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Question
I experience urination urgency, so I sometimes have to grab my penis quickly to prevent an accident.  

This morning, I wound up holding the very tip of my penis to prevent urinating while my bladder had a spasm.  I then felt a sharp pain at the tip of my penis.  It felt like the pressure of the urine had torn my urethra.  I bled several drops, and urination is painful now.  It feels like it is re-injuring my urethra, and I bleed a little afterwards.  

I'm middle aged and in good health otherwise.  I can't see any injury looking into the urethra.  It seems to me it will heal itself, but I did want to take advantage of what advice you might have with regard to dealing with the injury as well as how to hold my penis when I experiencing urgency in order to prevent another injury in the future.  Thank you!

Answer
John:

First, your urinary urgency problem should be addressed by a local urologist.  Next, it's impossible to identify the injury from only your description.  An injury to the urethra is possible due to the presence of blood, but there could also be a prostate issue.  Most of these heal OK but there could also develop some scar tissue and a stricture later on.

Holding the penis to prevent leakage while having urgency is not a good long term solution.  We have medications that can relax these spasms and give you some relief while preventing a recurrence.

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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 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.

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

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