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Urology (Expert Forum)
Please Help!!
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.
Please Help!!
by needtoknow2121, Nov 07, 2006 12:00AM
I am inquiring about my boyfriend, we have been together for 2 years now and 4 months ago he got into an accident, there was a catheter in place for 3 or 4 days, however the injuries and surgery he went through had nothing to do with his penis. For the first week after removing the catheter he said it hurt to urinate. About a month after his accident I got him to orgasm and he said it hurt when he ejaculated and said his penis was still sore the next day. It has now been 4 months and I have gotten him to orgasm (which he still claims painful through the next day) but he doesn't want to have sex because he claims it to be painful. He is no longer on antibiotics to my knowledge, but he is still taking pain medication. So my question is that can this happen and what causes it? He doesn't have a very clean track record with being honest to me, so as much as I hate to ask, could he be making this up?
Doctor's Answer
by Kevin Pho, MD, Nov 07, 2006 12:00AM
, Nov 07, 2006 12:00AM
Several possibilities can lead to this. This can include infection, scarring, or anatomical abnormalities.
Infection can be evaluated with appropriate urine tests and a prostate evaluation. Any prostatic fluid can be sent for culture and analysis. A transrectal ultrasound can be done to evaluate for abscess or prostate abnormalities.
If infection has been ruled out, a cystoscopy can be done to evaluate for urethral strictures or scarring.
These options can be discussed with a 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_
Infection can be evaluated with appropriate urine tests and a prostate evaluation. Any prostatic fluid can be sent for culture and analysis. A transrectal ultrasound can be done to evaluate for abscess or prostate abnormalities.
If infection has been ruled out, a cystoscopy can be done to evaluate for urethral strictures or scarring.
These options can be discussed with a 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_
