AboutStephen W. Leslie, MD Expertise Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.
Experience Full time practicing urologist with 20 years experience. Assistant Clinical Professor of Urology at the Medical College of Ohio. Editor in Chief of eMedicine Urology internet textbook. Author of only book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.
Organizations American Urological Association, Ohio State Medical Association, Sexual Medicine Society
Publications Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.
Education/Credentials Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison
Awards and Honors Thirlby Award of the American Urological Association.
Expert: Stephen W. Leslie, MD Date: 8/25/2008 Subject: Perineal Pain After Ejaculation
Question My boyfriend has been having a problem with perineal pain after he ejaculates sometimes. It doesn't happen all the time, just once in a while.
I've told him that he should ask a doctor about it but he keeps putting it off and I'm worried.
He told me that it was kind of like a stabbing pain that makes him feel like he has to defecate. Sometimes he'll go sit on the toilet for hours and do nothing, and sometimes he just wont get up out of bed.
I don't know what to do about him not seeing a doctor, hes very stubborn. If you could help out with any information I would really appreciate it, and I'll keep trying to get him to see a doctor.
Thank you so much for your time.
Answer Trinity:
By far, the most common cause of this type of pain is prostatitis. Prostatitis is an inflammation of the prostate gland and it can persist for quite some time. Treatments include alpha blockers like Flomax that relax muscles around the prostate, antibiotics, ibuprofen and other anti-inflammatories, hot sitz baths, avoidance of caffeine and hot spicy foods, and sometimes quercetin (an ingredient in many OTC products for the prostate). He needs to see a physician, preferably a urologist. At least have him sit in a hot tub and avoid caffeine and see if that helps. If so, then drag him kicking and screaming to the doctor!
