done to rule out anatomical causes - like a urethral stricture or polyp.
These options can be discussed with your personal physician or 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.
Kevin, M.D.
kevinmd_
The prostate should also be evaluated. A digital rectal exam and prostatic massage can also be done, with any prostatic fluid being sent for culture and analysis. A transrectal ultrasound can also be done to rule out an abscess.
If infection has been ruled out, a cystoscopy can be done to rule out anatomical causes - like a urethral stricture or polyp.
These options can be discussed with your personal physician or 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.
Kevin, M.D.
kevinmd_
Member Comments
by Mandy_H, Apr 29, 2007 12:00AM
To: Urology - General
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