HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

I Am A 27 Year Old Male And I Have

default
Posted on Mon, 14 Sep 2020
Question: I am a 27 year old male and I have been sexually active for a while now(no STDs). I have been dealing with a 'split stream' when I urinate for almost as long as I've been sexually active. Sometimes the pee comes out in two separate streams entirely which then join into one. Other times, when I am not as sexually active and I don't ejaculate at all, the pee just barely sprays a bit at first and then it goes out in a semi-normal stream(I can sense a bit or irregularity but nothing really weird).

This went on for more than a year and I didn't think I should be worried.

Only a few days ago I started sensing a minor pain at the tip of my penis. The slight burn/sting type of feeling ONLY occurred when the tip of my penis directly touched the underwear or if I touched the tip myself with my finger(and not any part of the tip, the exit of the urethra exactly).

I decided to go to a urologist once and for all and he asked me all the needed questions and checked the tip of my penis. He said that everything looks perfectly fine. He suggested I do a urine test. I did it and there was no infection as well and that the slight burn or sting I'm feeling might just be because of an internal irritation that will go away on its own.

He then suggested I do a cystoscopy which frankly I am a bit worried about it as I'm sure many men would be. But then again he claimed there is absolutely no urgency to do it considering my case.

What could possibly be the problem? I haven't ejaculated since the pain started(around 5 days ago) and my pee is as mentioned above - normal but spraying for less than a second at the very beginning and the slight burn is still there. And what should I avoid doing for it to get better?
doctor
Answered by Dr. Dr. P. T. Patil (8 hours later)
Brief Answer:
Could be mostly due to flimsy stricture of terminal part of Urethra .

Detailed Answer:
Hello
Thanks for query .
Based on the facts that you have posted spraying of urinary stream that you have is mostly due to narrowing of terminal part of Urethra (Fassa Navicularis) due to flimsy stricture of urethra caused by mild infection or trivial trauma .

Ideally it is to be confirmed by either radiological study called Retrograde Cysto Urethrogram(RGU) or by an Endoscopic Examination ( Urethrocystoscopy).
If you are scared of doing Cystoscopy get the urethra dilated by Urologist under local anesthesia .This is very simple procedure done as a out patient procedure and does not require hospitalization .

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.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10591 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
I Am A 27 Year Old Male And I Have

Brief Answer: Could be mostly due to flimsy stricture of terminal part of Urethra . Detailed Answer: Hello Thanks for query . Based on the facts that you have posted spraying of urinary stream that you have is mostly due to narrowing of terminal part of Urethra (Fassa Navicularis) due to flimsy stricture of urethra caused by mild infection or trivial trauma . Ideally it is to be confirmed by either radiological study called Retrograde Cysto Urethrogram(RGU) or by an Endoscopic Examination ( Urethrocystoscopy). If you are scared of doing Cystoscopy get the urethra dilated by Urologist under local anesthesia .This is very simple procedure done as a out patient procedure and does not require hospitalization . 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.