Question 1

My father has been dealing with frequent urination and a burning sensation when he pees. We saw a doctor who recommended tests like Haemogram, CUE, PSA, HBA1C, and an ultrasound scan of the pelvis and abdomen. Everything looked fine except the PVR was 500ml. Now they've done a cystoscopy and are suggesting TURP surgery. Is this the right time to go for surgery, or should we wait and try more medications? Can this be managed with just medicines?

Accepted Answer

if conservative therapy fails ,TURP is advised.

Question 2

I've had this discomfort in the middle of my penis corona for quite a while, and it's really starting to bother me. It's not super painful, but it's irritating enough that I've had to change how I masturbate, and it's been swollen for a long time. I've also noticed that the pain tends to get a bit worse after each time I masturbate. I have had sex before, but that was quite some time ago, long before all this started. What could be going on here? Should I be worried about this swelling and irritation?

Accepted Answer

It sounds like you might have inflammation or irritation of the penis, potentially from overuse or unnoticed trauma. To help it heal, try reducing masturbation frequency, avoid tight grips, and keep the area clean and moisturized. If swelling or discomfort persists, please see a doctor to rule out infections or other concerns.

Question 3

I've been experiencing something strange and I'd love some advice. Every time I drink water, I feel the need to pee quite soon after, like every 15 to 20 minutes. Its almost like I have to force it at the end to feel like I'm done. Plus, there's this dull pain in my lower right abdomen that sometimes radiates to my penis. It's uncomfortable, but after a while, it does go away. Also, I've noticed a feeling of swelling inside my stomach on the right lower side. Any idea what could be causing this?

Accepted Answer

Pelvic pain can radiate to the penis and surrounding areas.

_Possible Connections_

1. _Referred pain_: Pain from the lower abdomen (possibly related to IBS) can refer to the penis and pelvic area.
2. _Pelvic floor muscle tension_: IBS can lead to pelvic floor muscle tension, which may cause pain in the penis and surrounding areas.
3. _Neurological overlap_: The nerves that transmit pain signals from the abdomen and pelvis can overlap, causing pain to radiate to the penis.

_Other Possible Causes_

1. _Prostatitis_: Inflammation of the prostate gland can cause pain in the penis, pelvic area, and lower abdomen.
2. _Urethritis_: Inflammation of the urethra can cause pain while urinating, which may radiate to the penis and pelvic area.
3. _Musculoskeletal issues_: Tightness or strain in the pelvic floor muscles, lower back, or abdominal muscles can cause referred pain to the penis.

_What to Do_

1. _Consult a doctor_: Schedule an appointment with your primary care physician or a urologist to discuss your symptoms and determine the underlying cause.
2. _Manage IBS symptoms_: Continue to manage your IBS symptoms through diet, stress management, and medication (if prescribed).
3. _Pelvic floor physical therapy_: Consider consulting a pelvic floor physical therapist to help manage pelvic floor muscle tension and alleviate pain.

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