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Stinging pain inside ureathra off and on for over a year
41 year old male. I have stinging type pain inside ureathra off and on for over a year (can move around). I have no issues urinating. The urologist I saw did a renal/prostate ultra sound to check before and after bladder retention. All was fine. My extensive blood work (including urine) came back perfect. No infections. Have had this issue off an on for a year. It waxes and wanes (can be gone for a month and then come back). Been with same woman for 20 years.
Triggers "seem" to include masterbation/sex (but only sometimes). There is sometimes pain right at ejaculation (upper end of penile shaft). Could be me but seems worse when I am sitting. Sometimes, when I get up from a seated position, I can feel a pulling sensation near the penis. I am wondering if I have a pinched nerve issue as when this "flares" up I sometimes get sciatica that shoots down my leg into my foot. Been seeing a neuro for back/hip issues and 8 week PT that didn't do much.
I know it's not killing me but it is depressing and annoying. Is an MRI of the back/pelvic warranted here?
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