More Urology Answers
Question Library
Ask a question about Urology
Volunteer
Experts of the Month
Expert Login
Awards
About Us
Tell friends
Link to Us
Disclaimer
|
| |
|
|
| |
| | | |
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 > Semen in urine
Expert: Stephen W. Leslie, MD
Date: 9/5/2008
Subject: Semen in urine
Question
Hi,
I am 28 and living in Ireland. For the past 3 years or so I have had intermittent pain (a dull pain) in my scrotum. A couple of years ago I visited my Dr. and was referred to a urologist who diagnosed me with chronic epididymitis. However, despite numerous tests it was never established that I had a bacterial infection. Despite this I was given a few courses of antibiotics which did not have any effect. I am currently not on any medication for the chronic epididymitis although I still often have symptoms intermittently. I am sexually active and in a long term monogamous relationship with the same partner for 7 years. I don’t believe that I could have a STD.
The new problem is that on two occasions in the past few days I have found that following using the toilet semen comes out of my penis. When I stand up after use of the toilet I feel a slight urge to pass more urine and when I do, I pass a small amount of urine with semen in it.
Also, my semen always (following regular ejaculation) contained lumpy globular sticky bits. Is this a normal consistency for semen?
I would really appreciate any advice/information you might have.
Thanks
C
Answer
Colm:
I doubt that what you are seeing is actually semen. Prostatic secretions or a urethral discharge are more likely. At the end of urination, the prostate squeezes shut. This can express a small amount of prostatic fluid which would look like semen. The only way to express semen is to squeeze the bulbocavernosus muscle and put pressure on the seminal vesicles. This does not happen during voiding.
Semen is normally sticky and has globs. Whether yours is within the usual, normal range or not I can't tell.
Your chronic epididymitis needs to be looked into more. A testicular ultrasound and possibly even a surgical exploration may be needed to do this. Talk to your urologist or consider a second urology opinion.
Add to this Answer
Ask a Question
|
|
