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...
Dear Dr. Motola:
After having very successful Green Light PVP surgery, I do not ejaculate. I was told that about 33% of men can still ejaculate normally after this procedure. Why can 33% still ejaculate and the rest not? (I know that the semen goes backwards in cases like mine).
Approximately 1/3 of patients are able to ejaculate after a Green Light PVP , with the remaining patients demonstrating either retrograde or no ejaculation. The most widely held understanding of this is that the preservation of some of the bladder neck (opening of the bladder between the prostate and the bladder) is preserved during the procedure. During ejaculation the bladder neck is supposed to close down, forcing the ejaculate forward through the penis. If the bladder neck remains open during ejaculation, then the semen will flow "retrograde"" or backwards into the bladder. If the verumontanum (the opening of the ejaculatory duct at the level of the prostate) were lasered, obstruction ...
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...
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