Aa
painful urination/ejaculation PLEASE HELP!
hi, im 20yrs old and i have had this problem since i have been about 18... ive been to 3 different doctors and have been on numerous medications... nothing has helped so far...
my symptoms:
painful urination and ejaculation,
burning feeling at tip of penis...
everytime i have to pee it hurts and almost everytime i ejaculate it also hurts at the tip of my penis... it feels like something is blocking my pee or semen from coming through, and when it does pass through im in severe pain... ive been treated for bacterial prostatitis which hasnt cured my symptoms... i have also changed my diet eliminating spicy foods, alcohol, and soda... still no change....i do not have any discharge when i pee... i also dont have any urgency to pee, both common in prostatitis... can someone please help me i dont know what to do and i cant stand the pain much longer...
my symptoms:
painful urination and ejaculation,
burning feeling at tip of penis...
everytime i have to pee it hurts and almost everytime i ejaculate it also hurts at the tip of my penis... it feels like something is blocking my pee or semen from coming through, and when it does pass through im in severe pain... ive been treated for bacterial prostatitis which hasnt cured my symptoms... i have also changed my diet eliminating spicy foods, alcohol, and soda... still no change....i do not have any discharge when i pee... i also dont have any urgency to pee, both common in prostatitis... can someone please help me i dont know what to do and i cant stand the pain much longer...
Do no let the age factor get in the way. Trust me I have been down this road. I am 38 years old and have had prostate issues since I was 17 but went undiagnosed because they assumed since I was 17 my symptoms was from unprotected sex. I was not sexual active when I started with my symptoms. Come to find out I had some strange growth in my urethra and have had prostate infections all my life. It can cause more issues if not diagnosed properly. Do not allow your doctor or urologist to tell you it is impossible for you to have these issues. I had a young urologist get smart with me once, really rude and very unprofessional because I questioned his diagnosis and even patronized me by saying he would stick a catheter in me if it would make me happy. Point is too find a doctor that actually cares and wants to fix the issue not someone that is just paying off their college loans by trying to get in as many patients and showing the world what they learned and its impossible for them to be wrong type of doctor. I say this to you so you do not deal with these issues for over 15 years before they actually help you.
Very cool. I knew you would be able to explain all this in a way i could understand it. Much better than trying to wade through some medical notes from a "paper." Thanks again. I have said it before, but it bears repeating--I appreciate your thoughtful answers to our questions. Take care.
Hi,
I did consider the pudendal nerve (if this was injured, the problem really is with erection), however, the sacrum doesn't really commonly get injuries unlike the higher lumbar vertebra. The lumbar vertebra if injured, may give problems like trouble with ejaculation.
As the penis is extensively supplied with nerve endings - injuries local to the area may give a more isolated - pain only symptom.
I think we'll need to find a temporal relationship between his physical activities and the pain in order to identify if it may be related with a particular sport.
It is also possible that there is no problem at all with the penis, but there is a problem with a nerve at the back - and the symptom is "referred" to the penis similar to the pain amputees occasionally experience, a phantom limb pain. With this possibility in mind, an evaluation of the back, including movements of the legs should be done to elicit if the pain actually originates there.
I did consider the pudendal nerve (if this was injured, the problem really is with erection), however, the sacrum doesn't really commonly get injuries unlike the higher lumbar vertebra. The lumbar vertebra if injured, may give problems like trouble with ejaculation.
As the penis is extensively supplied with nerve endings - injuries local to the area may give a more isolated - pain only symptom.
I think we'll need to find a temporal relationship between his physical activities and the pain in order to identify if it may be related with a particular sport.
It is also possible that there is no problem at all with the penis, but there is a problem with a nerve at the back - and the symptom is "referred" to the penis similar to the pain amputees occasionally experience, a phantom limb pain. With this possibility in mind, an evaluation of the back, including movements of the legs should be done to elicit if the pain actually originates there.
Is it possible that there is a problem with the pudental nerve? I just read about another member having a problem with that and did some quick research on it. From someone who is as active as evo, could this be a possiblity? or at least a contributing factor to some of his pain?
i forgot to mention that the pain i have is located on the under portion of the tip of my penis, pretty much where the head and the shaft meet... not sure if that helps but thought i should mention that lol
i do have lower back pain which i didnt mention mostly my lower left side...i thought the pain was a factor to believe i had prostatitis, since lower back pain is a symptom of that...on a daily basis i do take dietary supplements such as protein, creatine, gludamine, etc... i work out at least 3 times a week and wouldnt expect these supplements to be causing the pain...the only other possibility that i could think of would be kidney stones...
when i had a MRI/CAT Scan/ whatever else they did as far as tests, one report of calcium phosphate / calcium oxalate stones were found... this makes me believe that my problem is stones giving me the back problems and the painful urination/ejaculation... the pain i have is persistant, it is pretty much everyday... one day i might get lucky and out of the 3 or 4 times i urinate, one might have no pain at all...
I know that calcium stones are formed from high intakes of salt and protein... although im not a doctor lol, i still feel that i have stones over prostatitis... my doctors feel i have a UTI or bacterial infection... i did explain this to them... one doctor felt that i damaged my urethra possibly from too much use... im not sure...
I do have a question though... if the cause is kidney stones, how come in almost 2 yrs of this pain and agony, i havent passed them yet? what can i do as far as diet? do i just drink more water and eliminate soda, alcohol, spicy food, etc ? everything i drink or eat is high in protein, such as chicken and steak, or calcium, including vitamins c and b6...
i do not take any other medications, i take advil once a day for my lower back pain which seems to give me temporary relief when i go to the gym... it seems like theres so many possibilites for my pain but no method seems to be effective =(
when i had a MRI/CAT Scan/ whatever else they did as far as tests, one report of calcium phosphate / calcium oxalate stones were found... this makes me believe that my problem is stones giving me the back problems and the painful urination/ejaculation... the pain i have is persistant, it is pretty much everyday... one day i might get lucky and out of the 3 or 4 times i urinate, one might have no pain at all...
I know that calcium stones are formed from high intakes of salt and protein... although im not a doctor lol, i still feel that i have stones over prostatitis... my doctors feel i have a UTI or bacterial infection... i did explain this to them... one doctor felt that i damaged my urethra possibly from too much use... im not sure...
I do have a question though... if the cause is kidney stones, how come in almost 2 yrs of this pain and agony, i havent passed them yet? what can i do as far as diet? do i just drink more water and eliminate soda, alcohol, spicy food, etc ? everything i drink or eat is high in protein, such as chicken and steak, or calcium, including vitamins c and b6...
i do not take any other medications, i take advil once a day for my lower back pain which seems to give me temporary relief when i go to the gym... it seems like theres so many possibilites for my pain but no method seems to be effective =(
Hi,
If the problem is not consistent, appearing once after a few months, then the most important information may be the immediate events prior to the episode.
An anatomic anomaly is not likely going to cause intermittent pain in the absence of a recurrent infection.
While a nerve injury is possible, this is usually persistent not intermittent unless we would consider a problem with your spine which may allow intermittent compression. Looking at the history of a vacation, if the vacation consisted with any body positions, sleeping and sitting positions that may cause discomfort on the lower back to the tip of the spine, this may be the cause of the pain.
Are you taking any other medications? Do you take anything for dizziness during travelling? Some of these medications have side-effects similar to anticholinergics, though I would expect more problems getting an erection more than with pain, though it is theoretically possible to get priapism- is the pain associated with prolonged erections?
If the problem is not consistent, appearing once after a few months, then the most important information may be the immediate events prior to the episode.
An anatomic anomaly is not likely going to cause intermittent pain in the absence of a recurrent infection.
While a nerve injury is possible, this is usually persistent not intermittent unless we would consider a problem with your spine which may allow intermittent compression. Looking at the history of a vacation, if the vacation consisted with any body positions, sleeping and sitting positions that may cause discomfort on the lower back to the tip of the spine, this may be the cause of the pain.
Are you taking any other medications? Do you take anything for dizziness during travelling? Some of these medications have side-effects similar to anticholinergics, though I would expect more problems getting an erection more than with pain, though it is theoretically possible to get priapism- is the pain associated with prolonged erections?
i have been tested for all STD's, AIDS/HIV, and have all come back negative, and several blood tests where i came back good and healthy... my urine sample showed no bacteria, my doctors are puzzled lol... how long would it take for recovery if it is a nerve that is causing my problem? i do remember having a problem during sex once, but i didnt have this pain right after, i started to feel this pain out of the blue one night when i was on vacation.... weird right? would it take months for a nerve to act this way? cuz there must have been a good 4 months or so from when that happened to when i started feeling pain...
Hi,
At your age, it is fairly uncommon to have problems with the prostate, and infection poses one consideration. Hence, general advice includes avoidance of infection - which includes high-risk sexual behavior. Since it also sounds like a recurrent problem, you may discuss with your doctor the utility of performing a culture to guide specific antibiotics for treatment. Another avenue to explore is an abnormal urinary tract anatomy which may predispose to infection. Then there is also trauma to the perineum / previous straddle injuries as the problem may only be pain due to an overlap of the nerve not really to anything specific on the penis. If the pain is really confined to the tip, you may need to look specifically for injuries to the foreskin if you are uncircumcised and the urethra.
I'm not sure if going to see a fourth doctor is the way to go. Unfortunately, your problems may not be solved with a single consultation, and if you move from one doctor to another it may actually take longer to solve your problems.
At your age, it is fairly uncommon to have problems with the prostate, and infection poses one consideration. Hence, general advice includes avoidance of infection - which includes high-risk sexual behavior. Since it also sounds like a recurrent problem, you may discuss with your doctor the utility of performing a culture to guide specific antibiotics for treatment. Another avenue to explore is an abnormal urinary tract anatomy which may predispose to infection. Then there is also trauma to the perineum / previous straddle injuries as the problem may only be pain due to an overlap of the nerve not really to anything specific on the penis. If the pain is really confined to the tip, you may need to look specifically for injuries to the foreskin if you are uncircumcised and the urethra.
I'm not sure if going to see a fourth doctor is the way to go. Unfortunately, your problems may not be solved with a single consultation, and if you move from one doctor to another it may actually take longer to solve your problems.
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