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Urology (Expert Forum)
Way too much non-semenal fluid before, during, and after ejaculation
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.
Way too much non-semenal fluid before, during, and after ejaculation
by midwayer, Feb 28, 2007 12:00AM
As my penis enlarges, I have a terrible need to urinate. Often times, I have to sit down and really struggle to force the bladder and urethra empty. Of course by that time, the penis has shrunk and needs to be worked back up, starting the cycle all over again. Sometimes I have to do this 3 maybe four times. During intercourse or masturbation for that matter, same issue. The urologist says I don't have a prostate problem. Very little semen and way too much urine or prostrate fluid. All too often several ounces. The family physican has got me on Flomax which helps prior to intercourse and during intercourse but look out when I achieve climax and ejaculate. I cannot hold the fluid back. This has been an issue for me for at least 9-10 years. I am 47, relatively healthy, moderate alcohol use and a pack-a-day habit. Am I the only middle-aged man dealing with this? Girlfriend doesn't want to have sex!! Imagine that?
Doctor's Answer
by Kevin Pho, MD, Mar 01, 2007 12:00AM
, Mar 01, 2007 12:00AM
Prostate problems first come to mind, but your urologist discounts that. You can further evaluate with a transrectal ultrasound to be sure.
Infections of the lower urinary tract can also be ruled out - with a urethral culture and analysis of the urine.
Anatomical abnormalities, like a urethral stricture or urethral polyp can uncommonly cause similar symptoms. A cystoscopy can help with the evaluation.
These options can be discussed with your personal physician, or in conjunction with your 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.
kevinmd_
Infections of the lower urinary tract can also be ruled out - with a urethral culture and analysis of the urine.
Anatomical abnormalities, like a urethral stricture or urethral polyp can uncommonly cause similar symptoms. A cystoscopy can help with the evaluation.
These options can be discussed with your personal physician, or in conjunction with your 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.
kevinmd_
