Urethral Pain: Causes, Symptoms, and Treatment Options

Urethral and penile issues?

Hello Dr.
Lee: I sometimes experience a burning sensation while urinating and occasional itching at the urethral opening.
I didn't think much of it at first, assuming it was due to excessive heat in my body, but it seems to have persisted for over six months.
I also feel soreness in the lower abdomen when I press on the penis during an erection, which has also been ongoing for a long time.
Recently, I visited a doctor, and a urinalysis indicated inflammation.
I took medication for two days but stopped, and after almost a month, I returned to the doctor for more medication.
I would like to know what I should pay attention to.
I have a stable sexual partner, but they do not seem to have any symptoms.

Wo, 30~39 year old female. Ask Date: 2017/05/03

Dr. Li Xinyi reply Urology

It is possible that the urinary tract infection has not been fully treated.
If you have concerns, it is advisable to see a urologist for further examination and to discuss with the physician.

Reply Date: 2017/05/03

More Info

Urethral pain can be a distressing symptom that may arise from various underlying causes. It is essential to understand the potential reasons behind this discomfort, as well as the appropriate treatment options available. Based on your description, it seems that you have been experiencing urethral pain and itching at the urethral opening for over six months, along with discomfort during erections. You mentioned that you have already consulted a physician who diagnosed you with inflammation based on urinalysis and prescribed medication.

Possible Causes of Urethral Pain
1. Urinary Tract Infection (UTI): One of the most common causes of urethral pain is a urinary tract infection. UTIs can lead to inflammation of the urethra, resulting in symptoms such as burning during urination, frequent urges to urinate, and discomfort in the lower abdomen.

2. Urethritis: This condition refers to inflammation of the urethra, which can be caused by infections (bacterial or viral) or irritants. Common infectious causes include sexually transmitted infections (STIs) such as chlamydia and gonorrhea.

3. Prostatitis: In men, inflammation of the prostate gland can lead to pain in the urethra, particularly during urination or sexual activity. Symptoms may include pelvic pain, difficulty urinating, and discomfort during erections.

4. Allergic Reactions or Irritation: Sometimes, irritation from soaps, lotions, or other products can cause symptoms similar to those of infections. Allergic reactions can also lead to itching and discomfort.

5. Sexually Transmitted Infections (STIs): As mentioned, STIs can cause urethral pain. It is crucial to consider this possibility, especially if you have had unprotected sexual encounters.

6. Other Conditions: Conditions such as interstitial cystitis or pelvic floor dysfunction can also lead to urethral pain. These conditions may require specialized treatment approaches.

Symptoms to Monitor
- Pain during urination: Note if the pain is consistent or intermittent.

- Discharge: Any unusual discharge from the urethra can indicate an infection.

- Changes in urinary habits: Increased frequency or urgency to urinate.

- Pain during sexual activity: This can be a significant indicator of underlying issues.

Treatment Options
1. Antibiotics: If a bacterial infection is confirmed, antibiotics are typically the first line of treatment. It is essential to complete the entire course of antibiotics, even if symptoms improve.

2. Pain Relief: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort. However, consult with your physician before starting any new medication.

3. Avoid Irritants: If you suspect that soaps, lotions, or other products are causing irritation, consider switching to hypoallergenic options and avoiding potential irritants.

4. Hydration: Drinking plenty of fluids can help flush out the urinary system and may alleviate some symptoms.

5. Follow-Up Care: Since your symptoms have persisted for an extended period, it is crucial to follow up with your healthcare provider. They may recommend further testing, such as urine cultures or imaging studies, to rule out other conditions.

6. Consult a Specialist: If symptoms persist despite treatment, consider consulting a urologist, who specializes in urinary tract disorders. They can provide a more comprehensive evaluation and tailored treatment options.

Conclusion
Urethral pain can stem from various causes, and it is essential to address it promptly to prevent complications. Since you have already sought medical attention, continue to monitor your symptoms and maintain open communication with your healthcare provider. If your symptoms worsen or do not improve with treatment, further evaluation may be necessary to identify the underlying cause and determine the most effective treatment plan. Remember, your health is paramount, and seeking timely medical advice is crucial in managing your symptoms effectively.

Similar Q&A

Understanding Urethral Pain: Causes and Solutions for Discomfort

Hello Doctor: I have seen quite a few doctors, but my urinalysis shows no signs of inflammation, and I do not experience pain during urination. However, I often feel a sharp or cramping pain in my urethra (not during urination). Sometimes, while I am sleeping, I feel a sensation ...

Dr. Li Yilun reply Urology
The symptoms may be caused by lower urinary tract syndrome or chronic prostatitis, but the exact cause is currently unclear. The effectiveness of treatment medications is also not very good. Generally, it is due to chronic pain from inflammation affecting the nerves or local tiss...

Understanding Urethral Pain: Causes, Diagnosis, and Treatment Options

In April, I experienced painful urination and discomfort in the area between the anus and the left side of the testicles. Recently, after ejaculation, the pain in the urethra has intensified. I went to a large hospital for examination; urinalysis results were normal, and a physic...

Dr. Du Shixi reply Urology
Hello: All the tests have been completed and results are normal. It is recommended to consult another urologist at a different hospital, but please be aware that medication may need to be taken for an extended period, so patience is required. Clinically, these symptoms often take...

Understanding Urethral Pain: Causes, Treatments, and Next Steps

Hello doctor, I previously mentioned that at the beginning of November, after my wife's menstrual period ended, we had unprotected intercourse (with some bleeding). The next day, I started experiencing frequent urination and discomfort in my abdomen. The main issue is that I...

Dr. Xu Weikai reply Urology
Chris: You may have urethritis, possibly accompanied by local skin breakdown. Antibiotics are certainly the fundamental treatment. Some specific bacteria require a longer course of antibiotics, potentially up to 12 weeks. It is advisable to conduct relevant bacterial cultures or ...

Understanding Urethritis: Symptoms, Causes, and Treatment Options

I have been experiencing intermittent pain in my urethra after urination, and the urethral opening is consistently red and swollen, but it doesn't hurt unless I touch it. Could this be urethritis? Also, is it necessary to treat urethritis immediately? Thank you, doctor!

Dr. Du Shixi reply Urology
Hello: Pain at the urethral opening and discomfort during urination may indicate urethritis. It is advisable to seek medical attention for a urine test. In the meantime, drink plenty of water and maintain a light diet. Wishing you good health.