Urethral Anatomy and Semen Concerns: A Urology Guide

Q: Urethral Anatomy and Semen Concerns: A Urology Guide

Hello： Asymmetry is quite common, and as long as there are no abnormal protrusions, even if it increases in size, there is no need to worry too much. <br>The mucus may be prostatic fluid, so there's no need to be concerned about it. <br>Wishing you good health.

Meatus and semen inquiry?

Hello doctor, I would like to ask you about something.
Previously, I visited a urologist thinking I had genital warts, but the doctor said it wasn't a concern and that I just needed to clean the smegma.
When I pulled it down, I noticed there are slight indentations on both sides of the urethral opening, and I'm not sure if it's just a normal variation or if it's slightly misshapen.
The right side seems more pronounced.
Is this normal? I didn't pay attention at the time and didn't ask the doctor if this is how it typically looks.

Additionally, sometimes when I have an erection and I don't masturbate, I notice a bit of clear mucus when I urinate.
Is this related? I’m not sure if this is semen, and does this mean I should ejaculate? Thank you for taking the time to respond.

B, 10~19 year old female. Ask Date: 2020/05/02

Dr. Du Shixi reply Urology

Hello: Asymmetry is quite common, and as long as there are no abnormal protrusions, even if it increases in size, there is no need to worry too much.
The mucus may be prostatic fluid, so there's no need to be concerned about it.
Wishing you good health.

Reply Date: 2020/05/02

More Info

Understanding urethral anatomy and concerns related to semen production can be quite complex, especially when considering individual variations in anatomy and the physiological processes involved in urination and ejaculation.
Firstly, the urethra is a tube that connects the bladder to the outside of the body, allowing for the excretion of urine. In males, the urethra also serves as a conduit for semen during ejaculation. The anatomy of the urethra can vary from person to person, and it is not uncommon for individuals to notice slight asymmetries or variations in the appearance of their urethral opening (the meatus). The presence of slight indentations or variations in the shape of the urethral opening, as you described, is often normal and can be attributed to natural anatomical differences. However, if you have concerns about the appearance or function of your urethra, it is always advisable to consult a urologist for a thorough examination.

Regarding the transparent, sticky fluid you mentioned experiencing during urination, this can be a normal occurrence. The fluid you are noticing could be pre-ejaculatory fluid, also known as pre-cum, which is produced by the Cowper's glands (bulbourethral glands) located near the base of the penis. This fluid serves to lubricate the urethra and neutralize any acidity in the urethra before ejaculation. It is not uncommon for this fluid to be present during urination, especially if you are experiencing arousal or if your body is producing it in response to certain stimuli.

As for your concern about whether this fluid is a sign that you need to ejaculate, it is important to understand that the body produces semen and pre-ejaculatory fluid as part of its normal functioning. You do not need to "release" this fluid unless you feel the urge to ejaculate. The presence of this fluid does not indicate any underlying medical issue, especially if it is not accompanied by pain, discomfort, or other concerning symptoms.

If you are experiencing any pain, discomfort, or unusual symptoms during urination or ejaculation, it is crucial to seek medical advice. Conditions such as urethritis (inflammation of the urethra), prostatitis (inflammation of the prostate), or other urological issues can cause discomfort and should be evaluated by a healthcare professional.

In summary, slight variations in urethral anatomy are typically normal, and the presence of clear, sticky fluid during urination can be a natural occurrence related to pre-ejaculatory fluid. If you have any ongoing concerns or symptoms, do not hesitate to reach out to a urologist for further evaluation and peace of mind. Regular check-ups and open communication with your healthcare provider are essential for maintaining urological health.

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