Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr Age: 36 Gender: Male Constant feeling of urination after abusive, lengthy masturbation and persistent mild burning in male urethea. Any nerve/tissue damage? I am having a sensation of constant/always urination; with a weired kind of burning senation in peline urethera and penile head. This situtation occurs after i did abusive/lengthy masturbation 10 MONTHS ago. After masterbation or having intercource with my wife it used to come for only 2 - 3 hours and after sleep in the morning used to feel alright. But due to a lenghty/abusing masterbation session 10 MONTHS ago feeling of urination have become constant and not going away The following test are done so far. 1. Urine Culture - All Normal. 2. Renal Ultrasound - All Normal (prostate size is normal about 24) 3. CBC - All Nomral. (Dr Says very slight Iron Deficiency Anemia; dr put me on iron tablets for a month) 4. LFT - All Normal. 5. Diabetic - Normal 5. Vitamin D - I am deficient (Dr put me on tablets for a month) 6. Vitamin B - Before the onset of these symptoms i was deficient in vtamin B and had few injections of cynacoblamin were given. All the doctors are clue less as of now; these symptoms are really really killing me everyday. I have seen a few urologists with the following diagnosis and treatment but with no relief. 1. A urologist diagnosed it as non-specific non-inflammatory prostatitis and put me on Cipro for 4 weeks but to no avail after that he put me on levofloxacin for a week with no relief at all. 2. Another urologist marked it as NSU and put me on numbing jell and a tablet which turns your urine dark yellow for 5 days with no avail. I also took a TCA Tofranil (Imipramine) for about 2 weeks for no avail at all. After being exhaused from thease treatments i have also tried alternative treatments as follows. 1. Homeopathic for 2 months with no avail. 2. TCM (Traditional chinese medicines for few months with no avail) As I am running out of ideas may be the following can be considered. 1. parasitic infection. 2. Pudendal nerve entrpement or perinal nerve pinching etc. Dorsal nerve etc. Or any other nerve disorder. 3. IC 4. MS Please help me to get rid of these annoying symptoms.
[|AI|]  HelloThanks for query. Based on the facts that you have narrated you have a long-standing history of pain in urethra and constant sensation to pass urine which followed after prolonged abusive masturbation which has not responded to treatment with multiple antibiotics and none of the various relevant test are conclusive as regards the diagnosis and cause of your symptoms. In view of all these symptoms started after prolonged abusive masturbation I think the prolonged masturbation has caused trivial damage to urethra resulting to form a scarring and flimsy stricture of urethra. I would suggest you to consult your urologist again and explore need for doing endoscopic examination of urethral passage (Ureteroscopy). This procedure of visualization of urethral passage directly perhaps may help to diagnose the precise cause for your symptoms. Further treatment will be decided by him on final diagnosis. There is no possibility of pinching of any nerve as it never happens in reality. Chat Doctor.