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...
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...
Symptoms Prostatitis may occur with an infection in or around the testicles (epididymitis or orchitis ), especially if it was caused by an STD. In this case, there will also be symptoms of the other condition. Symptoms of acute prostatitis are more likely to start quickly and cause greater discomfort. They may include the following: Abdominal pain (usually right above the pubic bone) Burning with urination (dysuria) Fever, chills, flush Inability to completely empty the bladder (urinary retention) Low back pain Pain with urination (dysuria) Pain with bowel movement Pain with ejaculation Pain in the area between the genitals and anus (perineal pain) Other symptoms that may occur with this condition: Blood in the semen Blood in the urine Decreased force of urinary stream Difficulty urinating Foul-smelling urine Increased urinary frequency or urgency Testicle pain Signs and tests During a physical examination, your health care provider may find the following signs: Discharge from your urethra Enlarged or tender...
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