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Urology (Expert Forum)
Intense Discomfort During and after Ejaculation
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.
Intense Discomfort During and after Ejaculation
by primenumbers, Apr 01, 2007 12:00AM
I started having very intense feeling that I need to urinate at the moment of ejaculating and for about 30 mins after. During arousal I get a similar feeling that I need to urinate that goes away until the moment of ejaculation and for a while after.
The pain is felt in my lower abdomen down through the shaft. Exactly the same as if I had to really really urinate. The odd part is this only happens when I masturbate and not during actual intercourse.
I have also noticed a discharge after having a bowel movement. After looking on the internet I figure this is prostate "Fluid". I also note this only happens when straining and not during a "Normal" movement.
These 2 issues sound like prostatitis but I do not have any other symptom. No frequent or painful urination or feeling like I have not emptied my bladder. No fever with chills. No getting up at night to urinate (No more than usual) no weak stream or inability to start a stream. No blood either. AND as I said this only takes place during masturbation and not during sex. I would also like to point out there is not discomfort in the perniuem or whatever it is called between the teties and rectum. It is on the abdomen and shaft.
These symptoms have been appearing for 2 weeks. I have had sex twice and masturbated 3 times. No issues during sex and the issues happened 2 out of the 3 times during masturbation. STD's are not a concern as I have been with the same woman for 3 years.
Any help or information would be great. I have looked for a week and nothing seems to fit. I found 1 thing that had something to do with bladder spasm or something like that but the symptoms was not the exact same but similar.
The pain is felt in my lower abdomen down through the shaft. Exactly the same as if I had to really really urinate. The odd part is this only happens when I masturbate and not during actual intercourse.
I have also noticed a discharge after having a bowel movement. After looking on the internet I figure this is prostate "Fluid". I also note this only happens when straining and not during a "Normal" movement.
These 2 issues sound like prostatitis but I do not have any other symptom. No frequent or painful urination or feeling like I have not emptied my bladder. No fever with chills. No getting up at night to urinate (No more than usual) no weak stream or inability to start a stream. No blood either. AND as I said this only takes place during masturbation and not during sex. I would also like to point out there is not discomfort in the perniuem or whatever it is called between the teties and rectum. It is on the abdomen and shaft.
These symptoms have been appearing for 2 weeks. I have had sex twice and masturbated 3 times. No issues during sex and the issues happened 2 out of the 3 times during masturbation. STD's are not a concern as I have been with the same woman for 3 years.
Any help or information would be great. I have looked for a week and nothing seems to fit. I found 1 thing that had something to do with bladder spasm or something like that but the symptoms was not the exact same but similar.
Doctor's Answer
by Kevin Pho, MD, Apr 02, 2007 12:00AM
, Apr 02, 2007 12:00AM
Infection should be ruled out despite the risk. Urine tests and a urethral swab would be the standard approach.
I agree with the possibility of prostatitis. A prostatic massage with subsequent analysis of the prostatic fluid can be considered. If negative, a transrectal ultrasound can image the prostate for any abscesses.
If infection has been ruled out, you can consider a cystoscopy to evaluate for anatomical causes like a urethral polyp or stricture.
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 patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
I agree with the possibility of prostatitis. A prostatic massage with subsequent analysis of the prostatic fluid can be considered. If negative, a transrectal ultrasound can image the prostate for any abscesses.
If infection has been ruled out, you can consider a cystoscopy to evaluate for anatomical causes like a urethral polyp or stricture.
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 patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Member Comments (1)
by primenumbers, Apr 02, 2007 12:00AM
To: Urology - General
0
