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Dear Mr. Jackson, Pain in the lower back as well as the penis can be present after an episode of acute prostatitis. The alteration in the amount of pre-ejaculate(precum) is also secondary to prostatitis. The decrease in ejaculate is caused due to retrograde ejaculation, where the ejaculate goes into bladder instead of coming out and it is nothing to worry about. It shall improve by itself. I am interested to know what other medications you are taking other than ciprofloxacin. Please feel free to ask queries.
Take care.
Sincerely,
Rajiv Goel,
Consultant Urologist.
Patient replied :
Thank you for your reply! Three more things:
1) I meant to say I was in the hospital in 2011; there should not have been a blank (I wrote it and cut and pasted the question)
2) You mentioned something called "Retrograde Ejaculation:" sometimes when I urinate, I see a white film floating in the toilet water: could this be residuum of excess sperm based on this condition?
3) Is this why if I perform a massage on the urethra of my penis (in a downward motion) it releases the rest of the sperm and relinquishes the pain I feel?
Thanks much for your clarifications!
Dear Mr. Jackson,
I understand you suffered from Prostatitis in 2011.
The foam in your urine is not because of sperms because of retrograde ejaculation. Foam could be due to the presence of proteins. You should undergo urinalysis to find if there is any protein in urine.
The milking of the urethra leads to expulsion of urethral secretions and has no relation to retrograde ejaculation. Sperms which have undergone retrograde flow can be passed with urine only and they are indistinct and cannot be differentiated in the urine.
As I have suggested, please undergo a urine analysis.
Take care.