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Erectile dysfunction

Question
Posted by: Ben | 2018/11/26

Q.

Urinary retention

Hi, For 5 years or so, I've had what I consider some minor issues of urinary retention. But it doesn't cause me major discomfort. It is only problematic before sexual intercourse. Whenever I urinate, I do sense there are a few more drops (up to around 20 mL) that haven't come out yet. Generally, it's not a problem. It's not really uncomfortable. BUT, whenever I am about to have sex with my partner, I need to excuse myself to go to the bathroom because I do not feel I can proceed to ejaculation without shaking out the last drops remaining from my last urination. It wasn't always this way. There was a time when I could just go to the bathroom and then I could have sex a few minutes to a half hour later. But, now I always have to go the bathroom *right* before sex. Typically, I need spend half a minute shaking out between a few drops and 20 mL of urine. Then, I can proceed with sex. I have seen a urologist. A digital exam of my prostate seemed normal. A rectal sonogram seemed normal. I did a urodynamics test and the lab tech who performed it said I voided everything normally (though I haven't discussed the test with the doctor). The urologist had scheduled me for a cystoscopy but I cancelled that. I just have heard how painful and uncomfortable that can be and I'd like to avoid it unless it highly recommended. So, do you think I should proceed with that cystoscopy, even though my urodynamics test was deemed "normal"?? Again, what I usually have to do void is only a few drops to around 20 mL.

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