Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Prostate Cancer (Expert Forum)
Prostate issue??
Answered by
Ash Tewari, MD, M.Ch. - Prostate Cancer, Robotic Prostatectomy, Urology, Oncology, Surgery
Weill Medical College of Cornell University
New York - NY
This forum is for questions about: Advanced or Metastatic Prostate Cancer, Biopsy, Bone Scan, Blood in Urine or Semen, Benign Prostatic Hyperplasia (BPH), CT Scan, Cystoscopy, Erectile Dysfunction, Hormone Therapy, Incontinence, Pain (abdomen, low back or hip), PSA Test, Prostatitis, Radiation Therapy, Rectal Exam, Recurrent Cancer, Risk Factors, Screening, Staging (Tumor size; Metastasis), Surgery, Transrectal Ultrasound, Urinary Difficulty or Burning, Urinary Urgency (Leaking), Watchful Waiting.
 |
Prostate issue??
by AlkaSeltzer, Nov 05, 2008 03:02AM
I'm a heterosexual male in my 40's. When I masturbate, right when I ejaculate, I get a phantom feeling like there's some fluid coming out of my rectum and it's very convincing, like maybe I had a slight "accident", but there's nothing there. This has been happening for over a month now, no other symptoms and no pain; the semen is normal in volume and color. I assume I'm having a prostate issue, but I just had a PSA done at my regular doc's office last week and it was fine; even he didn't know what to think of this symptom. He also checked my prostate and said it felt fine and I had no pain when he checked other than the usual minor discomfort of a digital rectal exam. I do have recurring anal itching from an unknown source/reason and have been for years now, but I control it well with hydrocortisone cream as needed. This doc and a GI specialist both say I don't have hemorrhoids. Is this phantom anal discharge symptom a common issue with men at my age and is it usually benign?
Doctor's Answer
by Ash Tewari, MD, M.Ch., Nov 29, 2008 07:14PM
, Nov 29, 2008 07:14PM
Thanks for your question. Your symptoms are fairly non-specific and it is not possible for me to offer an exact diagnosis without a full work-up. A few possibilities could be prostatitis, external or internal hemorrhoids. These symptoms may also be related to other conditions such as diabetes or cardio-vascular disease. A visit to a urologist may prove to be helpful.
Prostatitis is the most common urologic diagnosis in men younger than 50 years. Prostatitis can range in its severity and level of bother to a patient. Although prostatitis may have more than one etiology, it is often considered bacterial until proven otherwise. There are three major categories of Prostatitis, but it is easier to think of them as two; acute and chronic.
Acute Prostatitis is characterized by an acute onset of pain combined with frequent urination as well as difficulty in initiation of urination in a patient with fever/ chills and/ or achy joints. Patients typically complain of urinary frequency, urgency, and pain with urinating. Patients often also complain of pain in the groin, buttocks lower abdomen may have associated pain the genitalia. Symptoms can range in severity but they can be vague and non-specific.
Chronic bacterial prostatitis is characterized by repeated episodes similar to acute prostatitis that come and go. Patients may be relatively asymptomatic between acute episodes pain, which was most commonly felt in the scrotum, buttocks and lower abdomen. Pain can also be felt in penis, groin or low back. Pain during or after ejaculation is one of the most prominent, important, and bothersome features.
Treatment for prostatitis involves antibiotic use, frequently for many weeks and medications such as Advil or other NSAIDS to treat symptoms. Frequently, it can be very difficult to treat and some men require multiple cycles of antibiotics.
I would make an appointment with a urologist who can better evaluate you for prostatitis and consider other possible explanations.
Best,
AT
Prostatitis is the most common urologic diagnosis in men younger than 50 years. Prostatitis can range in its severity and level of bother to a patient. Although prostatitis may have more than one etiology, it is often considered bacterial until proven otherwise. There are three major categories of Prostatitis, but it is easier to think of them as two; acute and chronic.
Acute Prostatitis is characterized by an acute onset of pain combined with frequent urination as well as difficulty in initiation of urination in a patient with fever/ chills and/ or achy joints. Patients typically complain of urinary frequency, urgency, and pain with urinating. Patients often also complain of pain in the groin, buttocks lower abdomen may have associated pain the genitalia. Symptoms can range in severity but they can be vague and non-specific.
Chronic bacterial prostatitis is characterized by repeated episodes similar to acute prostatitis that come and go. Patients may be relatively asymptomatic between acute episodes pain, which was most commonly felt in the scrotum, buttocks and lower abdomen. Pain can also be felt in penis, groin or low back. Pain during or after ejaculation is one of the most prominent, important, and bothersome features.
Treatment for prostatitis involves antibiotic use, frequently for many weeks and medications such as Advil or other NSAIDS to treat symptoms. Frequently, it can be very difficult to treat and some men require multiple cycles of antibiotics.
I would make an appointment with a urologist who can better evaluate you for prostatitis and consider other possible explanations.
Best,
AT
