Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from- Untreated Spermatorrhea with seminal leak with- Chronic Constipation. Cause of Seminal discharge in your case - is due to seminal leak from repeated manual stool removal, which unknowingly causes massage of prostatic tissue and from accompanied Chronic Colo-proctitis with peri-seminal sac inflammation Treatment-Suggested- You need to treat it by- Consult Surgeon and treat the cause of Chronic Constipation,which would reduce the seminal discharge to a great extent. Tab Dulcolax -suppositories with Cremaffin Pink would help you to controll Constipation for the time being. For Long term care of Constipation- Change your lifestyle. Rest for 8 hrs-for this you may need to change your life stress and work stress. Plenty of fluids / Vegan / non-spicey and non- fried Diet , Antibiotics -to take care of any Colo-poroctitis and anal spasm. NSAIDs - anti-inflammatory drugs x 5-7 days, to take care of perianal ailments if any- after check with Surgeon. Rest and liquid diet would recoup you fast from this condition. Just don t worry till you verify with your attending doctors. Need to Check with Urologist if things don t recover. -Other causes need to be verified with your family GP doctor, as the facts may be different what you submitted. -For this Second opinion from PCP-or Gp doctor/Surgeon and if need be with Urologist-is needed who would do proper investigation after proper physical assessment to resolve your health issues. -for early recovery-please follow above do s which would resolve your issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS