Urethral Inflammation: Causes, Symptoms, and Treatment

Redness and swelling of the urethral opening?

I have never had sexual intercourse, but last month I suddenly experienced itching at the urethral opening and some pain during urination.
I thought it was urethritis, so I kept drinking water, but there was no improvement.
I then went to see a urologist, who performed a urinalysis that came back normal.
The doctor said it was inflammation of the urethral opening and prescribed antibiotics and an ointment for me to apply.
After treatment, the itching and pain during urination have almost disappeared, but the area from the tip of the urethra to the frenulum remains persistently red and swollen.
I don't feel much discomfort, but after masturbation, the urethral opening swells up like a lip.
It shouldn't be a sexually transmitted infection since I have never had sexual intercourse.
I'm really worried and hope the doctor can clarify my concerns.

Niming, 10~19 year old female. Ask Date: 2019/09/01

Dr. Li Xinyi reply Urology

The area from the urethral meatus to the frenulum is persistently red and swollen.
This area needs to rest for about 10 days, and masturbation should be avoided to prevent further irritation (increase lubrication and reduce friction).
Less common causes could be due to unclean clothing or an allergy to laundry detergent.
If there are concerns, it is advisable to consult a urologist for examination and discussion with the physician.

Reply Date: 2019/09/01

More Info

Urethral inflammation, also known as urethritis, can be a distressing condition characterized by symptoms such as itching, burning during urination, and discomfort in the urethral area. Your experience of sudden itching and pain during urination, followed by a visit to the urology department, is a common scenario for many individuals facing similar issues.

Causes of Urethral Inflammation
Urethral inflammation can arise from various causes, including:
1. Infections: While sexually transmitted infections (STIs) are common culprits, urethritis can also be caused by non-sexually transmitted bacteria, fungi, or viruses. In your case, since you have not engaged in sexual activity, it is less likely that an STI is the cause. However, other infections can still occur.

2. Irritants: Chemical irritants from soaps, lotions, or hygiene products can lead to inflammation. If you have recently changed any personal care products, this could be a factor.

3. Trauma: Physical irritation or trauma to the urethra, such as from vigorous activities or certain medical procedures, can also lead to inflammation.

4. Underlying Conditions: Conditions such as interstitial cystitis or autoimmune disorders may contribute to urethral symptoms.

Symptoms of Urethral Inflammation
The symptoms you described—itching, burning during urination, and redness—are typical of urethral inflammation. The persistent redness and swelling at the urethral opening, especially after activities like masturbation, may indicate localized irritation or inflammation rather than an infection.

Treatment Options
1. Antibiotics: Since your doctor prescribed antibiotics, it is likely they suspected a bacterial infection. It is essential to complete the full course of antibiotics as prescribed, even if symptoms improve before finishing the medication.

2. Topical Treatments: The use of topical ointments or creams can help soothe irritation. If you were given a topical medication, ensure you apply it as directed.

3. Hydration: Drinking plenty of water can help flush out irritants from the urinary tract and may alleviate some symptoms.

4. Avoid Irritants: Be mindful of any products that may irritate your urethra. Switching to gentle, unscented soaps and avoiding douches or feminine hygiene sprays can be beneficial.

5. Follow-Up Care: Since you mentioned that the redness persists, it is crucial to follow up with your healthcare provider. They may want to conduct further tests to rule out any underlying conditions or infections that were not detected in the initial urine tests.

6. Lifestyle Modifications: Avoiding tight clothing and practicing good hygiene can help prevent further irritation. Additionally, consider avoiding activities that may exacerbate the symptoms, such as vigorous sexual activity or excessive masturbation until the inflammation subsides.

When to Seek Further Help
If your symptoms do not improve with treatment, or if you experience worsening symptoms such as fever, increased pain, or discharge, it is essential to return to your healthcare provider. They may consider additional diagnostic tests, such as imaging studies or cystoscopy, to investigate further.

In conclusion, while urethral inflammation can be concerning, it is often manageable with appropriate treatment. Your proactive approach in seeking medical attention is commendable, and continuing to communicate openly with your healthcare provider will be key to resolving your symptoms. Remember, it is always better to address any lingering concerns with your doctor to ensure your health and peace of mind.

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