Itching at the base of the penis and urethra?
Hello Doctor: Recently, I have been experiencing itching in the urethra beneath the penis, particularly at the glans frenulum and the base of the penis near the scrotum.
The itching is more pronounced in these two areas.
When I massage the urethra at the base of the penis, it provides a sense of relief (similar to the feeling of wanting to scratch after being bitten by a mosquito).
I also feel a burning sensation and itching when urinating, but there is no pain, and urination is smooth.
This morning, I visited a urologist at the hospital, and after a urinalysis, the doctor said the results were normal, so they prescribed anti-inflammatory medication for me to take at home.
However, I have had two previous instances with identical symptoms where a doctor at a clinic noted a high bacterial count and prescribed antibiotics.
This time, with the same symptoms, the hospital's urinalysis showed normal results, and the doctor only prescribed anti-inflammatory medication.
I am wondering if I should seek a second opinion from another urologist or clinic for further examination.
The itching in the urethra has been present for about a week.
A week ago, I had unprotected intercourse, and everything was normal the following day.
That night, I used a vibrating massager to massage the urethra beneath the penis, from the base to the glans, until I reached orgasm.
The next day, I started experiencing the itching symptoms.
Currently, I also feel some itching in the perineal area (between the base of the scrotum and the anus), which makes me want to insert my finger into the anus to relieve the itch.
Should I go to a clinic or hospital, and what type of urologist should I consult for examination and treatment?
willy, 30~39 year old female. Ask Date: 2018/02/05
Dr. Chen Jiansheng reply Urology
It sounds like it could be prostatitis.
Please consult a urologist and discuss your concerns with the physician.
Reply Date: 2018/02/05
More Info
Itchy urethra symptoms can be quite uncomfortable and concerning, especially when accompanied by sensations like burning during urination. Based on your description, it seems you've been experiencing persistent itching in the urethra, particularly around the glans and the area near the scrotum, along with a burning sensation during urination. Given that you've already consulted a urologist and had normal urinalysis results, it’s understandable to seek further clarification and possibly additional care.
Understanding Your Symptoms
The symptoms you're experiencing could be attributed to several factors, including:
1. Infection: Although your recent urinalysis came back normal, urinary tract infections (UTIs) can sometimes present with itching and burning without significant bacteria being detected, especially if the infection is localized or if there are other underlying conditions.
2. Irritation: The use of a vibrating device for stimulation could potentially lead to irritation of the urethra or surrounding tissues, especially if there was any friction or if the device was not adequately cleaned. This irritation can manifest as itching and discomfort.
3. Allergic Reaction: Sometimes, products such as lubricants, soaps, or even laundry detergents can cause allergic reactions that lead to itching in the genital area.
4. Dermatological Conditions: Conditions such as eczema or psoriasis can also affect the genital area, leading to itching and discomfort.
5. Sexually Transmitted Infections (STIs): Although you mentioned having normal urinalysis, some STIs can cause similar symptoms. It's important to consider this, especially given your recent sexual activity.
When to Seek Further Care
Given that your symptoms have persisted for about a week and have recurred previously, it may be prudent to seek further evaluation. Here are some steps you can take:
1. Return to a Urologist: Since you have already seen a urologist, consider returning to discuss your ongoing symptoms. It may be beneficial to request a more comprehensive evaluation, including tests for STIs or a referral for a cystoscopy if deemed necessary.
2. Consider a Dermatologist: If the urologist rules out infections and other urological issues, a dermatologist specializing in genital skin conditions may provide insights into potential dermatological causes of your symptoms.
3. Keep a Symptom Diary: Documenting when the symptoms occur, their severity, and any potential triggers (such as activities or products used) can help your healthcare provider make a more accurate diagnosis.
4. Avoid Irritants: Until you can see a doctor, try to avoid any potential irritants, including scented soaps, lotions, or any products that come into contact with the genital area.
5. Follow-Up Testing: If symptoms persist, ask for follow-up tests, including urine cultures or swabs for STIs, to ensure that no underlying infections are missed.
Conclusion
In summary, while your initial visit to the urologist did not reveal any significant issues, the persistence of your symptoms warrants further investigation. It’s essential to communicate openly with your healthcare provider about your symptoms and any changes you notice. Seeking a second opinion or consulting a specialist can provide you with the reassurance and care you need to address your concerns effectively. Remember, it’s always better to err on the side of caution when it comes to your health.
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