What Causes Decreased Urinary Output And Intermittent Rectal Pain?

Posted on Sun, 13 Nov 2016

Sun, 13 Nov 2016 Answered on

Tue, 13 Dec 2016 Last reviewed on

Question : I am a 57yo M who has had increased urinary hesitancy along with decreased stream of urine, intermittent pain in rectum after orgasm, mild internittent burning after urinating. Could this represent a prostatitis?

Answered by Dr. Dr. P. T. Patil (3 hours later)

Brief Answer:
It could be due to Prostatitis

Detailed Answer:
Hello
Thanks for query .
Hesistancy for urination ,poor flow and pain in rectum are most likely to be due to infection of the prostate (Prostatitis ) associated with enlarged prostate and needs to be investigated.

Consult qualified Urologist for clinical and digital Rectal Examination and get following basic tests done to confirm the diagnosis .
1) Urine routine and Culture
2) Semen examination and semen culture
3) Ultrasound Scanning of abdomen
4) Swab tesr and culture of a urethral discharge obtained after prostatic massage

In the mean while start taking antibiotic like Doxicycline twice daily with Tomsulosin
once daily .

Further treatment will depend upon the results of these tests and final diagnosis .

Hope I have answered your query ,Please free to ask if you have more questions .I shall be happy to help you .

Thanks with Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (4 hours later)

Will need to obtain urine culture and semen culture had ultrasound prostate was 3.7-3.1-1.7 psa's for last 12 years have been between 1.5 and 1.8 - i also have intermittent chills and malaise but no rigors - had digital exam which urologist said was normal and no residual after voiding-my father had
prostate CA - which is my reason for concern ty

Answered by Dr. Dr. P. T. Patil (6 hours later)

Brief Answer:
There is no possibility of Cancer of Prostate

Detailed Answer:
Hello
Thanks for follow up and updating reports in detail .

In view of your PSA being normal and Digital Rectal Examination(DRE) done by Urologist being normal there is no possibility of you having Cancer of the Prostate .

The symptoms that you have are mostly due to Prostatitis. Get relaxed and take antibiotics suggested earlier.

Thanks and Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (22 hours later)

Thank you for your help

Answered by Dr. Dr. P. T. Patil (5 hours later)

Brief Answer:
O.K Have a goo health

Detailed Answer:
Hello
Thanks for follow up and have a good health
Thanks and Regards.
Dr.Patil

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

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