Urinary Issues: Redness and Swelling Near the Urethra

Urinary problems

Hello, there is slight redness and swelling on the right side of the urethral opening of the glans, but it is almost painless and not itchy.
Towards the end of urination, it tends to curve to one side.
There has been no sexual activity.
What could this condition be? If it is inflammation, what over-the-counter ointments can be purchased for treatment? Thank you.

zero four two two, 30~39 year old female. Ask Date: 2018/04/22

Dr. Chen Jiansheng reply Urology

I don't really think there's any illness; please take it with a calm mindset.

Reply Date: 2018/04/22

More Info

When experiencing redness and slight swelling near the urethra, particularly if it occurs alongside changes in urine color or flow, it is essential to consider several potential causes and appropriate responses. The symptoms you describe—localized redness and swelling without significant pain or itching, along with a deviation in urine flow—could indicate a few different conditions, including inflammation, infection, or even mechanical irritation.

Possible Causes
1. Urethritis: This is an inflammation of the urethra, which can be caused by infections (bacterial or viral) or irritants. Symptoms may include redness, swelling, and changes in urination patterns. If the urethra is inflamed, it can lead to a deviation in urine flow, which might explain the "crooked" stream you mentioned.

2. Infection: A urinary tract infection (UTI) or sexually transmitted infection (STI) could also present with similar symptoms. While you mentioned there is no pain or itching, infections can sometimes present with mild symptoms or be asymptomatic in the early stages.

3. Mechanical Irritation: If there has been any recent physical activity that may have caused trauma to the area (such as vigorous exercise or injury), this could lead to localized swelling and redness.

4. Allergic Reaction or Dermatitis: Sometimes, products such as soaps, lotions, or even laundry detergents can cause localized allergic reactions, leading to redness and swelling.

Recommended Actions
1. Observation: Monitor the symptoms closely. If the redness and swelling persist or worsen, or if you develop additional symptoms such as pain, fever, or changes in urination (like increased urgency or frequency), it is crucial to seek medical attention.

2. Hydration: Ensure you are drinking plenty of fluids. This can help flush out any potential irritants or infections from the urinary tract.

3. Over-the-Counter Treatments: While there are topical treatments available at pharmacies, it is essential to use them cautiously. If you suspect an infection, topical antibiotics or antifungal creams may be appropriate, but it is best to consult with a healthcare provider before starting any treatment.

4. Avoid Irritants: If you suspect that soaps or other products may be causing irritation, consider switching to hypoallergenic or fragrance-free options.

5. Consult a Healthcare Provider: Given the symptoms you describe, it is advisable to consult a healthcare provider for a thorough evaluation. They may perform a physical examination, urinalysis, or other tests to determine the underlying cause of your symptoms. Early diagnosis and treatment are crucial, especially if an infection is present.

Conclusion
While mild redness and swelling near the urethra may not always indicate a severe condition, it is essential to pay attention to your body and seek medical advice if symptoms persist or worsen. A healthcare provider can offer a proper diagnosis and treatment plan tailored to your specific situation. Remember, early intervention can prevent complications and lead to a quicker recovery.

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