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Urology (Expert Forum)
jppz
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.
jppz
by curious290, Feb 04, 2008 12:59PM
I'm an older man I've had continued burning for about 2 yrs 5 mos in urethra after ejaculating. lasts usually about 10 to 20 seconds. primarily between the rectum & testicles sometimes it seems to be further up the urethra. I notice it much slighter after urinating. sitting for a longer periods I can feel an uncomf. warmnees around rectum & testicles. Sometimes after bowel movement I get uncomfortable slight burning around or in rectum it seems in the urethra to.I had affair back 2-3 yrs ago & was also having lots of sex with my wife @ the time,that's about time it started. There were two episodes of unprotected sex during my affair which was with a nurse and old HS friend.Swears she's never had any std. I had tests for I think all stds twice and for chlam/gonn. three times. All negative. However this burning after ejaculating continues. I had posit reading for oral herpes. I understand is very common. I went to PCP and a urologist. My PCP told me back it could be oral herpes in the urethra? My urologist diag.me having chronic prostatitis. I took quite a few antibio. then an extended period of trimethaprim.It still never went away. Times it seems somewhat less discomforting.It seems less if I ejaculate more frequently. Is it possible for me to have urethral herpes, I've never had any lesions nor has my wife. If a urethral herpes could it last all that time without symptoms going away @ least for a while? Doesn't herpes run in cycles? Could I have it in urethra without lesions? Wife has had pap tests always normal. She doesn't complain of any problems but she had a total hyst.yrs ago. I'm under periods of high stress regularly & back during my affair stress was exponentionally more.I did drink lots of coffe, quite a bit of wine & beer. I had periods of quite intense manip.of my penis from wife, wondered if I could have injury and if so could that cause the burning? I do obsess a lot.I hope you can give me some advice or your thoughts on this matter.
Thank you
Thank you
Oral herpes (HSV1) is possible, and very common. You didn't mention testing for HSV2 (genital herpes) which is also possible.
If after prolonged antibiotics, no improvement, it's less likely a chronic infection such as prostatitis since 3 weeks of antibiotics is often long enough to get rid of that, but sometimes takes a longer course.
Just the act of ejaculation can cause urethral burning, especially the first time you urinate after you ejaculate, which is very normal.
Wife's pap smear has nothing to do with any of this, only to her exposure to HPV.
Strees, caffiene, alcohol can increase urination and make it more uncomfortable.
Intense manipulation from wife is not likely to injure but in rare cases it can.
Ask a urologist for help if this is persistent