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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Frequent Urination And Leakage From Penis

i am 45 years old have been to numerous urologists, top of the line urologists.i dont have bph ,no infection,no obstruction,no prostitus ,have take all the antibiotics , i do take flomax or it is difficult to urinate though i dont have bph , had a cystiscope done the looked inside of the penis said prostate was fine bladder fine ......ultrasounds fine , psa are 0.5 free psa 0.3 and psa % free is 60> 25 percent .this has gone on for years in the beginning we started with prostitus and all the antibiotics nothing changed and so on ..also even dht levels are 22 normal is 25-75 so this is low which is better than high.......still have penis sensation and urge to urinate every hour and wake up in the morning with prostate fluid at end of penis ...sex life fine erection fine have sex 2 or 3 time week no pain ...any help thanks very bothersome
Mon, 23 Jul 2018
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Sexologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

With Flomax, you are comfortable.
Have you done urodynamic study ? If not I suggest you to do so.If no problem you can stop Flomax.
Are you stressed or depressed for anything?
When all other tests are negative and urology evaluation is negative there may not be any anatomical issues.Early morning prostatic fluid or pre-cum is common to all and it is physiological.

Hope I have answered your query.
Let me know if I can assist you further.
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Suggest Treatment For Frequent Urination And Leakage From Penis

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. With Flomax, you are comfortable. Have you done urodynamic study ? If not I suggest you to do so.If no problem you can stop Flomax. Are you stressed or depressed for anything? When all other tests are negative and urology evaluation is negative there may not be any anatomical issues.Early morning prostatic fluid or pre-cum is common to all and it is physiological. Hope I have answered your query. Let me know if I can assist you further.