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Dr. Andrew Rynne

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Frequent urge to urinate but less urination along with burning sensation. Reason?

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Dr. Raju A.T

General & Family Physician

Practicing since :2008

Answered : 3909 Questions

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Posted on Thu, 7 Feb 2013 in Urinary and Bladder Problems
Question: I have frequent urge to urinate but produce only a very small amount of urine, accompanied by burning sensation. At the same time I get a burning sensation in my hands (!).
I am a 65 year old, sexually inactive male.
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Answered by Dr. Raju A.T 1 hour later
Hi,

Thanks for your query.

Urinary urgency, frequency and incomplete evacuation of the bladder are symptoms typically seen in prostate enlargement. Prostate enlargement is a condition seen in elderly males usually after the age of 50 years. It occurs due to low levels of Testosterone hormones in the blood which is the result of advancing age.

I suggest you to get a Pelvic ultrasound scan (in full bladder and post void) which will confirm the condition and stage the growth which helps in management.

You may have to consult a Urologist with the Ultrasound scan report to analyze and place you on appropriate treatment.

Hope I answered your query.

Please let me know if there are any other concerns.

Regards,


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senthil.psgct: Hi, I'm 27 and not able to ejaculate whenever i masturbate, but i'm having wet sleep
Doctor: Hi
Doctor: I am Dr. Jagdish
senthil.psgct: Hi Doctor
Doctor: Are yo married?
senthil.psgct: no
Doctor: Do you used to ejaculate normally before?
senthil.psgct: i never tried to masturbate
Doctor: Are you masturbating now/
senthil.psgct: yeah, when i try now im not able to ejaculate
Doctor: How many times you masturabated ?
senthil.psgct: probably 9 or 10 different times over last 2 years
Doctor: so any time did u have ejaculation
senthil.psgct: never
senthil.psgct: i was having a very small drop sometimes
Doctor: usually the normal quantity of ejaculated fluid ismax 1 teas sponn 5ml
senthil.psgct: no not that much
Doctor: but u r wetting the cloths in sleep
senthil.psgct: i might be getting that quantity in sleep
Doctor: is that right?
senthil.psgct: yeah
Doctor: plz hold
senthil.psgct: ok
Doctor: The first thing you should due if you are concerned is to have a semen analysis performed.
Doctor: f at that time the volume is determined to be low, than you must first determined that the specimen was obtained properly(48-72hrs abstinence) and retrograde ejaculation has been ruled out.
Doctor: *if
senthil.psgct: what is that...how and where to do that?
Doctor: I will tell u
Doctor: Low volume may represent a rare decreased in androgen levels.
Doctor: If you go to lab ask for semen analysis
Doctor: they will give a kit and ask you to collect semen in th bottle ok
Doctor: Do u follow me?
senthil.psgct: oh...k...how do i get the semen?
Doctor: Any amount is ok
Doctor: one drop is also fine
senthil.psgct: see im not able to ejaculate when i masturbate and thats my problem
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Doctor: Low volume may represent a rare decreased in androgen levels.
Doctor: So please get the serum testosterone levels
senthil.psgct: through semen analysis?
Doctor: No
Doctor: it is a blood test
senthil.psgct: ok
Doctor: If the harmone is low , the semen is not prodcueed
senthil.psgct: if thats the case, then it shud not be produced in sleep also rite?
Doctor: There are other causes no ejaculation
Doctor: ok
senthil.psgct: u there?
Doctor: obstruction of the ejaculatory ducts, Vas Deferens, or epididymus cause no ejaculate
Doctor: For that u need ultrasound of prostate,Vasography
senthil.psgct: but doctor im ejaculating in sleep so obstuction of duct is ruled ou
senthil.psgct: u there?
Doctor: Plz be patient
Doctor: if the chat is not complete Iwill call u
senthil.psgct: ok..hope u have my number
Doctor: 0000&
senthil.psgct: no...its 0000..last digit has typo err
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senthil.psgct: yes
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Doctor: Defintely u r prodicuing semen
senthil.psgct: yes
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Doctor: It comes from deep in prostate thru urethra
senthil.psgct: i see
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senthil.psgct: oh..
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Doctor: or it may n ot come forward]
senthil.psgct: i see
senthil.psgct: why is this obstruction not happening in sleep
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Doctor: I dont know
Doctor: There is no explanation for all
Doctor: Vasography is they inject dye thru the penis and look whether the floe is normal or obstructed
senthil.psgct: i see...
senthil.psgct: may i know whats ur qualification?
Doctor: MBBS with 2 yr family medicine in USA
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senthil.psgct: ok..
Doctor: May I ask u few Q
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senthil.psgct: yes
senthil.psgct: no
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senthil.psgct: im perfectly fit...don take any medicines
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senthil.psgct: no
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