A complaint of urethral discharge that is noticed only after urination or during defecation is common in conservative societies but has rarely been referred to in the modern medical literature. The term prostatorrhea has been used to describe this complaint. It is surprising that prostatorrhea, a very common complaint in our society, is almost unheard of in the western medical literature. The purpose of this study was to assess the assumption that men complaining of prostatorrhea characteristically rarely ejaculate through coitus or masturbation.Materials and methods
This study was carried out on a group of 50 patients, 18–30 years of age, that visited the Andrology outpatient clinic in Kasr El-Aini hospital complaining of a urethral discharge that was diagnosed as physiological. The control group comprised 50 age-matched men. All patients were subjected to history taking, focusing on the frequency of intercourse and masturbation, general examination, local genital examination, 2-glass urine tests, EPS analysis, and total serum testosterone levels.Results
Significant difference was found between the sexual activity of patients with prostatorrhea and the control group (P value <0.001): most of the men complaining of prostatorrhea were sexually inactive (80%), whereas most of those not complaining of physiological discharge were sexually active (98%). Moreover, there was a significant difference with respect to the frequency of sexual activity between men complaining of prostatorrhea and the control group (P value 0.013). There was nonsignificant difference between the two groups with regard to the frequency of sexual exposure, urinary tract infection, or serum total testosterone level.Conclusion
Prostatorrhea is a normal physiological discharge occurring in young men, especially in our society, who rarely ejaculate to sexual intercourse or masturbation. It is probably related to cultural and religious factors. Further studies in this area are needed to draw a clear distinction between prostatorrhea and Dhat syndrome and whether they are really the same condition.