I get a very severe burning pain thru my penis and back to my bladder BUT ONLY when I urinate after ejaculation. Not immmediately after - abdout 30 mins later - and I dont need to urinate whenever I ejaculate - but the times I do the pain is very bad. I have had this for about 5-6 years - All the other times I urinate there is no pain at all, no burning, no stop start, nothing.
Infection should be ruled out. This can be done via a blood test, looking for STDs and urethritis.
If negative, a digital exam can be considered to look for prostatic enlargement or inflammation. The prostate can be further evaluated with a transrectal ultrasound.
Finally, if infection has been ruled out, a cystoscopy can be considered to look for anatomical causes of the discomfort - such as a urethral stricture or polyp.
These options can be discussed with your personal physician or 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.
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