Urethral Inflammation: Symptoms, Causes, and Concerns

Q: Urethral Inflammation: Symptoms, Causes, and Concerns

Hello： If the tests have come back normal, it may be necessary to pay attention to lifestyle factors, as it is likely a skin issue. <br>Be mindful of your habits： drink plenty of water, limit sugary beverages, and reduce spicy foods. <br>Practice safe sex, and wear loose-fitting

Urethral meatus swelling

Hello Doctor, I previously asked a question and visited a urologist, but my symptoms have not improved.
Last month, I suddenly experienced itching at the urethral opening and some pain during urination, so I went to see a urologist.
I had a urinalysis, which came back normal.
The doctor said it was urethritis 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 red and swollen.
When I retract the urethral opening, there seems to be a red swollen mass, but I don't feel much discomfort.
After masturbation, the urethral opening swells up like a lip.
I'm really worried that I might have a sexually transmitted infection, but I have never engaged in sexual intercourse.
I hope the doctor can clarify this for me.
Here is a photo of my urethral opening: https://imgur.com/a/XzGGbFu

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

Dr. Du Shixi reply Urology

Hello: If the tests have come back normal, it may be necessary to pay attention to lifestyle factors, as it is likely a skin issue.
Be mindful of your habits: drink plenty of water, limit sugary beverages, and reduce spicy foods.
Practice safe sex, and wear loose-fitting underwear.
Give these suggestions a try.
Make sure to dry off after urination.
Wishing you good health.

Reply Date: 2019/09/01

More Info

Understanding urethral inflammation can be quite complex, especially when symptoms persist despite treatment. Based on your description, it seems you have experienced urethral inflammation characterized by itching and pain during urination, which improved with antibiotic treatment but left you with ongoing redness and swelling at the urethral opening.

Symptoms of Urethral Inflammation
Urethral inflammation, or urethritis, can manifest in various ways, including:
1. Itching or irritation at the urethral opening.

2. Pain during urination (dysuria).

3. Redness and swelling at the urethral meatus (the opening of the urethra).

4. Discharge from the urethra (though you did not mention this).

5. Increased frequency or urgency to urinate.

Possible Causes
Urethritis can be caused by several factors:
1. Infections: This is the most common cause, including bacterial infections (like those treated with antibiotics) and sexually transmitted infections (STIs) such as chlamydia or gonorrhea. However, you mentioned you have not engaged in sexual activity, which makes STIs less likely.

2. Non-infectious causes: These can include irritation from soaps, lotions, or other chemicals, as well as physical irritation from activities like masturbation or vigorous exercise.

3. Allergic reactions: Sometimes, an allergic reaction to certain materials (like latex in condoms) can cause similar symptoms.

4. Other medical conditions: Conditions like interstitial cystitis or vulvodynia can also cause similar symptoms.

Concerns Regarding Your Symptoms
The persistent redness and swelling you describe, especially after masturbation, could indicate a few things:
- Irritation or trauma: If the area is sensitive, physical stimulation could lead to temporary swelling and redness.

- Inflammation: Chronic inflammation can occur even after the initial infection has been treated, leading to ongoing symptoms.

- Allergic reaction: If you are using any new products (like lubricants or soaps), they could be causing irritation.

Recommendations
1. Follow-Up with Your Doctor: Since your symptoms have not fully resolved, it is crucial to return to your healthcare provider for further evaluation. They may consider additional tests to rule out other causes, including STIs, even if you believe they are unlikely.

2. Avoid Irritants: Until you have a clearer understanding of what is causing your symptoms, try to avoid potential irritants. This includes scented soaps, lotions, or any products that come into contact with the genital area.

3. Monitor Symptoms: Keep track of any changes in your symptoms, including when they worsen or improve. This information can be valuable for your healthcare provider.

4. Consider a Specialist: If your symptoms persist despite treatment, you might benefit from seeing a urologist or a specialist in sexual health who can provide more targeted care.

5. Self-Care: In the meantime, maintaining good hygiene, staying hydrated, and avoiding tight clothing can help alleviate some discomfort.

Conclusion
While urethral inflammation can be distressing, understanding the potential causes and seeking appropriate medical advice is essential. Your ongoing symptoms warrant further investigation to ensure that you receive the correct diagnosis and treatment. Do not hesitate to reach out to your healthcare provider for further assistance, and remember that open communication about your symptoms is key to finding a resolution.

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