There are many patients in whom whitish semen like or water like secretions are discharged from penis /urethraat time of thinking of sex,during foreplay or during urination or other time. This type complaint has been found in many boys or men. The various causes of such problems are:
1) Dhat secretion in urine
1.) Spermatorrhoea
2.) Retrograde Ejaculation: In this semen goes in bladder in place of, coming out through penile opening. The cause of retrograde ejaculation can be due to diabetics, some psychiatric drugs & pelvic surgeries. Thus for treatment the cause should be tried to find out by detail history, investigation. Once diagnosis is made treatment can be possible.
3.) Pyuria
4.) Crystalluria
5.) Leucocytouria
6.) Cowper's gland over activity / or infections
7.) Prostatitis
8.) Significant proteinuria
9.) Chylliuria
10.) Nephrotic syndrome
11.) Candidal balanitis
12.) Non gonococcal urethritis
13.) Idiopathic
14.) Venereophobia
15.) After play secretions
DIAGNOSIS OF CAUSE OF STICKY WATERY SECRETION PROBLEM
First step in proper treatment of watery like secretions from penis is accurate diagnosis of cause of his problem. So we first try to find out cause. We take detailed history, thorough sex counseling and physical examination. After that depending on likelihood of particular, cause relevant tests are done at our centre. Thus you may consult us at our centre & at same time you may get all test done also. The time taken in getting all the reports ready is 24 hours. So if you are from out of Delhi, you may come here for two days for proper diagnosis of your problem.
DETAILED HISTORY
Onset: Sudden/gradual, Response to previous therapy, Libido, Stress (physical or mental), H/O precipitation by some infection or unprotected sexual intercourse, Sec. Sexual Characters, Other symptoms suggestive of any infections.
EXAMINATION OF GENITALS
We examine whether Sexual Development is adequate or subnormal. For this testis size is measured by orchidometer (if patient is outstation then by ultrasound of testis). Then other systems are examined. Signs of urinary tract infection, any sexually transmitted diseases are examined.
INVESTIGATIONS i.e. DIAGNOSTIC TESTS
At our centre we have all the facility for complete investigation of cause of difficulties & other sex problems. So we perform following tests, step by step depending on their need based on history & examination.
The various diagnostic tests needed/performed are as follows: -
Biochemistry tests, phosphorus, Usg., C/S, & other relevant tests.
TREATMENT
Understanding of STICKY WATERY SECRETION PROBLEM by Modern Medicine fails to impress most patients. Only AYURVEDIC MEDICINES HAVE PERMANENT CURE FOR STICKY WATERY SECRETION PROBLEM.WE AT Dr.S.K.Jain’s Burlington Clinic (P) Ltd Lucknow in valueable guidance of Dr.Saransh Jain Have Permanent Cure.Wig suggested emphatic listening, a nonconfrontational approach, reassurance and correction of erroneous beliefs, along with the use of placebo, anti-anxiety and antidepressant drugs, wherever required. Other group advocated psychoeducation and culturally informed cognitive behavioral therapy. Good response was reported with anti-anxiety and antidepressant drugs as compared to psychotherapy. Depressive symptoms of this syndrome showed effective response to selective serotonin reuptake inhibitors along with regular counseling.
The available intervention studies suggest that the management of Dhat syndrome involves sex education, relaxation therapy and medications. Sex education primarily focuses on anatomy and physiology of sexual organs and their functioning with reference to masturbation, semen, nocturnal emissions. It also involves functioning with genitourinary system independent of gastrointestinal tract, etc. Relaxation therapy mainly consists of Jacobson’s Progressive Muscular Relaxation Technique, which can be combined with biofeedback (so as to facilitate objective evidence and mastering of anxiety by the patient).
Response of Treatment: As we have fully dedicated team of highly qualified, experienced, doctors, who are expert in field of sexology. After finding the cause of watery like secretions by above tests it is cured in most patients by two months treatment.