Awful burning at tip of urethra with semen and dark urine
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I have had chronic pelvic pain now for going on three years. I have the urinary side under control with an alpha blocker. About 18 months ago I used to get a burning at the tip of my penis after I had finished doing a pee and it would last around 5-10 minutes. This then went away.
For the past week I have been quite dehydrated and have noticed that when I sometimes pee the burning is back but sometimes feels a bit of a stronger burning than before. For some reason semen now also seems to make it sting. It is the area right at the opening of the urethra inside. I am now getting random stings in my urethra at that area. Earlier when I was masturbating I could feel a slight sting as I was doing it so I decided to have a gentle feel in the tip of the urethra with my finger and it felt a bit sensitive but not too bad. then when I ejaculated with felt like I had ejaculated glass and it really, really stung. I really panicked. I then drank lots of water and to my surprise, 25 minuets later I did a large pee and it did not burn at all, just felt hot. I then did another 2 large pees a short time after and again, no burning. I have also noticed that I will get a slight burn when I touch the tip of my penis or milk and urine left over in the tip.
I am very worried about this as I don't understand what is going on. I have had two scopes in the past. First one was to see if bladder was ok, and second was because I was sure I had a stricture cause by the first scope and both came out clear.
Now I can't help but wonder if this burning is from a stricture developing or maybe me making the urethra irritated is going to cause a stricture?
Anyone have any input? Why would my condition cause that one area to become overly sensitive?
I am going to stop milking my penis to remove the leftover urine. And I will not masturbate for a few weeks.
0 likes, 1 reply
roy80577 jason26998
Posted
Hi all. Here is what I've learned. Sharing in case it helps someone, but I fully recognise that each case is potentially quite different.
I have had the same symptoms - constant feeling at penis tip of needing to urinate, some urethra irritation etc. No infection showed from urine culture and urine dipsticks always normal. Cystoscopy had no unusual findings. No bladder infection.
A few points:
Semen culture found the bug - an E. coli strain in my case. Multi-antibiotic resistant. Showed as heavy growth. This allowed the choosing of an antibiotic that had sensitivity. Microscopy showed same i.e. abundant presence of bacteria. Was simply not being captured by urine culture. This can happen. Semen culture is often not done for a variety of reasons (practical reasons as well as microbiological ones), but sometimes the interpretation of the result is very clear. Consider it with your doctor.
Try to see if D-mannose helps. I have managed to somewhat control urethra symptoms (not eliminate) with regular intake of D-mannose. This is only of benefit with E. coli. If you don't have confirmed E. coli infection it still may be worth trying in off-chance that it is E. coli. This bug is the most common cause of UTI and bacterial prostatitis. D-mannose is a naturally occurring simple sugar present in some foods. It has various functions in nature, but here it works by binding the outside of E. coli. Hence, the E. coli can not attach to the tract, and gets more easily eliminated with urination. According to most manufacturers, it is safe to use, as the body does not use this sugar readily for energy and most of it gets eliminated in urine. Its available in health food shops. Many women use it for bladder infections. Its use in men is less common. Consider with your doctor, esspecially if diabetic.
These are just some of my experiences. I hope they are helpful to someone.