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Suggest Remedy For Urinary Incontinence And Semen Leakage

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Posted on Fri, 11 Dec 2015
Question: I leak urine after I urinate and leak seamen after I ejaculate. This never used to happen. Also I used to urinate before my bowel movement, now I urinate after a bowel movement. What can I do?
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Answered by Dr. T Chandrakant (4 hours later)
Brief Answer:
Need investigations as advised.

Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
Noted your history carefully about some operation probably to widen urinary tract (urethra). Problem came back, leakage of urine and semen as explained by you.
Wants to know what can be done.

The most important factors that decide the treatment and possible cure is the most accurate diagnosis.
Hence I would advise you the following:
- Routine Tests of blood and urine, urine culture and sensitivity tests also.
- Ultrasonography of the abdomen to see if there are an sequel or complications like changes in the urinary bladder, hydronephrosis.
- Retrograde urethrography by means of passing a radio-opaque XXXXXXX in the urethra.
- Get a reference for an Urologist for clinical evaluation, to do urethroscopy and this may in some cases be treating by cutting the stricture to alleviate your symptoms.

I hope all these investigations are hte baseline to get an opinion and the further tests will depend upon the initial work-up.

I also hope that this answer helps you to get a proper diagnosis.

Note: Have more questions and need to talk to a doctor

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19775 Questions

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Suggest Remedy For Urinary Incontinence And Semen Leakage

Brief Answer: Need investigations as advised. Detailed Answer: Hi. Thanks for your query and an elucidate history. Noted your history carefully about some operation probably to widen urinary tract (urethra). Problem came back, leakage of urine and semen as explained by you. Wants to know what can be done. The most important factors that decide the treatment and possible cure is the most accurate diagnosis. Hence I would advise you the following: - Routine Tests of blood and urine, urine culture and sensitivity tests also. - Ultrasonography of the abdomen to see if there are an sequel or complications like changes in the urinary bladder, hydronephrosis. - Retrograde urethrography by means of passing a radio-opaque XXXXXXX in the urethra. - Get a reference for an Urologist for clinical evaluation, to do urethroscopy and this may in some cases be treating by cutting the stricture to alleviate your symptoms. I hope all these investigations are hte baseline to get an opinion and the further tests will depend upon the initial work-up. I also hope that this answer helps you to get a proper diagnosis.