Help for son in law...

[RETIRED53]

My son in law came to me yesterday and told me of a problem he is having. He says that it takes a long time to start urinating, and when he does the stream isnt normal, as in I guess the stream is on an angle. He also states that the stream is sporatic, hesitates then starts again. Any suggestions until i get him to a Uro? He is 23.

[Vanessa Lacuesta]

Hi,

Problems involving initiating urination,decrease in urine flow  and changes in ejaculation patterns warrant further evaluation of the prostate. Do suggest this to your son -in- law so that prompt assessment of the prostate be done. An infection, enlargement or swelling of the prostate may help explain his symptoms. He may require a urinalysis and culture of prostate secretions to rule out an underlying infection.Also, transrectal ultrasound to view the prostate and exclude any underlying abnormalities may be necessary.

[RETIRED53]

He says he has trouble urinating, as in starting and when he does void, it's not much. He drinks large amounts of water but just doesn't urinate as much as he drinks. He also says that he has noticed that he doesn't ejaculate as much as he use to, small amounts compared to a normal ejaculation.

[Vanessa Lacuesta]

Hi,

I suggest your son in law seek urologic consultation.Difficulty in initiating urination and intermittent urine stream may suggest a prostate problem. The prostate may be enlarged due to an inflammation or swelling.A prostate infection may be a primary differential.

Did this happen abruptly?

Are there other associated symptoms like pain in urination and straining in urination?

A complete physical examination by a urologist will be able to assess the underlying cause. Evaluating the prostate and also the urethra will rule out any structural abnormalities.A urinalysis and culture of prostate secretion will help determine if an infection may be causing the symptoms.

[fufsky]

Have the uro rule out a urethral stricture also.    Stricture is a narrowing of the urethral canal which could cause problems with urination.

Ask about it.

[fufsky]

Have the uro check his prostate, urine culture and sensitivity.  Semen sample.   At 23, it is unlikely for your son to have BPH - that happens usually in men over 40.   He may have some bacterial infection of the prostate.

The Uro will most likely give him a prescription of an antibiotic.   Ask for Cipro, it seems to be the best at Prostate penetration being a Quinolone antibiotic which penetrates better than most other antibiotics.

Just see what the Uro says and write back after that if you want to.

Fufsky

[Zilian]

Well, it could be many things. But as for the delay, it's usually related to the prostate. Maybe it's prostatitis (it's not cancer; there's a cure). It could be another infections.

Good luck!