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...
BPH; Benign prostatic hypertrophy (hyperplasia); Prostate - enlarged
The choice of a treatment is based on the severity of your symptoms, the extent to which they affect your daily life, and the presence of any other medical conditions. Treatment options include "watchful waiting," lifestyle changes, medication, or surgery.
If you are over 60, you are more likely to have symptoms. But many men with an enlarged prostate have only minor symptoms. Self-care steps are often enough to make you feel better.
If you have BPH, you should have a yearly exam to monitor the progression of your symptoms and determine if any changes in treatment are necessary.
For mild symptoms:
Urinate when you first get the urge. Also, go to the bathroom when you have the chance, even if you don't feel a need to urinate.
Avoid alcohol and caffeine, especially after dinner.
Don't drink a lot of fluid all at once. Spread out flui...
Risk Factors Age Age is the major risk factor for BPH. Over half of men develop BPH by age 60 and about 85% of men have BPH by age 85. It is uncommon for BPH to cause symptoms before age 40. Family History A family history of BPH appears to increase a man's chance of developing the condition. Heart Disease Risk Factors and BPH Some evidence indicates that the same risk factors associated with heart disease may increase the risk of developing BPH. These risk factors include obesity, high blood pressure, low levels of HDL (good) cholesterol, diabetes, and peripheral artery disease (PAD). Lifestyle factors that are unhealthy for the heart (lack of physical activity, cigarette smoking, poor diet) may also possibly increase BPH risk or worsen its symptoms.
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