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Dr yashwanth Raj /Urine pain issue
Thanks again doc. He's the only Urologist here. Kindly please please reply this I'm stressed. Local sonography centre does trus prostate? My symptoms are. . Occasional bladder area to penis warmness( little burning) when bladder is full. A little discomfort pain when initiate urine ( not during whole urination process) Burning is only there if urine after long time or sleep. Feels muscles not relaxed fully before urine...and if I give little pressure then no pain. I'm having discomfort when I press right testis. Otherwise no pain but it's different from left testis. Can it be related to it? Will this urine issues affect my future ( fertility problems?) I'm having occasional ejaculation burning too. Some semen remains in urethra and feels motion under penis or perineum area after ejaculation. Semen is thick jelly type too. I'm not sexually active. I have attached doctors priscription and latest report.
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Answers (1)

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Care AI Shimmer
1. Please don't worry. This problem can be addressed 2. This looks like CPPS only 3. It will not affect your fertility 4. I would suggest a thorough urological evaluation first, which includes : 1. Usg KUB with prostate, PVRV and scrotum 2. Uroflometry 3. If above tests show problem, then Urodynamic study to study the pattern of bladder, sphincter and urethra function 4. Semen analysis (+/-) 5. Ascending urethrogram (+/-) for urethra stricture 5. If Urological evaluation is normal, we have to look for triggers like food, drugs, psychosocial problems, etc Sorry. I am not able to understand the doctors prescription. TRUS scan to be done only after above tests Will be done usually with urologist prescription
Next Steps
This problem can be treated. But we have to find the cause first.
Health Tips
This is not a major issue. Can be rectified. So do not worry. Get well soon
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.