Enlarged Urethral Opening: Can Abstinence and Loose Underwear Help? - Urology

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The urethral opening has enlarged and is beginning to split down to the frenulum?


Due to a long-term habit of masturbation, along with frequent friction at the front when wearing briefs, I sometimes experience swelling and pain.
Recently, I noticed itching at the urethral opening, and after pinching the sides of the strap and spraying water towards the opening while showering, the urethral opening seems to have enlarged, and the dripping of urine has intensified.
Would abstaining from sexual activity and wearing loose boxers help reduce the size of the urethral opening? Thank you.

Niming, 20~29 year old female. Ask Date: 2020/11/04

Dr. Du Shixi reply Urology


Hello: Be careful with water spray as it may injure the mucous membranes.
As for whether abstinence and wearing loose-fitting boxers will cause the urethral opening to become smaller—no, it will not.
Wishing you good health.

Reply Date: 2020/11/04

More Info


Enlarged urethral opening, or meatal stenosis, can be a concern for individuals who experience discomfort or changes in urinary function. In your case, the combination of frequent masturbation and the friction caused by tight-fitting underwear may contribute to irritation and enlargement of the urethral opening.
Abstinence from sexual activity can potentially help reduce irritation and inflammation in the area, allowing the urethra to heal. When you refrain from activities that cause friction or trauma, such as masturbation, it may help alleviate symptoms like itching and discomfort. Additionally, wearing loose-fitting underwear, such as boxers, can minimize friction and pressure on the urethral opening, which may also contribute to a reduction in irritation.

However, it is important to note that while these lifestyle changes may provide relief, they may not necessarily reverse any structural changes that have already occurred in the urethra. If the urethral opening has enlarged significantly, it may require medical evaluation and intervention.
In some cases, persistent enlargement or changes in the urethra can lead to complications such as urinary retention or increased risk of urinary tract infections (UTIs). If you are experiencing symptoms such as dripping urine or persistent itching, it is advisable to consult a healthcare professional. They can perform a thorough examination and may recommend treatments such as urethral dilation or other interventions if necessary.

Moreover, if you have concerns about the long-term effects of your habits on your urinary health, discussing these with a urologist would be beneficial. They can provide tailored advice and may suggest strategies to maintain urethral health, including pelvic floor exercises or other preventive measures.

In summary, while abstinence and wearing loose-fitting underwear may help alleviate symptoms and reduce irritation, they may not completely resolve the issue of an enlarged urethral opening. A medical evaluation is recommended to assess the situation and determine the best course of action for your urinary health.

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