Problems urinating after ejaculation

After I ejaculate, I generally can't urinate immediately afterward.  This normally isn't a huge problem, but sometimes my bladder goes crazy and I have to pee a lot.  A few times, I have had to pee really bad shortly after ejaculating.  In these cases, I waited a while, but I still couldn't pee at all; after suffering for quite a long time (around 30 min.-1hour), I was finally able to expel urine.  It seems the worse I have to pee, the longer I have to wait before I finally can.  

I have carried this fear around for a while of not being able to pee after ejaculation, and I fear it might interfere with my future sexual activities.  This fear is in part exacerbated by having a slight case of "shy bladder syndrome," and in part by having to urinate a lot more frequently now (I plan on seeing a doctor soon to see if I have a urinary tract infection or some other thing making me feel the urge to urinate so much... I wake up at least once a night, usually more, to pee.  I don't tend to expell that much urine either.)  

Thank you for any advice you can offer.

[Kevin Pho, MD]

Tough to say without examination.

One consideration would be evaluation of the prostate.  Any enlargement - whether by infection or benign hypertrophy - can lead to a change in urinary function.

I would consider a physician evaluation starting with a urinalysis and digital rectal exam.  This would be a reasonable starting point looking for infection as well as an enlarged prostate.

If negative, you can consider a cystoscopy to evaluate any anatomical abnormalities that can affect urinary flow.

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.
Medical Weblog:
kevinmd_b

[DPL]

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[Hugh Jr]

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