Question: Hi, I had a cystoscopy last week. Now when I ejaculate it is painful and feels like the ejaculate is getting stuck towards the top of the urethra. Some comes out but I have to squeeze the rest out like a tube of toothpaste. My urinating is a little sore but doesn’t seem obstructed. What is going on? Thanks!

Hi, I had a cystoscopy last week. Now when I ejaculate it is painful and feels like the ejaculate is getting stuck towards the top of the urethra. Some comes out but I have to squeeze the rest out like a tube of toothpaste. My urinating is a little sore but doesn’t seem obstructed. What is going on? Thanks!

Hi Dr. XXXXXXX

Thank you so much for your reply. I wanted to give you some more information and to ask a follow up.

I had the cystoscopy last Thursday due to repeated UTIs and suspected stricture symptoms. My urologist stated that during the cysto everything looked “great” except for one small stricture that she “fixed” she did not say how she fixed it.

Since the cysto I have had burning and other unpleasant sensations during ruination, but those have been improving. During urination I will be doing fine and then suddenly I might feel a sharp brief pain in the urethra or almost a tugging sensation and then it goes away during the same urination. Generally, urine flow does not seem obstructed.

However, when I ejaculated several days ago, it felt like the ejaculate hit a clog inside the urethra about 3/4 of the way towards the tip of the urethra. I felt a lot of pressure and an odd pain at the site. Ejaculate did leave the body but struggled to do so. A good amount was also stuck in the urinary tract which I had to manually squeeze out.

My urologist didn’t seem to worried about any of this and said we could discuss it at my surgical follow up next Friday. However this is really worrying me.

Considering that my urologist said my urethra looked great, except for the small stricture that she repaired, what would you say is going on? Is it just post procedure inflammation? Could she have made things worse during the procedure by causing an injury?- I was bleeding a lot from the penis after the procedure and in a lot of pain. I wasn’t just urinating blood it was literally dripping out of the penis. I also urinated out a large blood clot and what looked like a large XXXXXXX colored piece of tissue as well. The nurse said that was normal but I have my doubts.

What do you think? I’m really freaking out (though urination seems to be improving, I dare not ejaculate again because that was terrifying)

Thank you!-Bryon

Hi Dr. XXXXXXX

Thank you so much for your reply. I wanted to give you some more information and to ask a follow up.

I had the cystoscopy last Thursday due to repeated UTIs and suspected stricture symptoms. My urologist stated that during the cysto everything looked “great” except for one small stricture that she “fixed” she did not say how she fixed it.

Since the cysto I have had burning and other unpleasant sensations during ruination, but those have been improving. During urination I will be doing fine and then suddenly I might feel a sharp brief pain in the urethra or almost a tugging sensation and then it goes away during the same urination. Generally, urine flow does not seem obstructed.

However, when I ejaculated several days ago, it felt like the ejaculate hit a clog inside the urethra about 3/4 of the way towards the tip of the urethra. I felt a lot of pressure and an odd pain at the site. Ejaculate did leave the body but struggled to do so. A good amount was also stuck in the urinary tract which I had to manually squeeze out.

My urologist didn’t seem to worried about any of this and said we could discuss it at my surgical follow up next Friday. However this is really worrying me.

Considering that my urologist said my urethra looked great, except for the small stricture that she repaired, what would you say is going on? Is it just post procedure inflammation? Could she have made things worse during the procedure by causing an injury?- I was bleeding a lot from the penis after the procedure and in a lot of pain. I wasn’t just urinating blood it was literally dripping out of the penis. I also urinated out a large blood clot and what looked like a large XXXXXXX colored piece of tissue as well. The nurse said that was normal but I have my doubts.

What do you think? I’m really freaking out (though urination seems to be improving, I dare not ejaculate again because that was terrifying)

Thank you!-Bryon

Thank you so much! I feel much better after hearing your reply. I was afraid that she had done something wrong and they’d have to go back in and fix it.

Is it possible to go two weeks without ejaculating? I’m terrified that it will happen in my sleep which has occurred occasionally throughout my life.

Thanks!

Thank you so much! I feel much better after hearing your reply. I was afraid that she had done something wrong and they’d have to go back in and fix it.

Is it possible to go two weeks without ejaculating? I’m terrified that it will happen in my sleep which has occurred occasionally throughout my life.

Thanks!