### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Please bear with me. I have been to my GP and a urologist, and they checked me out, but I don t feel like they listened to me. My penis hurts constantly. Specifically the urethra and the meatus. Some key symptoms: it hurts more when I have to urinate, when I urinate and immediately after urinating. If I fart while I pee or try to cut off mid stream, it hurts much worse. The pain is pinching. When I ejaculate, I leak semen for an hour. If I get an erection, presemenal fluid drips out within a minute. My semen seems extra sticky, as in sticks penis to underwear making a painful situation worse. Semen will dry and clog my penis if I fall asleep. I ve had runs of ciproflaxin and other antibiotics as I have struggled for 18 months to get a diagnosis. No STI. Prostate never more than a little mushy . There seems to be a nick on my meatus, but it never bled. The symptoms will lessen periodically, then return.

### output:

HelloThanks for query. Based on what you have stated I think you have painful urination and ejaculation mostly due to either 1) Prostatitis 2) Stricture of Urethra. Please follow basic tests done to confirm the diagnosis.1) Seen Examination and semen culture 2) Radiological tests Cystourethrogram to rule out narrowing of urethra (Stricture Urethra). If proved to be due to infection You will need to take long term course of antibiotic like combination of Trimethoprim and Sulphamethoxole for 2-3 months along with anti inflammatory medicine like Diclofenac twice daily. Chat Doctor. .