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Urinary problems and leakage during bowel movements
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Urinary problems and leakage during bowel movements

Hi, I am a 29 year old male and I am struggling with really odd urinary problems.

I have a cluster of symptoms including:

-Occasional slow stream
-false urgency
-feeling of non-emptying of bladder during urination
-Premature ejaculation

For these issues I had a cytoscopy which came back clean, the doctor said the only thing he could suggest is that I drink a few alcoholic beverages and see if that relaxes everything. (this seems crazy to me).

Probably the most frightening symptom is that when I have a bowel movement, white odorless fluid is released from my genitalia, this also sometimes happens just when I bend down to pick something up, or what/have you. From my research I believe that this is most likely prostatic fluid.

My general practicioner indicates that leaking prostatic fluid during bowel movements and when simply bending the torso is normal for someone my age, but that just seems ridiculous to me.

All of my urinary problems seemed to start when I had my gallbladder removed, after I woke up from General they had to cath me because I couldn't urinate, ever since then its been a nightmare.

Like I said i've been to several doctors including two urologists and my general practicioner, nobody seems to know what is going on.

Any advice will be greatly appreciated.

Thanks,
ERL
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I think that you are correct, the fluid that exudes when you increase your abdominal pressure is most likely prostatic in origin. I have heard this symptom  before but I have not seen anything written about it. This is certainly not a common occurrence. It does not lead to any particular problem and I have not found it necessary to try to treat it. I wonder if it is more of a problem after a period of not having an orgasm.  (when you may have a larger amount of prostate fluid).
The sudden onset of your premature ejaculation could well be emotional, but you might benefit You might benefit from Zoloft 25-100 mg. four hours before sexual intercourse. This is an antidepressant medication with a side effect of retarding ejaculation.
The urgency and feeling of incomplete voiding may be a symptom of  prostatitis. I would suggest a 10 day course of Cipro or bactrim after doing a urine culture, but would treat whether or not an infection was discovered.
Good luck on all of this!
S.A.Liroff, M.D.

3 Comments
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I had a similar experience when I had my gall bladder removed.  They placed a catheter in me while I was under the when I woke up it felt like someone had cut the inside o my penis with rusty razor blade.  They told me that I couldn't leave until I urinated and then it felt like I was peeing fire across the razor blade cuts.  I told them about it and they said it's normal and will clear up.  I went home and my wife (nurse) put and indwelling cath in for about a say and when she removed it things felt fine.  I know have the fluid you are talking about every once in a while when I have a bowel movement.  I am 43 years old.  Looking forward to an answer to this question.
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Avatar_n_tn
I am 29 years old, and have had some similar problems. After a bowel movement, I will put my clothes back on, wash my hands, then leave the bathroom. Then I start leaking what I thought to be urine. This happens when i urinate or dont urinate after bowel movement. it continues to leak for about 5 min then stops. I dont smoke, live in oregon where smoking in public places has been banned (recentlly) and only drink (alcohol) on the weekends. I am going to stop drinking alcohol for 30 days to see if it helps. At this point im willing to try anything. I am also 6'0 tall and weigh 193 lbs. I am active and fit, at least in appearance. I wear boxers. I like spicy food ( does this have anything to do with it?).  I eat "healthy."  only occasional fast food (once a month from taco bell). I have tried living cautiously to avoid physical complications, so this whole condition that i have is very worrysome. please help.
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