Urethral Pain: When to See a Urologist vs. Surgeon - Urology

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When dealing with urethral pain and associated symptoms, it can be quite challenging to determine whether to consult a urologist or a surgeon. In your case, you are experiencing redness and swelling at the urethral opening, pain in the lower abdomen, and changes in your semen. These symptoms can be indicative of various underlying conditions, and it’s essential to approach them systematically.

Firstly, urethral pain can stem from several causes, including infections (like urinary tract infections or sexually transmitted infections), inflammation, or even trauma. Given that your symptoms include redness and swelling, it’s crucial to consider the possibility of an infection or inflammation in the urethra or surrounding tissues. A urologist specializes in the urinary tract and male reproductive system, making them the appropriate specialist to evaluate these symptoms. They can perform a thorough examination, including urinalysis and possibly cultures, to identify any infections.

On the other hand, you mentioned having undergone an appendectomy recently, and the discovery of an adrenal tumor during a CT scan. While the adrenal tumor may not directly relate to your urethral pain, it’s essential to consider how your overall health and any recent surgeries might impact your current symptoms. Surgeons often deal with structural issues and may provide insights into how recent surgical interventions could affect your urinary symptoms.

In your case, since the urologist suggested that your symptoms might not be related to urology and referred you back to the surgeon, it’s important to clarify the nature of your symptoms. If the pain persists or worsens, or if you develop additional symptoms such as fever, chills, or changes in urination, you should seek further evaluation from a urologist. They can assess whether the urethral pain is indeed a urological issue or if it relates to something else that may require surgical intervention.

Regarding the yellowish semen, this could indicate an infection or inflammation in the reproductive system, such as prostatitis or seminal vesiculitis. A urologist would be well-equipped to evaluate this symptom, as it falls within their area of expertise.

In summary, if you are experiencing persistent urethral pain, changes in your semen, or any new symptoms, it is advisable to return to a urologist for a comprehensive evaluation. They can determine the appropriate tests and treatments based on your symptoms and medical history. If they conclude that your symptoms are not urological, they can guide you on whether to pursue further evaluation with a surgeon or another specialist. Communication between your healthcare providers is key to ensuring that you receive the most accurate diagnosis and effective treatment.