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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty During Urination And Ejaculation?

i have trouble emptying my bladder and it doesn t happen every time but it has been a problem since i was a young lad and i am almost 41 now. i also feel discomfort when i ejaculate (i am single,so this is masturbation and haven t had intercourse for 9 years now due to depression and anxiety keeping me at home) the pain is in my urethra and it seems to run all the way from the penis right under the scrotum and towards the anus (this is embarrassing) its as if there s a blockage and i have to milk the urine and sperm out. i have had a blood test and my kidney (gfr) was 64 then 3 weeks later 59 and as i am 40,i was told that way too low! i see the doctor on monday but i am stressed
Fri, 6 Sep 2019
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General Surgeon,  's  Response
Hi,

Noted your history of difficulty in passing urine and ejaculation, has to press on the urethra for complete evacuation, going on since you were young and now are 41, urine and GFR reports seen.
All your history is suggestive of urinary outflow obstruction.
The most proper diagnosis can be done by the following:
Micturating Urethrogram.
Retrograde Urethrogram
Then Cysto-urethrography.
Assisted by Ultrasonography of abdomen, particularly for genito-urinary system.
The obstruction once found out can be dealt with the way it presents and may need minor or major surgery.
Then you need regular follow up and procedures as needed.
Also needed is to take care about hte secondary changes due to obstruction;.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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What Causes Difficulty During Urination And Ejaculation?

Hi, Noted your history of difficulty in passing urine and ejaculation, has to press on the urethra for complete evacuation, going on since you were young and now are 41, urine and GFR reports seen. All your history is suggestive of urinary outflow obstruction. The most proper diagnosis can be done by the following: Micturating Urethrogram. Retrograde Urethrogram Then Cysto-urethrography. Assisted by Ultrasonography of abdomen, particularly for genito-urinary system. The obstruction once found out can be dealt with the way it presents and may need minor or major surgery. Then you need regular follow up and procedures as needed. Also needed is to take care about hte secondary changes due to obstruction;. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon