Dear Dr. Motola:
I am 62 years old. In August of 2007 I had PVP surgery after suffering for 9 years with symtoms of an enlarged prostate . The operation was successful. My stream is strong and I get up only once at night to urinate. I got my life back. I don't have "urgency" issues and kayak, travel and basically enjoy life. I experienced many of the common post-op complications, including the need for catheterization several days after surgery, passing blood clots and intense burning while urinating. After 6 months everything was fine, except for one lingering problem. I experienced a burning sensation after ejaculation. I returned to my doctor for some answers and he was baffled. The burning ranges from very intense to very mild. Now, 14 months after the surgery, I still have this lingering problem and no answers. Can anyone help?
Burning on ejaculation may be associated with prostatitis . Cultures of the semen may have some benefit in trying to determine the cau...
Chronic bacterial prostatitis
Symptoms of chronic prostatitis are similar to those of acute prostatitis but are not as severe. They usually begin more gradually. Patients may have no symptoms in between episodes, or they may experience mild symptoms all the time.
Symptoms may include:
Blood in the urine
Decreased urinary stream
Delayed start of urination ( urinary hesitancy )
Pain or burning with urination
Subtle symptoms may include:
Low back pain
Pain in the perineum or pelvic floor
Pain with bowel movement
Pain with ejaculation
Note: There may be no symptoms.
Signs and tests
A physical examination may show:
Discharge from the urethra
Enlarged, mildly tender prostate
Enlarged or tender lymph nodes in the groin area
Swelling and t...
NBP; Prostatodynia; Pelvic pain syndrome; CPPS; Chronic nonbacterial prostatitis; Chronic genitourinary pain
Treatment for nonbacterial prostatitis is difficult. The goal is to control symptoms, because a cure is difficult to achieve.
Many patients are treated with long-term antibiotics to make sure that bacteria are not causing their prostatitis. However, patients who have had symptoms for a long period of time and do not seem to benefit from antibiotics should stop taking them.
See: Chronic bacterial prostatitis
Medications called alpha-adrenergic blockers help relax the muscles of the prostate gland. They include:
It usually takes about 6 weeks before these medicines start working.
Aspirin, ibuprofen, and other nonsteroidal anti-inflammatory drugs (NSAIDs) may relieve symptoms in some patients.
Some people have had limited suc...
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