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 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 Sameer Juma Ali 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 Sameer 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 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 Sameer 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 »

Kindly review my reports and give your opinion on my renal calculi and dark-colored urine.

Query: Hello doctor, I am a 45-year-old male with no comorbidities. I have been experiencing pain in the pubic region with on and off dark-colored urine for the last three weeks. Abdominal ultrasound shows renal calculi of size 3.5 mm and 4.2 mm in the left kidney and 5.2 mm in the right kidney with the m...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to Obstruction due to ureteric stone will need further evaluation with a CT KUB (computed tomography of kidney ureter bladder). It is likely to get UTI (urinary tract infection), so it is better to have urine analysis and culture. Management of the stone depends on the s...  Read Full »

Why am I experiencing a burning sensation after urination and ejaculation?

Query: Hi doctor,I have been experiencing a burning sensation after urinating and ejaculating. There is no pain while urinating; it is only for a few moments. Afterward, I went to a urologist, and my urine was clear; he gave me antibiotics, but I was almost finished, and I am still experiencing the symptom...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to I understand your concern. This seems to be prostatitis rather than urethritis. It is an inflammation of the prostate which causes symptoms like pain after urine, complete emptying of the bladder, and frequency. It would be best if a semen culture is done. I suggest t...  Read Full »

I have burning sensation while urinating along with abdominal pain. What could be the reason?

Query: Hello doctor, I had mild abdominal pain and a burning sensation while passing urine yesterday. What could be the reason? Kindly help. Thank you.  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to Thank you for your query. This condition seems to be prostatitis, not enlarged prostate. Prostatitis can cause rectal symptoms as it lies adjacent to it. Inflammation will cause swelling and some degree of prostatic enlargement. A urine test can be normal as it is n...  Read Full »

Will an enlarged prostate gland cause difficulty in urination after cystolitholapaxy?

Query: Hi doctor, On the thirtieth two months ago, I had a bladder stone removed by cystolitholapaxy. No catheter was put in, and that afternoon I could not urinate. I went back to the urologist, and a catheter was put in. On Monday, it was taken out, and after a few hours, I discovered I could not urinat...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to You have an enlarged prostate gland which causes this difficulty in passing urine, and secondary bladder stones, which were treated. Bladder stone itself is an indication for transurethral resection of the prostate, which causes occlusion and difficulty passing urine. ...  Read Full »

Why do I have pain and burning sensation while urinating and ejaculation?

Query: Hi doctor, I had mild pain and burning symptoms in my penis for half a week. The symptoms are sporadic, and there is no blood or anything else noticeable other than the feeling of slight burning and pain while urinating or ejaculation. Yesterday I felt the symptoms a bit stronger. During masturbatio...  Read Full »

Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to This seems to be prostatitis which can be caused by sexual contact. The treatment is by long-term antibiotics and alpha-blockers. I suggest taking tablet Ciprofloxacin 500 mg twice daily for four weeks and tablet Tamsulosin 0.4 mg once at night for 30 days. After tha...  Read Full »

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 Sameer 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 Sameer 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 »

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