Urethral Pain: Symptoms and Infection Concerns - Urology

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Questions related to the urethral opening?


Since I woke up, I've been experiencing a sharp pain at the urethral opening, which occurs intermittently.
I would like to ask the doctor: 1) There are no noticeable differences in appearance; could this be a symptom of urethritis? 2) I wanted to check if there was any external injury, so I touched the urethral opening without washing my hands first.
Could this lead to a sexually transmitted infection? I'm a bit worried, and I appreciate your clarification.

Fei A Fei, 20~29 year old female. Ask Date: 2019/09/02

Dr. Du Shixi reply Urology


Hello: 1) No.
2) If you haven't washed your hands, do not touch, as it may cause inflammation, but there will be no issue with sexually transmitted diseases.
Wishing you good health.

Reply Date: 2019/09/02

More Info


Urethral pain can be a concerning symptom, and it’s important to understand its potential causes and implications. Based on your description, you are experiencing a sharp pain at the urethral opening that occurs intermittently throughout the day. Let’s address your questions one by one.

1) Is this a symptom of urethritis?
The symptoms you describe could indeed be indicative of urethritis, which is an inflammation of the urethra. Urethritis can be caused by various factors, including infections (bacterial or viral), irritation from chemicals (such as soaps or lotions), or physical trauma. The absence of visible abnormalities does not rule out urethritis, as many cases can occur without external signs. Common symptoms of urethritis include burning or pain during urination, increased frequency of urination, and sometimes discharge from the urethra. If you are experiencing persistent pain, it is advisable to consult a healthcare professional for a thorough evaluation. They may recommend urine tests or swabs to identify any underlying infections, including sexually transmitted infections (STIs).

2) Could touching the urethral area after not washing hands lead to an STI?
While it is generally good hygiene practice to wash your hands before touching any part of your body, the risk of contracting an STI from touching the urethral area after not washing your hands is relatively low. STIs are typically transmitted through sexual contact, including vaginal, anal, or oral sex. However, if your hands were contaminated with infectious bodily fluids (such as from a recent sexual encounter), there is a theoretical risk, albeit small, of transferring pathogens to the urethra. If you are concerned about potential exposure to STIs, it would be prudent to get tested, especially if you have had unprotected sexual contact or if your symptoms persist.

Additional Considerations:
Urethral pain can also be associated with other conditions such as urinary tract infections (UTIs), prostatitis in men, or vulvodynia in women. If you have any accompanying symptoms such as fever, chills, or changes in urine color or odor, these could indicate a more serious infection that requires immediate medical attention.

In conclusion, while your symptoms may suggest urethritis, a definitive diagnosis can only be made through a medical evaluation. It is important to seek medical advice to rule out infections and receive appropriate treatment. In the meantime, maintaining good hygiene practices, such as washing your hands before touching sensitive areas, can help reduce the risk of infections. If you have any further questions or concerns, don’t hesitate to reach out to a healthcare provider. Your health and well-being are paramount, and addressing these symptoms early can lead to better outcomes.

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