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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Testicle And Abdominal Pain. Underwent Urethroplasty For Urethral Stricture. Is It Related To Ejaculation Or Masturbation?

I underwent urethroplasty in January 2012 for urethral stricture. For the past six months I am get pain in testicles and lower abdomen after ejaculating after sex or mastubation.

The various tests like urine routine, sonography of abdomen and testis as well as ureflometry are normal.

The pain subsides over the period of next 15 days or so but starts again after next ejaculation.

The various medicines including antibiotics given by urologist are not yeilding much results. I am told that it is something to do with nerves.

Kindly advice.
Thu, 7 Nov 2013
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General Surgeon 's  Response
Hi

Your condition remind me of a pelvic floor muscle disorder. Since you have undergone urethroplasty there is path obstruction for the semen to flow freely. As you see once you have sex the muscles in the perinium should relax while ejaculation to give a free flow instead they remain contracted which creates pressure in the ejaculating gland and spasm in them. Few more detail will help to guide you
1) Was it present before your operation?
2)Do you have the sensation of passing urine after ejaculation or sex?
3)What was the level of obstruction for which you had your operation?
Now what i would suggest is to take some muscle relaxants and see if it helps.If its subsides then you have to start on some alternative medicine for relaxing your pelvic floor muscle.
Hope you find my answer useful.Any further questions are welcome.
Thanking you
Dr Samir
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Testicle And Abdominal Pain. Underwent Urethroplasty For Urethral Stricture. Is It Related To Ejaculation Or Masturbation?

Hi Your condition remind me of a pelvic floor muscle disorder. Since you have undergone urethroplasty there is path obstruction for the semen to flow freely. As you see once you have sex the muscles in the perinium should relax while ejaculation to give a free flow instead they remain contracted which creates pressure in the ejaculating gland and spasm in them. Few more detail will help to guide you 1) Was it present before your operation? 2)Do you have the sensation of passing urine after ejaculation or sex? 3)What was the level of obstruction for which you had your operation? Now what i would suggest is to take some muscle relaxants and see if it helps.If its subsides then you have to start on some alternative medicine for relaxing your pelvic floor muscle. Hope you find my answer useful.Any further questions are welcome. Thanking you Dr Samir