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Urology/Pain like need to urinate during and after ejaculation

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Question
I am a 31 year old white male. 6'5" weigh 255lbs In fairly decent shaped.

I started having very intense feeling that I need to urinate at the moment of ejaculating and for about 30 mins after. During arousal I get a similar feeling that I need to urinate that goes away until the moment of ejaculation and for a while after.

The pain is felt in my lower abdomen down through the shaft. Exactly the same as if I had to really really urinate. The odd part is this only happens when I masturbate and not during actual intercourse. I also noticed the pain is far more apparent when I ejaculate without being fully erect (Masturbating isn't my thing but I am in a long term relationship so you do what you need to)

I have also noticed a discharge after having a bowel movement when I am constipated. After looking on the internet I figure this is prostate "Fluid". As I stated this only happens when straining and not during a "Normal" movement and not every time just sometimes 2 times to be exact.

Some of the issues sound like prostatitis but I do not have any other symptom. No frequent or painful urination or feeling like I have not emptied my bladder. No fever with chills. No getting up at night to urinate (No more than usual) no weak stream or inability to start a stream. No blood either. AND as I said this only takes place during masturbation and not during sex. I would also like to point out there is NOT any discomfort in the perineum or whatever it is called between the testies and rectum. It is in the lower abdomen.

These symptoms have been appearing for 2 weeks. I have had sex twice and masturbated 3 times. No issues during sex and the issues happened 2 out of the 3 times during masturbation. STD's are not a concern as I have been with the same woman for 3 years.

Any help or information would be great. I have looked for a week and nothing seems to fit. I found 1 thing that had something to do with bladder neck spasm or something like that but the symptoms was not the exact same but similar.

Answer
The discharge after a BM is probably just prostatic fluid and is quite common.  A strong urge to urinate is most likely a spasm.  Such spasms can be induced by infection like prostatitis and various bladder disorders.

I would suggest you see a urologist and get this sorted out.  Meanwhile, try sitting in a hot tub and limiting caffeine and alcohol.  Might help, won't hurt.

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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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