Painful Urination and Discomfort After Masturbation: What to Know

After masturbation, there is a slight stinging sensation, and I had to urinate three times throughout the night, each time requiring some pressure to do so?

Hello doctor, I am a 17-year-old high school student.
I usually have the habit of masturbating, but for the past few days, I tried to abstain for two days before I finally did it again.
However, after I finished, I felt a bit of a stinging pain, and I had difficulty urinating.
I thought it would get better by the evening, but I ended up going to the bathroom three times at night, and I had to push to urinate, which took a long time.
Twice, it felt like my urine was stuck at the urethral opening and wouldn't come out.
My penis also seems to be about 2 centimeters shorter than usual, and I am having trouble achieving an erection.
Is this a medical issue, or is it just due to excessive masturbation? (It has been about 10 hours, and I still feel this way.)

Pengpeng, 10~19 year old female. Ask Date: 2021/02/20

Dr. Cai Zhuorong reply Urology

Your symptoms may indicate a urinary tract infection or urinary retention, which are not necessarily related to masturbation.
However, please seek medical attention as soon as possible.

Reply Date: 2021/02/20

More Info

It sounds like you're experiencing some discomfort after masturbation, which can be concerning, especially at your age. Let's break down your symptoms and discuss what might be happening.

Firstly, the pain during urination and the difficulty in urinating can be attributed to several factors. One possibility is that you may have experienced some irritation or inflammation of the urethra, which is the tube that carries urine out of the body. This can happen due to vigorous masturbation or even from holding in urine for extended periods. If you've been trying to abstain from masturbation, it's possible that the buildup of tension and subsequent release could have led to some temporary irritation.

The sensation of needing to push to urinate, along with the feeling of urine getting "stuck" at the urethral opening, can also indicate that there is some swelling or irritation in that area. This can be exacerbated by anxiety or stress about the situation, which can lead to muscle tension in the pelvic area, making it feel even more difficult to urinate.

Regarding the temporary change in the size of your penis and the difficulty achieving an erection, this could be related to several factors, including anxiety, physical irritation, or even just a temporary physiological response to the discomfort you're experiencing. It's not uncommon for young men to experience fluctuations in erectile function, especially when they are feeling anxious or uncomfortable.

Here are some recommendations for managing your symptoms:
1. Hydration: Make sure you are drinking plenty of water. Staying hydrated can help dilute your urine and may reduce irritation.

2. Warm Compress: Applying a warm compress to the area may help relieve discomfort and promote relaxation of the muscles around the urethra.

3. Avoid Irritants: Steer clear of any products that may irritate the genital area, such as scented soaps or lotions.

4. Rest: Give your body some time to recover. Avoid any activities that may exacerbate the irritation, including masturbation, until you feel better.

5. Monitor Symptoms: Keep an eye on your symptoms. If the pain persists for more than a day or two, or if you notice any additional symptoms such as fever, blood in your urine, or severe pain, it would be wise to seek medical attention.

6. Consult a Healthcare Provider: If your symptoms do not improve or if you have any concerns, it’s important to consult a healthcare provider. They can perform a physical examination and may recommend tests to rule out any infections or other underlying conditions.

In summary, while your symptoms may be related to irritation from recent activities, it's important to listen to your body. If things don't improve soon, or if you have any worries about your health, don't hesitate to reach out to a healthcare professional for personalized advice and treatment. Remember, it's always better to be safe and get checked out if you're unsure.

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