What causes difficulty urinating, burning sensation, and urethral swelling in a 28-year-old male?

Question

Hello doctor,

I am a 28-year-old male weighing 280 pounds and 5 feet 8 inches tall. I have been experiencing difficulty urinating lately. Sometimes in the morning, it takes a few seconds for the urine to come out, but I can feel the flow fine until it stops at the penis head. Occasionally, it burns, but not always. When I do urinate eventually, it sometimes sprays out randomly until I push it out a bit harder. This has been happening on and off for a few months. It feels like my urethra is swollen. I am not taking any medications. Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

Do you have a history of a urine infection in the last year or so? Any history of urethral discharge or kidney stones? Is there a recent history of unprotected intercourse? The symptoms suggest an infection or swelling of the prostate. This can be checked by a rectal exam, a uroflow test, sonography of the kidneys and prostate, urine culture, and a urine routine or microscopy.

Kindly get these tests done. Meanwhile, you can ask for a prescription for an alpha-blocker (such as Alfuzosin) and some anti-inflammatory medication. Once the infection is confirmed, a course of antibiotics will be needed for about one month.

I hope this information helps you.

Take care.

Answer 2

Hi,

Welcome back to icliniq.com.

With prostate swelling, you do experience such symptoms. Often, most tests come out negative, but a good rectal exam will help diagnose it. Till then, I would suggest you take Alfuzosin 10 mg once daily from your doctor or try herbal medicines for the prostate (over the counter) that contain saw palmetto. Anti-inflammatory medications like Ibuprofen can also help for a few days. Once the reports are available, feel free to ask me or your doctor for a prescription.

I hope this helps you.

Thank you.