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About Stephen 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.

 
   

You are here:  Experts > Health/Fitness > Urology > Urology > Pinching in my ureathra

Topic: Urology



Expert: Stephen W. Leslie, MD
Date: 9/5/2008
Subject: Pinching in my ureathra

Question
Hi DR. Stephen

I am a 31 year old male, I began having a cold stinging sensation on the tip of my penis a year ago. It was also having burning during urination and a sharp pinch after releasing the urine from my bladder just before it hits the mid point in my urethra.
I had several visits to several urologists; I was given about every antibiotic you can think of along with a systascope. The systascope came back clear, after being given cipro for 7 weeks it started to clear up. Now there is no burning during urination but I still get the pinching really bad when I urinate, have you seen anything like this before? And if not do you have any idea what could be causing the pinching? All my P.S.A. tests came back clear.

Thank you for your help.


Answer
Joe:

Burning on urination is a sign of inflammation, usually related to infection.  Prostatitis can do this as well as urethritis and various other disorders.  

It sounds like you've been treated for prostatitis. In addition to antibiotics, other treatments include avoidance of caffeine-smoking-alcohol, and hot spicy foods.  Sitting in a hot tub will also help.  5-10 minutes is enough but mroe than once a day will help more.  NSAIDs like Motrin can also help.

In some cases, we'll try something like quercetin (a non-prescription supplement).  It's available at your local health food stores, also "Urostar" from www.peenuts.com or Prosta-Q which is available on the Internet.

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