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Question
I've been having semen in my urine since a few years ago. Not too often and not a lot, but now that I am getting older (53yo) I am concerned about it.
Sometimes I have a hard time to have an ejaculation, either during sex or just masturbating then during the day I usually when urinating right when almost finishing I see semen coming out...and this is not a good feeling like usually is related to semen.
I just red that is a cancer symptom.
Can you tell is this really a cancer clue?

Answer
John:

The fluid you see may or may not be semen.  If could just be prostatic secretions.

Trouble with ejaculation could be due to prostatitis or medication side effects.

Either way, what you read is incorrect; this is not considered a symptom of cancer.

You should talk to your physician or consult a urologist if this continues to bother you.

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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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