Urinary Issues: Painful Urination and Unusual Discharge

Urinary problems

Recently, I have been experiencing pain in my penis when using the restroom, and I also feel discomfort during erections.
There is an unusual discharge that has a bad odor, sometimes yellow and sometimes red.
I would like to ask the doctor what might be the cause of this.

Lü, 20~29 year old female. Ask Date: 2019/04/08

Dr. Du Mingyi reply Urology

It is recommended to visit an outpatient clinic for a possible diagnosis of gonorrhea.

Reply Date: 2019/04/08

More Info

Experiencing painful urination and unusual discharge can be concerning and may indicate an underlying medical condition that requires attention. Based on your description, it seems you are facing a combination of symptoms that could be related to several potential issues, including infections, inflammation, or other urological conditions.

Firstly, the pain during urination (dysuria) can be caused by a urinary tract infection (UTI), which is common and often presents with symptoms such as burning sensation while urinating, increased frequency of urination, and sometimes, blood in the urine (hematuria). The presence of unusual discharge, especially if it has a foul odor and varies in color, could suggest a sexually transmitted infection (STI) such as gonorrhea or chlamydia, or it could be related to a non-infectious condition like prostatitis or urethritis.

The fact that you mentioned the discharge can sometimes be yellow or red raises concern for possible blood in the urine or discharge, which could indicate inflammation or infection in the urinary tract or reproductive system. In men, conditions such as prostatitis (inflammation of the prostate gland) can lead to painful urination and discharge, and it may also cause discomfort during erections.

It is essential to seek medical evaluation promptly. A healthcare provider will likely perform a thorough history and physical examination, including a genital examination, and may order laboratory tests such as urinalysis, urine culture, and possibly tests for STIs. Imaging studies may also be warranted if there are concerns about structural abnormalities.

In terms of treatment, if an infection is diagnosed, antibiotics will be prescribed based on the specific organism identified. If the symptoms are due to prostatitis or another inflammatory condition, treatment may include anti-inflammatory medications, pain relief, and sometimes, alpha-blockers to help relieve urinary symptoms.

Additionally, it is crucial to maintain good hydration and avoid irritants such as caffeine, alcohol, and spicy foods, which can exacerbate urinary symptoms. If you are sexually active, it is advisable to inform your partner and consider safe sexual practices to prevent transmission of STIs.

In summary, your symptoms warrant a thorough evaluation by a healthcare professional to determine the underlying cause and appropriate treatment. Do not hesitate to seek medical attention, as early diagnosis and treatment can prevent complications and improve your quality of life.

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