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 have visible blood in the urine after exercise. Do I need MRI with contrast?

Query: Hello doctor, My doctor recommended I get an MRI of the prostate and kidney. I have visible blood in the urine after exercise. We suspect it is a result of prostate laser surgery several years ago, but the doctor wants to rule out other sources of bleeding. I am okay with MRI's but will not agree t...  Read Full »

Dr. Vivek Chail

Answer: Hi, Welcome to Prostate MRI is one of the best noninvasive techniques to asses any condition of the prostate. Gadolinium is a contrast material used for better delineation of any suspected lesions. The chances of adverse effects are higher in people who have a kidney condition. However,...  Read Full »

I have forceful urination with itching and burning in penis, urethra and anus. Please help.

Query: Hi doctor, I am 32 years old and suffering from forceful urination and urine direction is towards the left side. I do have itching, burning feeling in urethra, anus, and penis. I have been prescribed Afzoo, Kcit and Cranpac D. That does not seem to be working. I think my symptoms match with urethri...  Read Full »

Dr. Saurabh Subhash Pandya

Answer: Hi, Welcome to Your symptoms suggest either prostatitis or urethritis. We also need to rule out stricture of the urethra. Please share your urine and ultrasound reports. Also get a uroflow test done. A urine culture should be sent if not done till now. What is the duration of symptoms...  Read Full »

I have pain in the right side testicle and scrotal area for the past three months. What should I do?

Query: Hello doctor, I am a 37-year-old male. Three months ago, a pain started in my right side testicle area, scrotum, groin, and right side upper thigh near the scrotum, after masturbation. There is no fever associated. I took the prescribed tablet Levofloxacin 250 mg and tablet Nimesulide 100 mg for ten...  Read Full »

Dr. Saurabh Subhash Pandya

Answer: Hello, Welcome to Thank you for your query. I understand your concern. Your sonography report (attachment removed to protect the patient’s identity) shows mild swelling in the left epididymis (starting part of sperm tube). There may also be swelling in the prostate, which would exp...  Read Full »

What are the chances of HIV transmission through oral sex?

Query: Hi doctor, 27 days ago I had protected sex with a girl, whom I knew only for 5 days and it was the first time. Also, we had oral sex also. During oral sex, I had no protection. Next day I started having pain on my testicles and my stomach. I was feeling weak the whole time, and after a week I gave ...  Read Full »

Dr. Atishay Bukharia

Answer: Hi, Welcome to Frequency of sex has nothing to do with E. coli bacteria (Escherichia coli). Prostatitis is very resistant to treat, so it is not necessary that if you have taken treatment, it will not recur. Sometimes, you have to take 4 to 6 months of treatment for prostatitis. This ...  Read Full »

I have a clear discharge when I squeeze my penis head after sex. Why so?

Query: Hi doctor, I noticed a clear discharge from my penis about a month ago when I squeezed its head. My partner and I had intense sex with manual stimulation the night before. I felt an immediate burning sensation, almost like a tear, after my last ejaculation. We tested for STDs, performed urine cultur...  Read Full »

Dr. Samer S J Altawil

Answer: Hello, Welcome to I understand your concern. It is prostatitis which is inflammation of the prostate. It can reoccur, but it has nothing to do with cancer. I would like to reassure you that penile cancer is a very rare disease. Your symptoms are related to prostate inflammation or conge...  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 should...  Read Full »

Dr. Samer S J 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 »

What causes frequent urges to urinate?

Query: Hi doctor, I am a 36 year old, active male. My height is 6 feet and weight is 175 lbs. Previously, I had Zoloft for anxiety. Now, I am just doing exercise, eating healthy food and vitamins. I have been diagnosed with prostatitis a few times in the past few months. I was also diagnosed with this roug...  Read Full »

Dr. Shahil Khant

Answer: Hi, Welcome to I have gone through your history and treatment details. You definitely had on and off history of prostatitis in the past and now you are taking Bactrim (combination of Sulfamethoxazole and Trimethoprim) since 3 to 4 weeks. I have some questions for you. How is you...  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 Vishal

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 sittin...  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 S J 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 »

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