Bladder Itch: Causes and Safe Practices for Relief - Urology

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Masturbation and bladder itching?


I feel an itch at the urethral opening and have a strong urge to masturbate, but even after doing so, the discomfort doesn't subside.
I have seen a doctor who performed a urinalysis and X-ray, both of which were normal.
An ultrasound of the prostate indicated slight enlargement, and the doctor prescribed Uroflow and antibiotics because I was experiencing severe pain while urinating, akin to a stabbing sensation, and my testicles also hurt, although they appeared normal.
It was suspected to be epididymitis, and the doctor advised me to relax.

Now, I believe the issue might be related to my bladder, as the uncomfortable area seems to be deeper within the prostate.
After taking Uroflow, I feel numbness in the prostate, and the itchy sensation is deeper, making me want to scratch an itch that I can't reach.
If my strong sexual desire is a contributing factor, is it safe to use a urethral sounding device? What are the potential risks?

Lin Xiansheng, 20~29 year old female. Ask Date: 2020/02/27

Dr. Li Xinyi reply Urology


Have you ever engaged in risky sexual behavior? Have you ever been infected with a sexually transmitted infection (STI)? If an STI has not been completely treated, it could also be the cause of your symptoms.
It is important to visit a hospital, provide a detailed medical history, and discuss your condition with a physician after examination.
Additionally, the urethral mucosa is quite delicate and can easily be injured or torn, leading to infection; therefore, masturbation is not recommended.

Reply Date: 2020/02/27

More Info


Understanding bladder itch and its underlying causes can be quite complex, especially when considering the interplay of various factors such as infections, anatomical issues, and psychological components. Based on your description, it sounds like you are experiencing discomfort in the urethra and possibly the bladder area, which can be quite distressing.


Causes of Bladder Itch
1. Infections: Urinary tract infections (UTIs) are a common cause of bladder discomfort and itching. They can lead to symptoms such as burning during urination, frequent urges to urinate, and sometimes pain in the lower abdomen or back. Although your tests have come back normal, it’s important to consider that some infections may not always be easily detectable through standard tests.

2. Prostate Issues: You mentioned that your prostate is slightly enlarged. Benign prostatic hyperplasia (BPH) can lead to urinary symptoms, including discomfort and a feeling of incomplete bladder emptying. This can sometimes cause a sensation of itchiness or irritation in the bladder area.

3. Irritation: Certain substances, such as soaps, lotions, or even laundry detergents, can irritate the genital area and lead to itching. Additionally, sexual activity can sometimes cause irritation or inflammation, especially if there is a lack of lubrication.

4. Psychological Factors: Anxiety and stress can exacerbate physical symptoms. If you are feeling anxious about your health or experiencing heightened sexual arousal, this could contribute to your discomfort.


Safe Practices for Relief
1. Hygiene: Maintain good genital hygiene. Use mild, unscented soaps and avoid douching or using perfumed products in the genital area, as these can cause irritation.

2. Hydration: Drink plenty of water to help flush out your urinary system. This can also dilute any irritants in your urine.

3. Avoid Irritants: Stay away from caffeine, alcohol, and spicy foods, as these can irritate the bladder and exacerbate symptoms.

4. Medication Compliance: Continue taking any prescribed medications, such as antibiotics or anti-inflammatory drugs, as directed by your physician. If you experience side effects or if your symptoms persist, follow up with your healthcare provider.

5. Consultation: If the itching continues or worsens, or if you develop new symptoms (such as fever, chills, or increased pain), it’s crucial to return to your healthcare provider for further evaluation. They may consider additional tests or referrals to a urologist.


Regarding the Use of Urethral Toys
Using urethral toys, such as a urethral sound or dilator, can carry risks, especially if not done correctly. Here are some considerations:
1. Sterilization: Ensure that any device you use is properly sterilized to prevent introducing bacteria into the urethra, which could lead to infections.

2. Lubrication: Use a water-based lubricant to minimize friction and reduce the risk of injury to the urethra.

3. Gentle Use: Be very gentle when using any urethral device. Forcing anything into the urethra can cause trauma, leading to pain, bleeding, or infection.

4. Listen to Your Body: If you experience pain, discomfort, or any unusual symptoms while using such devices, stop immediately and consult a healthcare professional.

5. Consult a Professional: Before engaging in any new sexual practices, especially those involving the urethra, it’s wise to discuss your plans with a healthcare provider to ensure it’s safe for you.

In conclusion, while it’s understandable to seek relief from discomfort, it’s essential to approach the situation with caution and prioritize your health. If symptoms persist or worsen, don’t hesitate to seek further medical advice.

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