What could be the reason for a burning sensation on the tip of the penis?

Hello,

Welcome to icliniq.com.

Please help me with a few details so that we can get to the bottom of your issue and hopefully get you the help you need.

1. Have you had any surgeries in the past?
2. Are you diabetic or hypertensive?
3. Does this problem with urinating happen every time or only on occasion?
4. Have you had any infections or trauma to your penis?
5. Are you sexually active or masturbating regularly?
6. Do you have any pain after or during ejaculation?
7. Is there any pain in your perineum?
8. Did your doctor start any treatment after the uroflowmetry test? Which I must say is not normal at all. The normal QMax for a healthy male should be about 20 to 25 mL per second.
9. When you do pee, do you feel as if your stream has slowed down over the last few months or years?
10. Do you have an increased frequency of urination or, urgency?

Please revert back with the details of the above questions, and I will try and do my best to help you.

Hello,

Welcome back to icliniq.com.

I had asked the questions so as to understand the issue better as there can be a variety of other issues going on. Nevertheless, I will answer your three questions based on the information you have provided.

1. The condition you are suffering from is called post-micturition dribble and affects between 5 to 8 % of men. The most common reason for this condition is men having enlarged prostate, it can happen due to a couple of other reasons as well, such as:
2. A pelvic floor muscle causes incomplete, or weak contractions of your perineal area which in turn does not work effectively to push out all the urine.
3. This condition is also seen in men suffering from erectile dysfunction.
4. A weak urethro-corporo cavernosal reflex. A reflex that can assist in urinary flow and help empty the residual urine out of the urethra.
5. The treatment for this involves pelvic floor exercises to strengthen the pelvic floor muscles as well as a perineal massage, immediately after you have passed urine.
6. When both of these things are done in combination, roughly 70 to 80 % of men experience great benefits.
7. Unfortunately, there is no medication for the treatment of post-micturition dribble but we do occasionally use alpha blockers for the treatment of the same.

I hope this helps.

Hello again,, sorry for the delay in response The distal penile urethra does not have any sphincter mechanism to hold urine. The only reasons why urine should be held up in the distal penile urethra can be explained by: 1. An anterior urethral valve - which I can’t see in your X-ray 2. A stricture - which I can’t see in your X-ray 3. A sub meatal narrowing - which I presume they would have diagnosed on the cystoscopy - it’s not evident on the X-ray either. 4. An uncircumcised person with severe phimosis - where urine gets collected in between the glans and prepuce and comes out later - but I’m presuming you don’t have that either as you would have mentioned it b If these conditions are not present - urine will not stay in the distal urethra. From your x-ray, I do notice a large amount of urine still present in your bladder even after peeing. Which is not normal. Hence I go back to the above causes being the reason for your troubles. The only other thing is an issue with your external sphincter and bladder neck - it is possible that the urine is being trapped between the bladder neck and sphincter and not milking back into the bladder. It leaks once the sphincter has relaxed. You may interpret this as urine being trapped in the distal urethra whereas the problem really lies above. This is my opinion but like I’ve said before , I need a detailed history to be able to help you with the issue (if that’s what you’re looking for) Please let me know if there are any more questions I can help you with.