instruction: hello doctor I am 43 years old I have been experiencing a burning and itching sensation while urinating for about three weeks now I now have the same sensation when I ejaculate after sex also when I squeeze my penis there is pain along the lower part which feels like the pain is along the tract where urine and semen pass through please comment on what can I do about this I think it must be due to unprotected sexual intercourse that I had a couple of times some weeks ago after which I stopped
output: hello burning sensation in the urinary tract or urethra can most commonly be due to either infection of bladder or urethra or any stone problem which has either passed in the bladder kidney system causing infection thus burning it can also be due to unprotected sexual intercourse which leads to the infection of the urethra the diagnosis of this condition is important before the treatment is started urine microscope and sonography of abdomen and pelvis are initial urine and scanning modalities which are required for diagnosis physical examination by a urologist is also of paramount importance as something it is the best morality to detect the diagnosis so I would advise you for now you take plenty of fluids as repeated urination can wash out the infection but the above mentioned test and physical examination are mandatory in your case as you have pain in passing semen also it can be a prostate infection which again requires a per rectal examination by a urologist to see for prostate status