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Urology (Expert Forum)
Pain on ejacualation
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.
Pain on ejacualation
by orve, Nov 05, 2003 12:00AM
For the first time I have experienced a pain/stinging sensation when ejaculating. What could be the cause? I do have periods when I urinate 3 times during the night and frequently during the day but this seems to come and go. I had a PSA test a year ago and it was low. After digit testing I was told last year that I have a slightly enlarged prostate gland which is normal in men my age (64). I have arraged for another PSA test. Is there something I should do about this new symptom?
Doctor's Answer
by Kevin Pho, MD, Nov 06, 2003 12:00AM
, Nov 06, 2003 12:00AM
There would be several possibilities. The first would be any type of genitourinary infection. I would suggest a urinalysis and culture as a first step. Tests for STDs such as gonorrhea and chlamydia should also be done.
If negative, then tests for the prostate should be considered. A digital rectal exam to examine for possible infection can be considered. A scrotal ultrasound to evaluate for epididymitis can also be done.
If infection is not revealed, then anatomical abnormalities can cause pain. A cystoscopy to evaluate any urethral strictures or polyps can be considered.
In any case, I would suggest a urology referral for further evaluation.
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.
If negative, then tests for the prostate should be considered. A digital rectal exam to examine for possible infection can be considered. A scrotal ultrasound to evaluate for epididymitis can also be done.
If infection is not revealed, then anatomical abnormalities can cause pain. A cystoscopy to evaluate any urethral strictures or polyps can be considered.
In any case, I would suggest a urology referral for further evaluation.
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.
