Groin Pain During Urination: Causes and Solutions - Urology

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Pain in the groin during urination?


Hello doctor, I experienced a sudden dull pain (or sharp pain?) near my testicles while urinating this morning.
I had masturbated a few hours before urinating.
What could be the cause of this?

Mr. Wang, 10~19 year old female. Ask Date: 2018/11/20

Dr. Du Mingyi reply Urology


Neuropathic pain does not require concern for occasional normal responses.

Reply Date: 2018/11/20

More Info


Groin pain during urination can be a concerning symptom, and it is essential to understand the potential causes and appropriate solutions. Based on your description, the sudden pain near the groin area, close to the testicles, could be attributed to several factors, especially considering that you engaged in sexual activity shortly before experiencing this discomfort.


Possible Causes of Groin Pain During Urination
1. Urethritis: This is an inflammation of the urethra, which can be caused by infections, including sexually transmitted infections (STIs) such as gonorrhea or chlamydia. Symptoms often include pain during urination, discharge, and discomfort in the groin area.

2. Prostatitis: In males, inflammation of the prostate gland can lead to pain in the groin, lower abdomen, and during urination. This condition can be acute or chronic and may be associated with urinary frequency, urgency, and pain.

3. Inguinal Hernia: A hernia occurs when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall. If you have a hernia, you might experience pain in the groin area, especially when straining or lifting.

4. Testicular Issues: Conditions such as epididymitis (inflammation of the epididymis) or testicular torsion can cause pain in the groin and may be associated with urination. These conditions often require immediate medical attention.

5. Kidney Stones: While typically associated with flank pain, kidney stones can cause referred pain to the groin area and may lead to painful urination if they are located in the ureters.

6. Muscle Strain: Sometimes, physical activities, including sexual activity, can lead to muscle strain in the groin area, resulting in discomfort during urination.


Recommended Solutions and Next Steps
1. Hydration: Ensure you are drinking plenty of fluids to help flush out your urinary system. This can also help alleviate some discomfort.

2. Avoid Irritants: Stay away from caffeine, alcohol, and spicy foods, which can irritate the bladder and exacerbate symptoms.

3. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain. However, consult with a healthcare provider before taking any medication, especially if you have underlying health conditions.

4. Seek Medical Attention: Given the sudden onset of pain, it is advisable to consult a healthcare professional. They may perform a physical examination, urine tests, and possibly imaging studies to determine the underlying cause of your symptoms.

5. Discuss Sexual Activity: If you suspect that your symptoms may be related to recent sexual activity, be open with your healthcare provider about this. They may recommend STI testing or further evaluation of your reproductive health.

6. Follow-Up: If the pain persists or worsens, or if you experience additional symptoms such as fever, chills, or blood in your urine, seek immediate medical attention.


Conclusion
Groin pain during urination can arise from various causes, ranging from infections to structural issues. It is crucial to monitor your symptoms closely and seek medical advice to ensure proper diagnosis and treatment. Early intervention can prevent complications and lead to a more effective resolution of your symptoms. Remember, your health is paramount, and addressing these concerns with a healthcare provider is the best course of action.

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