Prostatitis is inflammation of the prostate gland in males. It may be caused due to infection, trauma, or immune system disorder. It causes difficulty in urination, pain, burning micturition, blood in urine, etc. It may lead to semen abnormalities, infertility, etc. Treatment depends on the cause and elimination of the cause and symptomatic treatment.

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I am experiencing burning sensation on the tip of my penis. Why?

Query: Hello doctor, I have had a mild burning sensation on the tip of my penis and tenderness since two months. Sometimes it comes and goes. I had unprotected sex with my partner three months ago, and it was the first time both were doing this. I have tested for urine culture and sensitivity, but it is no...  Read Full »

Dr. Samer Samer Juma Ali Altawil

Answer: Hello, Welcome to Burning sensation in the long term might be related to chronic prostatitis. I recommend semen culture rather than urine culture as urine usually is clear. For chronic prostatitis, consult with a specialist doctor, talk with him or her and take medicines with their co...  Read Full »

Do frequent and burning urination with swollen penis indicate prostatitis?

Query: Hello doctor, I am frequently urinating, and it is burning afterward and after sex. It got better for a week, and I had left flank pain for a day. I have burning in my back, stomach, and penis. The penis feels swollen a little. This problem started a month back and came and went. I drank alkaline wa...  Read Full »

Dr. Samer Samer Juma Ali Altawil

Answer: Hello, Welcome to This is a combination between prostatitis and enlargement of the prostate. After 50 years, the prostate physiologically starts to get bigger and can obstruct urine, but it does not cause burning. However, prostatitis can cause burning in micturation. I suggest invest...  Read Full »

Is long-standing pain in my testicles due to a torn PSL (penile suspensory ligament)?

Query: Hello doctor, Five years ago, I had a complaint of Umbilical hernia, and three years ago, I had a traumatic tear while carrying ice buckets. It has been a painful condition since then. I have all the symptoms of a torn PSL; however, the MRI scan does not reveal much. My doctor has checked all other ...  Read Full »

Dr. Samer Samer Juma Ali Altawil

Answer: Hello, Welcome to Thank you for consulting us. I understand your concern and would be happy to help. Please send me the MRI (magnetic resonance imaging) scan report. If you have a torn PSL (penile suspensory ligament), the penis will be hanging down and cannot stay erect. However, there...  Read Full »

Can biopsy be done in a condition with a high PSA levels?

Query: Hi doctor,I am consulting you about a prostate gland problem. I am having a problem in passing urine, and there is a pain in the lower abdomen up to the scrotum and the testicles, but no fever yet. I saw the doctor a few days back, and he prescribed a blood test and my PSA level has been > 8 ng/d...  Read Full »

Dr. Praveen Pushkar

Answer: Hello,Welcome to needs long-term antibiotic treatment if you have symptoms because of that.A biopsy is indicated in raised PSA (prostate-specific antigen) value if you have ruled out infection or any other benign causes for that.Yes, there are chances that the PSA value might...  Read Full »

I have burning sensation while urinating and pimples on the penis. What could be the reason?

Query: Hello doctor, I am a 26-year-old patient weighing approximately 70 kilograms. I have no medical history other than a small fiber neuropathy for which I am taking Pregabalin. I had unprotected sex a week ago, and It was for a few seconds. Since then, I have been seeing the appearance of pimples on ...  Read Full »

Dr. Samer Samer Juma Ali Altawil

Answer: Hi, Welcome to I understand your concern. You have prostatitis, which is an inflammation of the prostate gland, which is why you feel uncomfortable deep in the pelvis or irritation just behind the scrotum and a burning sensation sometimes when you pass urine. I would suggest you take...  Read Full »

I have had red spots and irritation in my penis that is not responding to any treatment for more than a year. Please help.

Query: Hello doctor, My penis is irritated. I have red spots on its glans, and sometimes I have white spots. After having a bath (only with warm water), it worsens. After urinating, I have a burning sensation, and even the underwear irritates me. Sometimes I feel coldness in my penis, colder than it shoul...  Read Full »

Dr. Samer Samer Juma Ali Altawil

Answer: Hello, Welcome to The symptoms you have described indicate urethral pain syndrome. Another possible diagnosis is chronic abacterial prostatitis. Examination of the prostate to look for inflammation by inserting a finger in the rectum and feeling the prostate is the key to diagnosi...  Read Full »

I have poor bladder control and also suffering from frequent urination. What should I do?

Query: Hello doctor,I have been suffering from poor bladder control for the past few years. I have to go to the bathroom frequently, and if I do not get to the toilet in time, I might wet my pants a little. Most of the time, there is good stream urine. There is no pain, and I do not have to strain, but the...  Read Full »

Dr. Vaibhav

Answer: Hello,Welcome to you have a long history of frequent urination, we need to investigate the cause of the problem. Your bladder is contracting more than usual; hence you have increased frequency; this is called overactive bladder. The most common causes for this problem are bladder i...  Read Full »

I am having pain while urinating and pus discharge from my penis. What can I do?

Query: Hello doctor, I have had these symptoms for the last six months: Six months before, I have faced severe pain two times from the lower abdomen area with a discharge from the penis (maybe an infection). I had an itching, and burning sensation, could not hold urine for more than 1.5 hours during sitt...  Read Full »

Dr. Shahil Khant

Answer: Hello, Welcome to I have read your history and reports (attachments are removed to protect the patient's identity). You seem to have non-bacterial prostatitis with pelvic pain syndrome. 1) Yes, you seem to have a prostatitis problem. 2) Treatment is mainly symptomatic with a...  Read Full »

I have pain while urinating and orgasm. Why?

Query: Hi doctor, I have had difficulty urinating at night for one year and had orgasm pain for one month. I am currently on Levothyroxine and Lansoprazole. I am getting up 4 to 5 times a night for urination. The urine flow is good during the day, but the flow is slow at night. I am also getting pain durin...  Read Full »

Dr. Samer Samer Juma Ali Altawil

Answer: Hi, Welcome to This is prostatic hyperplasia. Enlargement of the prostate is physiological after 50 years, and according to the shape, it causes blockage. Now you are symptomatic, and further evaluation is indicated. Some tests are required here, such as urine analysis and culture, se...  Read Full »

Why do I have frequent urination with pain and discomfort after catheterization during laparotomy?

Query: Hello doctor, I was admitted in a hospital for an emergency laparotomy 16 months ago to examine my abdominal fluids but no problems were found and I was discharged. This started after I was in the hospital last year. During the laparotomy, I had a catheter to collect my urine which was fitted and r...  Read Full »

Dr. Samer Samer Juma Ali Altawil

Answer: Hi, Welcome to These problems are common after catheterization, especially if the catheter was placed for more than a week. Those symptoms can be due to inflammation caused by the catheter to the bladder and the prostate. Usually, we check urine for culture and do a flexible cysto...  Read Full »

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