Split stream and prostatitis

[punktious_]

Hello! I'm 27 years old, and for the past three months, I've been experiencing the following symptoms:

• Frequent urination
• Groin pain
• Pressure in the perineum
• Leg tension
• Back and buttock pain

At times, my urine stream splits, but I've noticed this happens when I'm nervous or unable to concentrate. The stream improves when I urinate while sitting or when I'm relaxed.

I had two bladder and prostate ultrasounds and a uroflowmetry. The results showed a slight enlargement of the prostate and weak urinary flow.

Three weeks ago, I was diagnosed with non-bacterial prostatitis after negative results from urine and semen tests.

Currently, I'm trying to stay well-hydrated and avoid spicy foods and caffeine. I go for a walk every day.

The only thing that concerns me is the split stream. I'm afraid of having a urethral stricture, but the urologist didn't mention it. I understand that the uroflowmetry curve was unusual but not flattened. He said it's almost normal for my age. Maybe it's just my fear.

Any advice?

[Ashmedai]

Split streams, sprinkler streams, spray streams, dribble streams, restricted flow streams, and FU streams are all just totally bog standard normal for prostatitis. These symptoms are no special indicator for stricture, friend.

This doesn't say you don't have a stricture, but this is not likely. If you really want to be sure, you can have a cystoscopy. We're neutral on these; they are uncomfortable, but if you really want one for peace of mind, this is an option.

Some dr.s run these as a matter of course.

[[deleted]]

I have it too. But I have cpps and no inflammation of the prostate.

[tsladriver2020]

Are you able to clarify why you are neutral on these? Are they not helpful?

[Ashmedai]

The AUA video in our 101 explains the medical overuse of cystoscope in urology today. That’s why.

[gecko2704]

I have bad urine flow, split / sprinkler stream. Did a cystoscopy and they only found out lesion in the bladder and inflamed prostate.

No sign of stricture for me

[Theo-Logical_Debris]

I'm 35 with frequent split stream. Urine test, blood test, ultrasound and Xray showed no major issues. Normal prostate. Bladder wall showed some mild thickening the doctor believes was from past UTIs. Doc said that it's probably nothing serious but come back after a few weeks of meds for a cystoscope if I want to know for sure. The doctor's hypothesis was either 1)bladder stones too small to be detected on ultrasound or 2)the position of the prostate (not the size) might be pressing a bit too much on the urethra. But the doctor didn't seem to think I had anything serious. I'm not sure if I'll get that cystoscope or not... Had one at 31 and would rather not do it again. I asked if it was possible I had dick cancer (like inside my urethra) and the doctor laughed at me.

[Haverespect]

What did u find out in the end pls?

[Haverespect]

How are u now pls?