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Question
I am 28. never smoked. Last month a tumour was found in my bladder. I had it removed 5 days ago. Waiting for results. I'm petrified.

Since the operation, I have the sensation that tiny amounts of urine is trickling into my urethra and sitting there. I then get a very sharp pain on the underside of my penis if I sit in a certain position (as if the pressure of sitting is 'pushing' that urine out but is unable too) or if I lift my penis. Getting the slightest hint of an erection also gives extreme pain.
What could this be? Will it get better?

Also, I had a very weak stream before surgery. It is now even weaker. I'm assuming that they would have had a good look at my prostate during my cystoscopy and surgery, and nobody's mentioned anything about my prostate to me, so it is likely something else causing it?

Answer
Mike:

Most tumors of the bladder are superficial and are not considered very dangerous. We don't know yet what type of tumor you had.  Most of the time, a regimen of surveillance cystoscopies are needed to identify any recurrences early.  

I can't explain the urination problems assuming the cystoscopy was otherwise normal.  A trial of an alpha blocker type medication such as tamsulosin might be reasonable. Please ask your urologist these questions when you see him next.

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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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