Urethral Issues: Pain and Swelling After DIY Practices

Q: Urethral Issues: Pain and Swelling After DIY Practices

Hello： In response to your question, DIY is fine, but it may not be necessary to use a condom. <br>Additionally, if there is redness at the urethral opening that resolves on its own and there is no pain during urination, it is generally okay. <br>However, if the redness persists

Urethral orifice issues

Hello, doctor.
Due to a previous case of aseptic prostatitis, I am still taking tamsulosin 0.2 mg (for the enlargement caused by inflammation).
Currently, I am doing DIY once a week, but at the end of the DIY, I experience redness, swelling, and pain at the urethral opening, along with a persistent urge to urinate.
I have been drinking water, which gradually alleviates the symptoms.
I would like to ask the doctor: 1.
Should I avoid DIY altogether? 2.
Should I use a condom during DIY to reduce the risk of infection? Previously, when I did not have prostatitis, I did not experience redness, swelling, or pain at the urethral opening after DIY.
3.
In my situation, would taking Levofloxacin 500 mg be effective? Here is a link to a picture of the redness at the urethral opening: http://imgur.com/a/S7cmg Thank you, doctor, for your response! I appreciate it!

A Ben, 30~39 year old female. Ask Date: 2016/10/31

Dr. Du Shixi reply Urology

Hello: In response to your question, DIY is fine, but it may not be necessary to use a condom.
Additionally, if there is redness at the urethral opening that resolves on its own and there is no pain during urination, it is generally okay.
However, if the redness persists and there is pain in the urethra, it may be necessary to see a urologist to rule out any urinary tract infection issues.
Therefore, I recommend that you do not self-medicate and instead seek medical advice.
The doctor will inform you about which medication is appropriate, how to use it, and for how long.
Furthermore, please pay attention to your lifestyle; temporarily avoid spicy foods, alcohol, and irritant foods and beverages.
Also, keep the genital area dry, such as wearing loose-fitting underwear and ensuring that the foreskin does not remain moist frequently.
Taking these precautions and consulting a doctor if needed is much better than worrying at home.
Thank you for your inquiry.

Reply Date: 2016/10/31

More Info

When it comes to urethral issues, particularly pain and swelling after DIY practices, it is essential to approach the situation with caution and an understanding of the underlying medical conditions. Based on your description, it seems that you are experiencing discomfort following self-stimulation, which has led to redness and pain at the urethral opening. This is concerning, especially given your history of prostatitis and current treatment with tamsulosin for benign prostatic hyperplasia (BPH).

1. Should you continue DIY practices?
Given the symptoms you are experiencing, it may be advisable to reconsider the frequency and method of your DIY practices. The redness and pain you describe could indicate irritation or even a mild injury to the urethra, especially if you are engaging in these activities frequently. The urethra is a sensitive structure, and any trauma or excessive friction can lead to inflammation. If you notice consistent symptoms after these activities, it may be best to reduce their frequency or consult a healthcare provider for personalized advice.

2. Using protection during DIY practices:
Using a condom during DIY practices could potentially reduce the risk of irritation and infection. Condoms can provide a barrier that minimizes friction and may help prevent the introduction of bacteria into the urethra, which could lead to urinary tract infections (UTIs) or exacerbate existing conditions like prostatitis. It’s important to note that while condoms can help, they do not eliminate all risks, especially if the underlying technique is causing trauma.

3. Effectiveness of Levofloxacin:
Levofloxacin is an antibiotic that is often used to treat bacterial infections, including urinary tract infections. If your symptoms are due to an infection, this medication may be effective. However, it is crucial to have a proper diagnosis before starting any antibiotic treatment. Self-medicating with antibiotics can lead to resistance and may not address the underlying issue if it is not bacterial in nature. If you suspect an infection, it would be wise to consult your healthcare provider for appropriate testing and treatment recommendations.

In addition to these points, it is essential to monitor your symptoms closely. If you experience worsening pain, persistent swelling, or any signs of a more severe infection (such as fever, chills, or discharge), seek medical attention promptly. Your healthcare provider may recommend further evaluation, such as urine tests or imaging studies, to rule out any complications related to your prostatitis or other underlying conditions.

Lastly, consider discussing your DIY practices with a healthcare professional. They can provide guidance on safe practices and alternative methods to achieve satisfaction without risking injury or exacerbating your current condition. Maintaining open communication with your healthcare provider about your symptoms and practices is vital for your overall health and well-being.

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