Infection needs to be ruled out. This can be done with a urine test as well as prostatic exam including massage. Any prostatic fluid needs to send for analysis and culture.
I would also consider a transrectal ultrasound to evaluate for any prostatic abscesses.
If infection has been ruled out, you can consider a cystoscopy to rule out anatomic causes, such as a urethral stricture or polyp.
These options can be discussed with your personal 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_