What is the situation where white liquid and urine are excreted together?

Patient's question:

Patient Gender: I have been experiencing some issues after my penis becomes erect (without masturbation or sexual activity) and then softens when I go to the toilet. There is a white liquid mixed with my urine being expelled. Is this a problem? If so, what should I do?
Duration of Symptoms: Occasionally, a few times.

Doctor's answer:

Hello, based on your inquiry, I consider that if there are no other discomforts, the discharge is likely prostatic fluid, also known as prostatic hyperemia. It may also contain a small amount of fluid secreted by the bulbourethral glands. This is because the prostate and bulbourethral glands are located in the pelvic floor, and the act of defecation compresses these glands, causing them to secrete a small amount of fluid. This is a normal physiological response.
If you experience other discomforts in the urethra, such as itching, burning sensation, difficulty urinating, pain, or redness and swelling at the urethral meatus, it may indicate a urinary tract infection, such as pyonephrosis or bladder diverticulitis. In such cases, purulent discharge may be expelled from the urethral meatus during urination, appearing white, which is known as pyuria. Pyuria appears cloudy and may contain pus threads, and in severe infections, it may have a foul odor.
If this is the case, it is best to visit a urology department in a regular hospital for examination or consultation.

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