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Urology/Ejaculations following prostate massage under GA

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Question
Hi,
I'm a 44yo fit male and had a cystoscopy and (5-minute, vigorous) prostate massage under general anaesthetic today to treat my Chronic Bacterial Prostatitis.

As I expected, I'm getting significant dysuria since, worse than I expected, but I know it will improve over the next couple of days. I've been started on antibiotics and Tamsulosin also today.

In the past I've been advised to ejaculate regularly by my Urologist to help with the Chronic Prostatitis, something I'd already known helped me. I was intending to masturbate tonight to see if the prostate massage might have made an improvement in my symptoms (sluggish, lumpy, unsatisfying ejaculations) and to help clear the prostate.

However, given the dysuria and the possible bruising that the prostate got today, I'm now apprehensive about ejaculating.

Is it advisable to abstain from ejaculating after a vigorous prostate massage/cystoscopy for a period of time?

Also, might I have blood in the semen as a result of the massage and, if so, for how long?

Answer
Mac:

For this type of very specific recomendation, you really should check with your urologist.  Personally, I'm not a great fan of prostatic massage.  There is no other organ that gets better when you "beat up on it" and the value of the drainage has not been definitively shown to be better than just plain ejaculation which is far more pleasant and less painful.

As a general rule, if the prostate is still sore from the massage, it may be better to wait a day or two.  meanwhile, try sitting in a hot tub.  That often helps and won't hurt anything.  

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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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