Intermittent Urination and Prostate Health After Treatment - Urology

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Intermittent urination?


Hello Doctor, I have been undergoing treatment for prostatitis for a month and a half and have been taking antibiotics during this time.
My symptoms have mainly been yellow-green semen and a sensation of incomplete urination, where I feel like I have finished urinating but then need to continue after a few seconds, followed by some dripping after I finish.
During my follow-up appointment today, I showed the doctor a photo of my semen (which is still yellow), and he said that the color is normal, as he experiences the same color, so there is no issue.
Regarding the urination problem, the doctor mentioned that it may not be related to prostatitis since I do not usually experience pain or discomfort.
He advised that I can stop coming for follow-ups starting next week, as I am essentially recovered and just need to monitor my condition.
I would like to ask you a few questions:
1.
Is yellow semen normal? It appears yellow when it is in a clump, while the surrounding fluid is white.

2.
If my interrupted urination is not caused by prostatitis, what other conditions could lead to this symptom? Is it concerning if it continues?
3.
After taking antibiotics for a month and a half without any significant discomfort, just the two symptoms mentioned, does this indicate recovery? Is it safe to stop the medication?
4.
How can I take care of my prostate health? Thank you, Doctor.

Niming, 20~29 year old female. Ask Date: 2021/08/16

Dr. Du Shixi reply Urology


Hello: The responses provided here are for reference only and cannot replace a doctor's examination and diagnostic tests.
1.
Is yellow semen normal? When it is in a lump, it appears yellow, while the surrounding areas are white.
--> Everyone is different, and there can be variations in color.
It is best to have it tested to determine if there is an issue.
2.
If my urination is interrupted and then continues, and it is not due to prostatitis, what other conditions could cause this? Is it related if it continues like this? --> A urology department at the hospital can check the urine flow, which often involves the pelvis, including the entire urethra and bladder.
Some basic lifestyle maintenance should be practiced.
3.
I have been taking antibiotics for a month and a half, and I have not experienced any discomfort, only the two symptoms mentioned above.
Does this treatment duration indicate recovery? Is it safe to stop the medication? --> If it is a prostate issue, it should be okay to try stopping the medication; the duration is about right.
4.
How should I take care of my prostate? --> Hydration, diet, exercise, and safe sexual practices.
Wishing you good health.

Reply Date: 2021/08/16

More Info


Hello! It's great to see you taking an active interest in your health, especially regarding your prostate and urinary symptoms. Let's address your questions one by one.

1. Is yellow semen normal?
The color of semen can vary, and while it is typically a whitish color, a yellowish tint can occur due to various factors. This can include the presence of certain dietary components, dehydration, or even the presence of infections. If your doctor has assessed that the color is normal for you and there are no accompanying symptoms of infection (like pain or discomfort), it may not be a cause for concern. However, if you notice any significant changes or if the yellow color persists, it would be wise to follow up with your healthcare provider.

2. What could cause intermittent urination?
The sensation of urination stopping and starting can be attributed to several factors. It may not necessarily be related to prostatitis. Possible causes include bladder dysfunction, urethral stricture, or even pelvic floor muscle tension. Sometimes, anxiety or stress can also affect urination patterns. If this symptom persists, it would be beneficial to consult a urologist for further evaluation to rule out any underlying conditions.

3. Is a one-and-a-half-month course of antibiotics sufficient for recovery?
The duration of antibiotic treatment can vary based on the type and severity of the infection. If you have been on antibiotics for a month and a half without significant discomfort or new symptoms, it may indicate that the infection has resolved. However, it is crucial to follow your doctor's advice regarding stopping the medication. If your doctor has indicated that you can stop the antibiotics, it is likely safe to do so. Always ensure to complete the full course as prescribed unless directed otherwise by your healthcare provider.

4. How can I maintain prostate health?
Maintaining prostate health involves several lifestyle choices:
- Stay Hydrated: Drink plenty of water throughout the day to help flush out the urinary system.

- Healthy Diet: Incorporate a diet rich in fruits, vegetables, whole grains, and healthy fats. Foods high in antioxidants, like tomatoes (rich in lycopene), may be beneficial for prostate health.

- Regular Exercise: Engaging in regular physical activity can help maintain a healthy weight and reduce the risk of prostate issues.

- Avoid Irritants: Limit caffeine, alcohol, and spicy foods, as these can irritate the bladder and prostate.

- Routine Check-ups: Regular visits to your healthcare provider for prostate screenings and discussions about any urinary symptoms are essential.

In conclusion, while your symptoms seem to be improving, it's essential to remain vigilant and maintain open communication with your healthcare provider. If any new symptoms arise or if existing symptoms worsen, do not hesitate to seek medical advice. Your health is paramount, and proactive management is key to maintaining your well-being. Thank you for your questions, and I wish you continued health!

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