[ ARC forum 2 ]

Problems, Problems.

Written by Paul B. at 25 Jul 2002 13:32:40:

As an answer to: Re: Problem again written by Jose at 25 Jul 2002 00:38:52:

> Actually I got urinalysis done when I previously noticed this problem, about 2 months ago.

Yes, and I actually recall your comments at the time. To be more specific, if you had not just a urinalysis done with a dip-stick, but a urine culture done at (sent to) the pathology lab where they use a microscope to examine it and try to grow germs from it, and that was negative, you can be assured you do not have an infection. I am however presuming to recall that you have never had sex with anyone - if you had, then you would need much more complex tests.

> My doctor said my urine is fine. Do you think I should see him again?

Well, frankly, I can't see much point if he has already asked all the questions and carefully examined your penis and found nothing amiss. The advantage of going to a doctor over asking questions here is simply that we are not in a position to examine your penis, so we are totally limited to asking questions. However, the right question is likely to solve the riddle.

> If urine is fine what else could be the problem?

It's obviously a "mechanical" problem, to do with the flow of the urine.

> Do I need to visit a urologist or a regular doctor is fine?

When you ask that question, you indicate an expectation that a urologist or "specialist" knows more about the sort of problem you have. Actually, he does not for the following reason: A specialist urologist is a surgeon who is sent the problems the "ordinary" doctor thinks need an operation. Very few problems for which an operation is not necessary filter through to the urologist except perhaps for the matter of circumcision. As a result, the urologist tends to presume that if you come to him, you "need" an operation.

In short, it is always safer to see a "regular" doctor - as long as he actually examines you and makes a diagnosis - if he simply sends you to a specialist without examination or at the very least, a detailed explanation of the reason, then he is no good!

In your case, the questions are: Given that you are not getting soap, or any other irritating substance (deodorants etc.) on your penis or into the opening, is there any obstruction to the flow of urine associated with producing this soreness? Can you pee in a good steady, straight stream a good distance (a metre or more)? Is anything (including the way you hold it, or hold it back, or stop it flowing at the end) blocking it? If for example, you hold it blocked before you start peeing, or at the end, that will indeed cause it to hurt.


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