Occassional Discharge during/after defications

[ArnoldPorter]

I'm a thirty-six year old male.  I've noticed that sometimes, when I deficate (particularly if it's a voluminous bm), I get a viscous, sticky discharge from my penis.  I feel no pain in my penis, either when this happens or otherwise, and I do not have a discharge at other times.  I have genital herpes, but the two issues seem completely unrelated.  I've noticed it occassionally, off and on, for several years, but never asked about it.

Any idea what might be causing this?

[Kevin Pho, MD]

Any penile discharge is most commonly seen in cases of infection.  

I would test thoroughly for infection, including a urine test or urethral swab for gonorrhea and chlamydia.  The prostate should also be evaluated with a rectal exam.  Prostatic massage can be considered and any fluid expressed should be sent for analysis and culture.

I would also consider blood tests for HIV and syphillis as well.

If infection has been ruled out, a cystoscopy can be considered to comprehensively evaluate the lower GU tract.

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.
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