Q. Is my problem in urinating after sex or ejaculating a symptom of prostate enlargement or a urinary tract infection?

Answered by
Dr. Samer Sameer Juma Ali Altawil
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 27, 2022 and last reviewed on: Jan 12, 2023

Hello doctor,

I was recently diagnosed with a heart rhythm issue and atrial fibrillation and am scheduled to have a catheter ablation in a little over two weeks.

I am currently taking the following medicines:

  1. Tablet Multaq 400 mg, one in the morning and one in the evening.
  2. Tablet Diltiazem 240 mg in the morning.
  3. Tablet Eliquis 5 mg, one in the morning and one in the evening.
  4. Tablet Metoprolol, 25 mg once in the evening.
  5. Simvastatin 10 mg.

I was advised to have fairly regular sex but have problems urinating after sex or ejaculation.

I drink a lot of water after ejaculation and have had a hot sitz bath for a while, which seems to help a little bit.

I do not have real pain in the area, no fever, no blood in my urine, and no pus, which I had many years ago when I had prostatitis. Could I have prostate enlargement or a urinary tract infection?



Welcome to

I read your query and can understand your concern.

From your history, I suppose it is prostate enlargement, and symptoms get more pronounced when you ejaculate as this sex gland enlarges further, causing urinary retention.

I suggest you get evaluated with the following tests.

  1. Ultrasound KUB (kidney, ureter, and bladder).
  2. Uroflowmetry.
  3. Serum prostate specific antigen test.

I suggest you can start tablet Tadalafil 5mg once daily two hours after a meal. This tablet will enable you to pass urine and help you achieve better erections. However, please consult a specialist doctor, discuss with them and start taking the medications with their consent.

I hope this helps.

Thank you and take care.

Hello doctor,

Thank you for the reply.

Can you possibly prescribe the tablet Tadalafil? I made an appointment with a urologist here, but the earliest opening here is only after five months, so I appreciate your help and insight. I will try and get in to see someone earlier. Does a hot bath or sitz bath help, or anything else I can do to help?



Welcome back to

I read your query and can understand your concern.

Sitz bath will not help with prostate enlargement.

As far as the prescription is concerned, unfortunately, I cannot as I am not practicing in your place. However, you can take Saw palmetto, a herbal supplement that does not need a prescription.

I hope this helps.

Thank you and take care.

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