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Urology  (Expert Forum)
 | 
TRP
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.

TRP

by roders, Jul 13, 2004 12:00AM
I had a TRP 5 years ago,and have a dry painful ejacultion,
the pain is intermittent,please advise.

by Kevin Pho, MD, Jul 14, 2004 12:00AM
There can be several causes.  The first would be infection.  Either urethritis or prostatitis can cause the symptoms.  A urinalysis as well as tests for STDs should be considered.  Prostatitis can be evaluated via a digital rectal exam as well as sending off the prostatitic fluid for analysis and culture.  You can also consider a transrectal ultrasound to evaluate the structure of the prostate as well as infection.

Another cause would be anatomical abnormalities - such as a urethral stricture or polyp.  You can consider a cystoscopy to evaluate the anatomy.

You may want to discuss these options 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.
Medical Weblog:
kevinmd_b
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