well...for anyone following this, I am happy to report that my symptoms have resolved almost completely. All in all it took about a month.
It seems my urologists are booking out several weeks. In the meantime, my urine flow has returned to normal, with no more splitting. The pain remains. It is not acute, but more of a persistent and recurrent burning, stinging. There seems to be periods where the pain is almost non existent only to resurface after a urination. I
I am quite apprehensive to have the cystoscopy, and will avoid this in the short term for fear of aggravation and complications. I am open to other tests, but am quite interested to see what else might be in my differential diagnosis for painful post trauma urination. Again, I have no blood, and a fairly normal urine stream.
I am also hoping you will expand on the notion of a nerve compression.
Appreciated,
JJ
Hello,
If the urine is splitting in two streams, it can be due to congenital defects, scarring of the urethra due to STDs or other trauma, Obstruction, structural changes in lower urinary tract and prostatis. Passing of recurrent kidney stones can also cause scarring of the urethra and hence two streams of urine.
For evaluation of the same, I would suggest you to get it examined from a urologist and get an ultrasound and cystic urethrogram done to confirm the diagnosis. Even cystoscopy can be done which is one of the best tests.
I hope it helps. Take care and regards.
Dr. Singh: I just read your reply and will take your advice. My urine results did come back as negative for WBC and Bacteria. I would like to add a little more information and ask a couple of follow up questions. I noticed today that twice my urine started in a split stream, resolved almost immediately and during midstream, but then ended with a spray and a dribble. The burning and pain continue but much less severe and more intermittent. My most recent trip to urinate was more normal. Any further thoughts on this? Is stricture a possibility, even with episodes of normal urine stream? How does one treat a potential nerve compression? How can I get my Dr. to order an ultrasound as he is only offering cystoscopy?
many thanks for your anticipated reply,
JJ
Hello,
It looks like trauma to the penis causing a nerve compression and hence such symptoms. Application of mild corticosteroid cream and oral antiinflammatories like ibuprofen/acetaminophen are also helpful.If the symptoms are severe then it will be best to consult a urologist as you may need ultrasound uterus to confirm the diagnosis.
Hope it helps. Take care and please do keep me posted on how you are doing. Kind regards.