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Urology/Asymptomatic inflammatory prostatitis?


Hello. I had a full health screen in July and the only concern was, they said, a possible mild urinary infection. Then in September I noticed my semen was a dark yellow colour. I had and continue to have no other symptoms. I have seen a urologist who did several tests and put me on a course of antibiotics. That course is over with no noticeable change and my followup appointment isn't until next week.
I'm sure this doc knows his stuff but his bedside manner is...lacking so it's difficult to get straight answers from him. From my little bit of research my problem looks like Asymptomatic inflammatory prostatitis but if the coloured semen is considered a symptom then maybe not.
I also haven't read anything that is worrying but would none the less like to be rid of this. What's likely to be the next step?
Thanks a lot.


Discolored semen does not make a diagnosis of prostatitis.  It could just be some old blood and remember that semen quality, color and consistency changes with diet and medications.  The only other symptom you had was a possible Urinary tract infection which may have prompted some mild bleeding.  I don't believe you have any prostatitis based only on these symptoms.  You may want to get a second opinion. Semen color is meaningless as a diagnostic tool or symptom.


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Stephen W. Leslie, MD


Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.


Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved 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.

American Urological Association, Ohio State Medical Association, Sexual Medicine Society

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.

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. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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