Urinary Tract Scarring from Infection?

About 15 years ago (I'm now 47), I was infected with what I think was chlamydia. The infection was never truly diagnosed and it took a number of different treatments to finally eradicate. The pain I endured was severe (upon urination) and the infection lingered for a nmumber of weeks in total. Ever since then, I've experienced increased urgency and frequency to urinate. Also, my orgasm has been somewhat subdued... ejaculation is not strong... it seems somewhat blocked and my "semen stream" (as well as my urine stream) is diminished. The total effect has reduced the pleasure of my orgasms. I attribute this to urinary tract scarring and blockage from the original infection years ago. This is my guess.

My question is: what do you think is the cause of the reduced "output" of ejaculate/urine? Does this sound familiar, and is there something that can be done to improve the situation?

[Kevin Pho, MD]

There is certainly a possibility from scarring to the urinary tract from the infection.  

Another possibility would be any inflammation or enlargement of the prostate.  

I would consider a digital rectal exam from a physician to examine the prostate.  Imaging of the prostate can be considered via a transrectal ultrasound.  If normal, I would consider a cystoscopy to evaluate if there are any urethral strictures or any other anatomical abnormality that can cause your symptoms.  

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.