[54M] Experiencing stinging and burning sensation during ejaculation

Patient Description

A 54-year-old male reports a stinging and burning sensation in the shaft of the penis during ejaculation, persisting for approximately one year. The pain is described as a 5 on a scale of 1-10. Additionally, the patient experiences occasional sharp pains between the scrotum and anus, as well as a random sharp pain in the penis that resolves quickly. There is an increased urgency to urinate and sometimes a weaker stream, but no blood in urine or semen. The patient has no history of sexually transmitted infections, no significant family history of prostate or urinary issues, and no pre-existing conditions or chronic illnesses. The patient is allergic to penicillin and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Prostatitis: This is inflammation or infection of the prostate gland that can cause pain during ejaculation, pain in the area between the scrotum and rectum, and urinary symptoms. It can be caused by a bacterial infection, but often the cause is unknown.

    • Treatment typically involves antibiotics, alpha blockers, anti-inflammatory agents, and pain relievers.

  • Urethritis: This is inflammation of the urethra, the tube that carries urine from the bladder out of the body. It can cause pain during ejaculation and urination.

    • Treatment typically involves antibiotics.

  • Urinary Tract Infection (UTI): Although less common in men, a UTI can cause pain during urination and ejaculation, and increased urgency to urinate.

    • Treatment typically involves antibiotics.

Please note that these are possible diagnoses based on the symptoms you've described. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Schedule an appointment with your healthcare provider. They may need to conduct a physical examination and possibly order some tests, such as a urine test or prostate-specific antigen (PSA) test, to determine the cause of your symptoms.

  2. In the meantime, over-the-counter pain relievers may help alleviate your symptoms. However, these should not replace a visit to your healthcare provider.

  3. Stay hydrated and avoid alcohol, caffeine, and spicy foods, which can irritate the urinary tract.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe pain
  • Blood in your urine or semen
  • Fever or chills
  • Difficulty urinating or complete inability to urinate

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare provider.

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9 mo ago

People Also Ask

What are the common symptoms of prostatitis?

Common symptoms of prostatitis include pain during ejaculation, pain in the area between the scrotum and rectum, urinary symptoms such as increased urgency or frequency, and sometimes flu-like symptoms if it's bacterial.

How is urethritis diagnosed and treated?

Urethritis is diagnosed through a physical examination and tests such as urine analysis or swabs from the urethra. Treatment typically involves antibiotics to clear any infection.

Can men get urinary tract infections and what are the symptoms?

Yes, men can get urinary tract infections, though they are less common than in women. Symptoms include pain during urination, increased urgency to urinate, cloudy or strong-smelling urine, and sometimes pain in the lower abdomen.

What lifestyle changes can help alleviate urinary symptoms?

Lifestyle changes that can help alleviate urinary symptoms include staying hydrated, avoiding irritants like alcohol, caffeine, and spicy foods, and practicing good hygiene. It's also important to follow any treatment plan prescribed by a healthcare provider.

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