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Pain Near Urethra Bulb Area, Arised After Bouts Of Acute Prostatis. Next Step?

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Posted on Tue, 28 May 2013
Question: Burning pain near the uretha bulb area. Aggravated when sitting. Have had many visits with my urologist t and Dr. XXXXXXX M. Weiss who has the The Pacific Center for Pelvic Pain and Dysfunction. He is puzzled in regards to next steps but is evaluating. Condition started after having within 6 months 2 bouts of raging acute prostatitis. Any advice for next steps? MRI? Neurological examination?
doctor
Answered by Dr. G.Srinivasan (1 hour later)
Welcome to the forum.
Unfortunately, such a situation is not easy to treat.
I would do the tests in a step wise manner to see if anything comes up in the results.
Urine culture to check for infection, semen culture to look for infection, uroflowmetry to assess your urine flow.
Antibiotics for at-least a month, stool softeners and muscle relaxants may be necessary.
Uro-dynamics, if necessary may be needed assess bladder contraction.
If nothing works out, TURP (trans-urethral resection of the prostate) should give some relief, as it can clear infection lodged within the prostate gland.
best regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. G.Srinivasan (6 hours later)
My doctors have done the following - Urine culture, semen culture, uroflowmetry and to date I am clean in those areas.
They have narrowed it down to a condition in the uretha area but are puzzled on how to what to recommend. You did not address this in my health query.

Looking forward to getting potential solutions from you which is why I contacted your organization.

Thanks.
doctor
Answered by Dr. G.Srinivasan (5 hours later)
Welcome back.
This means that you have not read my answer to the extent needed.
I have given suggestions already.
Antibiotics for a month, laxatives and muscle relaxants, as already suggested.
TURP if nothing else helps.
Last but not the least, you need to remember i am trying my best to provide solution from a remote area without having the chance to examine you and also that a centrer known for treating these problems is not able to offer a solution!
Best regards
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. G.Srinivasan

Urologist

Practicing since :1991

Answered : 1412 Questions

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Pain Near Urethra Bulb Area, Arised After Bouts Of Acute Prostatis. Next Step?

Welcome to the forum.
Unfortunately, such a situation is not easy to treat.
I would do the tests in a step wise manner to see if anything comes up in the results.
Urine culture to check for infection, semen culture to look for infection, uroflowmetry to assess your urine flow.
Antibiotics for at-least a month, stool softeners and muscle relaxants may be necessary.
Uro-dynamics, if necessary may be needed assess bladder contraction.
If nothing works out, TURP (trans-urethral resection of the prostate) should give some relief, as it can clear infection lodged within the prostate gland.
best regards