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Hey Doctor I Have Had This Problem On And Off

Posted on Sun, 16 Jun 2019

Question: Hey doctor

I have had this problem on and off for about a year now but I keep getting this burning pain when I urinate. I feel it kind of right at the very start of the stream and also at the tip of my penis. Now I never have been sexually active in my life yet so I don’t have any form of STD and I have had multiple urine samples and swaps of my penis which have all come up negative for any infection. What I find makes it worse though is masterbation and I am unsure if it’s the technique in which I do it is possibly the cause? Usually I would do it in the prone position in bed and I feel that may be putting to much pressure on my urthera could that be why possibly especially since I’ve had countless tests negative for infection? If I don’t masterbate for like 2 weeks I find the pain almost goes away but it’s hard to maintain those off periods for so long and as soon as I do it again it eventually comes back. I visited a urologist recently and he believed that it was nothing major and the whole idea of my masterbation technique wasn’t the cause of it so I am really unsure what to think. I do sometimes see spilt streams in my urine after I masterbate as well so I don’t know what’s happening.

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Hey doctor

I have had this problem on and off for about a year now but I keep getting this burning pain when I urinate. I feel it kind of right at the very start of the stream and also at the tip of my penis. Now I never have been sexually active in my life yet so I don’t have any form of STD and I have had multiple urine samples and swaps of my penis which have all come up negative for any infection. What I find makes it worse though is masterbation and I am unsure if it’s the technique in which I do it is possibly the cause? Usually I would do it in the prone position in bed and I feel that may be putting to much pressure on my urthera could that be why possibly especially since I’ve had countless tests negative for infection? If I don’t masterbate for like 2 weeks I find the pain almost goes away but it’s hard to maintain those off periods for so long and as soon as I do it again it eventually comes back. I visited a urologist recently and he believed that it was nothing major and the whole idea of my masterbation technique wasn’t the cause of it so I am really unsure what to think. I do sometimes see spilt streams in my urine after I masterbate as well so I don’t know what’s happening.

Answered by Dr. Dr. P. T. Patil (3 hours later)

Brief Answer:
Mostly due to inflammation of Urethra (Urethritis)

Detailed Answer:
Hello
Thanks for query .

Based on the facts that you have posted burning urination that you get mostly after masturbation is likely to be due to inflammation of Urethra (Urethritis) resulting from trivial injury to delicate urethra while masturbating in prone position .

In view of all the relevant tests being negative this is the most probable cause that can be linked to your issue .

Try to change the position while masturbating in supine position with griping the penis in fist of the hand and shaking your penis gently .Observe for any change in symptoms .

You need to take broad spectrum antibiotic like Cefixime along with anti inflammatory drug like Diclofenac twice daily along with topical antibiotic ointment like Neosporin twice daily at the tip of the penis..

Ensure to wash your genitals with warm water twice daily and immediately after masturbation .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (4 hours later)

I had already tried an antibiotic and it didn’t do anything so I don’t think it’s worth having another and I have a very bad stomach also so I tend to avoid anti-inflammatory’s. Besides all that in terms of trying the supine method I have in the past and I found it really difficult to do it as I am so use to prone method, is this more of a psychological thing because of how much pressure is used when doing it prone vs supine and the fact I’ve grown up this way? Would taking a break for a while and then trying it the supine way maybe make it easier?

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Follow up: Dr. Dr. P. T. Patil (3 minutes later)

Can the prone method with the amount of pressure used actually cause any bad damage that’s long lasting especially since I’ve done it all my life or is more so just short term?

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Can the prone method with the amount of pressure used actually cause any bad damage that’s long lasting especially since I’ve done it all my life or is more so just short term?

Answered by Dr. Dr. P. T. Patil (8 hours later)

Brief Answer:
Prolong use of prone position may cause chronic infection of urethra

Detailed Answer:
Hello
Thanks for follow up ..
P
Masturbation done in prone position for years may cause chronic inflammation of urethra .

Doing masturbation in supine position with firm grip over the penis with hand will give you the same pleasure .

Try it .

Thank and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Dr. P. T. Patil (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (27 hours later)

Hey doc,

Just an update I did try the supine position
for about 20 minutes but I had a lot of difficulty with it mainly just not being able to ejaculate is this normal? Do you think me being use to the amount of pressure from the prone method causes this? Would I need to maybe take some time off all together and then try it again? I also do have a bit of mild phimosis, basically I can pull the foreskin back perfectly fine with no issues while I’m not erect but while I am erect I can pull it about half way down and it hurts a little when masterbating supine because of it is that possibly why I’ve grown up with this method? I have been reading this website which goes in depth about prone and claims there’s multiple studies and docs confirming it what do you think?

http://www.healthystrokes.com/

Follow up: Dr. Dr. P. T. Patil (0 minute later)

Answered by Dr. Dr. P. T. Patil (6 hours later)

Brief Answer:
Inadequate penile stimulation is cause for not ejaculating in supine positi

Detailed Answer:
Hello
Thanks for follow up ..
Ejaculation results from adequate penile stimulation .In prone position one gets adequate penile stimulation ,penis being pressed between bed and body which lacks in supine position and that is the reason you do not get ejaculation .

I have already mentioned in my earlier reply about importance of griping the penis tightly with fist of a hand and shaking it vigorously with fantasy so that penis gets stimulated adequately o achieve ejaculation ..

As regards foreskin you seem to have partial Phimosis and need to consult qualified General Surgeon or Urologist for clinical examination in person and to explore need to get circumcised .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Raju A.T

Answered by Dr. Dr. P. T. Patil (0 minute later)

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Above answer was peer-reviewed by : Dr. Raju A.T