Urethral Nerve Issues After Urinary Tract Infection

Hello, doctor. I have issues with the nerves in my urethra?

Hello Doctor:
I recovered from a urinary tract infection two weeks ago and had intercourse twice during this period.
The first time was normal, but after the second time, I experienced a slight pain in the penis.
I underwent all the necessary tests (STI screening, ultrasound, white blood cell inflammatory index, prostate examination, and urine culture), and everything came back normal.
One doctor suggested that I might just be experiencing neuropathic pain and that there is no major issue.

Could you please tell me how long it typically takes for general nerve damage to heal? It has now been another 2-3 weeks, and while I feel like I'm gradually improving, I experienced pain again after holding my urine (though not for a long time) following urination.
During the period of nerve damage, could it leave the bladder or penis in a weakened state? Is it safe to have intercourse during this time? If I want to confirm whether there is any nerve damage, what kind of tests can I undergo?
Thank you so much for your response, as this has been quite distressing.
I've seen many doctors, and each has given different opinions, but all tests have shown no abnormalities.
What tests can detect nerve issues? I truly appreciate your willingness to take the time to answer my questions.
Thank you very much.

w, 20~29 year old female. Ask Date: 2017/06/15

Dr. Liu Jiaju reply Urology

It is recommended to drink more water, avoid holding in urine, and maintain a regular daily routine.
If symptoms persist, it is advisable to consult a trusted physician for discussion and treatment.
If there is no prior history of neurological disorders, there are currently no specific tests available for detection.

Reply Date: 2017/06/15

More Info

After a urinary tract infection (UTI), it is not uncommon for individuals to experience lingering discomfort or pain, particularly in the genital or pelvic region. This can sometimes be attributed to nerve issues, which may arise due to inflammation or irritation during the infection. In your case, the pain you are experiencing in the penis after sexual activity could indeed be related to nerve sensitivity or neuropathic pain, especially if all other tests have returned normal results.

Nerve pain, or neuropathic pain, can occur when nerves are damaged or irritated. This type of pain can manifest in various ways, including sharp, shooting sensations, or a persistent dull ache. The duration of recovery from nerve-related issues can vary significantly from person to person. Generally, minor nerve injuries may heal within a few weeks to months, while more significant damage could take longer. Factors influencing recovery include the extent of the nerve damage, overall health, and whether any underlying conditions are present.

Regarding your question about whether the bladder or penis can be in a weakened state due to nerve damage, the answer is yes. Nerve damage can affect the signals between the bladder and the brain, potentially leading to issues such as urgency, frequency, or pain during urination. This disruption can also affect sexual function, as the nerves involved in arousal and sensation may be impacted.

If you are concerned about potential nerve damage, there are several diagnostic tests that can be performed. Electromyography (EMG) and nerve conduction studies are common tests used to evaluate nerve function and can help identify any abnormalities. These tests measure the electrical activity of muscles and the speed of nerve signals, providing insight into the health of your nerves.

Additionally, if you are experiencing pain during urination or after holding your urine, it is essential to communicate this with your healthcare provider. They may recommend further evaluation, including imaging studies or referrals to specialists such as a urologist or a neurologist, who can provide more targeted assessments.

As for engaging in sexual activity during this recovery period, it is advisable to proceed with caution. If you are experiencing pain, it may be best to wait until you feel more comfortable and have consulted with your healthcare provider. They can provide personalized advice based on your specific situation and help determine the best course of action.

In summary, nerve pain following a UTI can be a frustrating and uncomfortable experience. While recovery can take time, it is essential to stay in close contact with your healthcare provider, pursue appropriate diagnostic tests, and communicate any changes in your symptoms. This proactive approach will help ensure that you receive the best possible care and support during your recovery.

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