Urethral Sensitivity: When to Seek Further Medical Advice

Urethral orifice issues?

Initially, I experienced a warm and red discomfort in the glans, without any discharge or itching.
After consulting a clinic doctor, I was diagnosed with balanitis.
After 7 days of treatment, I developed discomfort in the bladder and urethral opening, along with increased frequency of urination.
I went to the emergency room for a urinalysis, and the doctor said there were no bacteria and everything was fine.
I then saw the clinic doctor again, and after taking medication, the redness and warmth in the glans improved significantly.
At this point, I had been treated for a total of 14 days and had taken antibiotics for 9 days.
Now, I am experiencing heightened sensitivity at the urethral opening and a persistent feeling of something foreign, although it is much better than at the beginning.
I am unsure if I have fully recovered, so I have some questions:
1.
With this sensation of a foreign body at the urethral opening, which is not painful, how much improvement is needed to consider myself healed?
2.
Is it safe to engage in sexual activity at this stage?

Chen, 20~29 year old female. Ask Date: 2020/06/08

Dr. Wu Shuyu reply Urology

Hello, patients with phimosis are generally more prone to developing balanoposthitis.
Treatment typically focuses on two aspects: fungi and bacteria.
Treatment methods include oral medications and topical ointments.
Based on your description, it seems that the medication is effective.
The sensation of a foreign body at the urethral opening is likely due to inflammation and injury of the tissue that has not fully healed.
Of course, some individuals may experience different sensations due to tissue healing or scarring.
It is advisable to discuss with your physician whether further treatment is necessary.
There are no specific contraindications for self-care, but attention to personal hygiene is important.
Generally, in patients with normal immune function, if proper hygiene is maintained, simple balanoposthitis can resolve on its own, with medication often serving as an adjunct.
I hope this information is helpful.
Thank you.

Reply Date: 2020/06/08

More Info

Understanding urethral sensitivity and related symptoms can be quite complex, especially when previous treatments have not fully resolved the discomfort. Based on your description, it seems you have experienced a progression of symptoms starting from glans (head of the penis) discomfort, which was diagnosed as balanitis (inflammation of the glans), to subsequent urethral sensitivity and a feeling of having a foreign body in the urethra.

1. Understanding Your Symptoms
The symptoms you describe, including the initial burning and redness of the glans, followed by discomfort in the bladder and urethra, are indicative of a possible inflammatory or irritative process. The fact that your urine tests showed no bacterial infection is significant, as it suggests that your symptoms may not be due to a typical urinary tract infection (UTI).
Urethral sensitivity can occur for several reasons, including:
- Inflammation: Following an infection or irritation, the urethra can remain sensitive even after the initial cause has been treated.

- Chemical Irritants: Soaps, lotions, or even certain foods can irritate the urethra.

- Psychological Factors: Anxiety or stress can exacerbate sensations of discomfort or sensitivity in the genital area.

2. When to Consider Further Medical Advice
You mentioned that after 14 days of treatment, including 9 days of antibiotics, you are still experiencing sensitivity at the urethral opening but with less discomfort than initially. Here are some guidelines on when to seek further medical advice:
- Persistent Symptoms: If the sensation of having a foreign body in the urethra continues for more than a few days without improvement, it would be wise to consult a urologist. They can perform a thorough examination and possibly additional tests to rule out other conditions such as urethritis or even a stricture.

- New Symptoms: If you develop new symptoms such as pain, fever, or changes in urination (e.g., blood in urine, increased frequency, or urgency), seek medical attention immediately.

- Impact on Quality of Life: If the sensitivity is affecting your daily activities or mental well-being, it’s important to discuss this with your healthcare provider.

3. Recovery Expectations
Regarding your question about how much better you should feel to consider yourself "well," recovery can vary significantly among individuals. Generally, you should expect:
- Reduction in Symptoms: A gradual decrease in sensitivity and discomfort over time. You should feel more comfortable and less aware of any sensations in the urethra.

- Normal Function: You should be able to urinate without discomfort and resume normal activities, including sexual activity, without pain or significant anxiety.

4. Self-Care and Management
While you are experiencing sensitivity, here are some self-care tips:
- Avoid Irritants: Steer clear of soaps, lotions, or other products that may irritate the genital area.

- Hydration: Drink plenty of water to help flush the urinary tract.

- Warm Baths: Soaking in a warm bath may help soothe discomfort.

- Monitor Symptoms: Keep track of any changes in your symptoms, including when they occur and any potential triggers.

5. Conclusion
In summary, while it is encouraging that your symptoms have improved, the lingering urethral sensitivity warrants careful monitoring. If your symptoms do not resolve or worsen, seeking further medical advice is essential. A urologist can provide a more comprehensive evaluation and tailored treatment options to address your concerns effectively. Remember, your comfort and peace of mind are paramount, so do not hesitate to reach out for help when needed.

Similar Q&A

Understanding Urinary Issues: When to Seek Further Medical Attention

Hello, Doctor. I would like to ask you a question. Previously, I had a mild case of urethritis, and after taking a course of antibiotics, my urine test results returned to normal. However, I later experienced a feeling of swelling and discomfort in my intimate area, and I felt a ...

Dr. Du Shixi reply Urology
Hello: Based on your concerns, it is advisable to conduct another urine test. Sometimes, mild relapses can occur, and it is important to continue medication treatment. Additionally, special attention should be given to your lifestyle.

Understanding Urethral Pain: When to Seek Medical Attention

Hello, doctor: I have some health issues and would like to ask a few questions. 1. I still have yellow and green vaginal discharge, which is often accompanied by itching. 2. For the past few days, I've been feeling pain in my urethra, but there is no blood in my urine. I fee...

Dr. Lin Wenbin reply Obstetrics and Gynecology
1. The issue of vaginitis requires examination for proper understanding. A textual description must be accompanied by a pelvic examination for clarity. 2. It sounds like a urinary tract infection, which can be diagnosed after a urinalysis in the outpatient setting.

Understanding Urination Issues: Chronic Urethritis or Other Concerns?

Hello, I had a urinary tract infection at the end of April, and starting in May and June, I began experiencing urinary hesitancy, where I have to sit on the toilet for 5 seconds or more before I can urinate. I've also noticed that the urine flow rate has become slower and we...

Dr. Du Shixi reply Urology
Hello: The information provided here is for reference only and cannot replace a physician's examination. If there is any discharge from the urethra, it is essential to seek medical attention. Generally, if a urinary tract infection is confirmed, follow-up visits are necessar...

Understanding Painful Urination: Causes and When to Seek Help

If a doctor experiences pain at the urethral opening during urination, it could be indicative of several conditions, such as a urinary tract infection (UTI), urethritis, or prostatitis. While some mild cases may resolve on their own, it is generally advisable to seek medical atte...

Dr. Xu Weikai reply Urology
YKK: Hello, pain at the urethral opening could be due to an infection; it could also be caused by stones; or it might simply be neuropathic pain. If it is neuropathic pain, it may resolve on its own in a few days. If it is an infection, it might stop hurting in a few days, but it...