Burning sensation during urination?
Hello Dr.
Lee, for the past few days (approximately a week), I have been experiencing a sharp pain at the moment of urination, but it resolves quickly and the rest of the urination is normal.
There is no burning sensation, no persistent pain, and I have not engaged in sexual activity.
The pain occurs only at the moment of urination.
I have a longer foreskin, but I clean it properly every day.
Ke Xiansheng, 20~29 year old female. Ask Date: 2016/03/27
Dr. Li Xinyi reply Urology
Is there a wound at the urethral opening? It is advisable to see a urologist for an examination to find out.
Reply Date: 2016/03/27
More Info
Hello! It sounds like you're experiencing sharp pain during urination, specifically at the moment the urine exits the urethra. This type of pain can be concerning and may have several underlying causes. Let's explore some potential reasons for your symptoms and discuss possible solutions.
Potential Causes of Sharp Pain During Urination
1. Urethritis: This is an inflammation of the urethra, which can be caused by infections (bacterial or viral) or irritation. Even if you do not have a history of sexual activity, urethritis can occur due to other factors, such as irritation from soaps, lotions, or even prolonged exposure to moisture.
2. Urinary Tract Infection (UTI): While you mentioned no burning sensation or continuous pain, UTIs can sometimes present with sharp pain during urination, especially if the infection is localized to the urethra.
3. Urethral Stricture: A narrowing of the urethra can lead to pain during urination. This might be due to previous infections, trauma, or other medical conditions.
4. Irritation from Hygiene Products: Sometimes, soaps, lotions, or even laundry detergents can irritate the sensitive skin around the urethra, leading to pain during urination.
5. Long Foreskin: You mentioned having a longer foreskin. If it is not retracting fully during urination, it could potentially cause some irritation or pressure, leading to discomfort.
6. Nerve Sensitivity: In some cases, heightened sensitivity of the nerves in the urethra can lead to sharp pain during urination without any apparent physical cause.
Suggested Solutions
1. Hydration: Ensure you are drinking plenty of water. Staying well-hydrated can help dilute your urine, which may reduce irritation during urination.
2. Hygiene Practices: Continue to maintain good hygiene. Make sure to clean the area gently but thoroughly. If you suspect that soaps or other products may be causing irritation, consider switching to hypoallergenic options.
3. Warm Compress: Applying a warm compress to the area may help soothe discomfort. This can relax the muscles and reduce pain during urination.
4. Avoid Irritants: If you suspect that certain products are causing irritation, try to avoid them. This includes scented soaps, lotions, or any products that come into contact with the genital area.
5. Medical Evaluation: Since your symptoms have persisted for about a week, it would be wise to consult a healthcare professional. They may recommend a urinalysis or urine culture to check for infections or other abnormalities. If necessary, they might also perform a physical examination to assess for any structural issues.
6. Discuss with Your Doctor: When you visit your doctor, be open about all your symptoms and concerns. Mention the sharp pain during urination, the absence of burning or continuous pain, and your hygiene practices. This information will help them determine the best course of action.
7. Consider Urology Consultation: If your primary care physician cannot identify the cause, a referral to a urologist may be beneficial. They specialize in urinary tract issues and can perform more specialized tests if needed.
Conclusion
Experiencing sharp pain during urination can be distressing, but understanding the potential causes and solutions can help you manage your symptoms effectively. It's essential to seek medical advice, especially if the pain persists or worsens. By addressing this issue promptly, you can work towards finding relief and ensuring your urinary health. Remember, your health is important, and seeking help is a proactive step towards feeling better.
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