Urethral Issues: Pain and Changes After Using Sex Toys

Urethral issues

Hello doctor, recently while masturbating, I used a sex toy to stimulate and insert it into the urethral opening.
Afterward, I experienced a slight stinging sensation when urinating, and it seems like the urethral opening is extending towards the frenulum.
After seeing a doctor, they said that the size is still considered normal, and the stinging sensation when urinating disappeared after a few days.
Since then, I have only engaged in regular masturbation without using toys.
While showering, to check if there has been any enlargement, I would pull back the urethral opening to observe if it appears to be extending towards the frenulum.
However, I am unsure if this is a psychological effect, as it feels like the urethral opening is extending towards the frenulum, and I also feel that the urine is spraying from a slightly different angle, more downward.
Additionally, it seems that the urethral opening has become easier to open (I am not sure if this is due to checking it while showering over time).
I have researched online, and this symptom could potentially be a megalourethra or hypospadias.
However, the information mentions that acquired megalourethra is caused by long-term injury to the frenulum leading to fibrosis, or from circumcision where the frenulum is stitched too tightly, but I have not experienced any injury to the frenulum during recent masturbation.
When I used the urethral toy, it did not touch the frenulum, and I have not undergone any circumcision.
Hypospadias is a congenital issue, but I only recently noticed that the urethral opening seems to be pointing slightly downward.
I would like to ask if this could be megalourethra or hypospadias? Also, if it is indeed megalourethra, will normal masturbation cause the urethral opening to continue enlarging towards the frenulum, eventually consuming the frenulum and allowing the urethral opening to occupy its original position? Is there any way to return the urethral opening to its original state? The current size is different from before, and I am constantly worried about the frenulum being consumed.
While checking in the shower, I am unsure if it is a psychological factor, but I feel like it may not be continuing to enlarge, yet I still perceive it as getting larger towards the frenulum.
I am starting to feel anxious, which is affecting my sleep and increasing my anxiety.

Xiao En, 20~29 year old female. Ask Date: 2021/06/03

Dr. Li Xinyi reply Urology

Based on your description, it seems there is no issue, and since you have previously visited a urologist for an examination, if they said everything is fine, then there should not be a problem with hypospadias.
You might be overthinking it and focusing too much on sexual matters.
It is advisable to adopt a more relaxed attitude and not view sex as an outlet for boredom.
While you are young, spend more time exercising to maintain both physical and mental health, and avoid unnecessary worries.
If you still have concerns, it is best to consult a urologist for a thorough examination.

Reply Date: 2021/06/03

More Info

It sounds like you're experiencing a complex set of symptoms related to your urethra and genital area after using sex toys. Let's break down your concerns and provide some clarity based on medical knowledge.

Firstly, the pain you experienced during urination after using a sex toy could be attributed to a few factors. When inserting objects into the urethra, there is a risk of irritation or microtrauma to the sensitive tissues. Even if you did not feel any immediate pain or discomfort during the act, it is possible that the urethra was slightly injured, leading to the subsequent pain you described. This irritation can manifest as a burning sensation during urination, which may resolve on its own after a few days, as you noted.

Regarding your observations about the appearance of your urethral opening (the meatus) and your concerns about it appearing to elongate or change shape, it is essential to understand that the urethra and surrounding tissues can be quite elastic. Frequent manipulation or stretching, even if done gently, can lead to temporary changes in appearance or sensation. However, if you are noticing persistent changes or discomfort, it is crucial to consult a healthcare professional for a thorough examination.

You mentioned concerns about conditions like meatal stenosis (narrowing of the urethral opening) or hypospadias (a congenital condition where the urethra opens on the underside of the penis). While these conditions can cause changes in the urethra's appearance or function, they typically present with more pronounced symptoms, such as difficulty urinating or a significant change in the stream of urine. Since you have not had any surgical procedures or significant trauma to the area, it is less likely that you are experiencing these conditions.

It's also important to address your anxiety regarding these changes. Psychological factors can significantly impact how we perceive physical sensations and changes in our bodies. If you find that your anxiety is affecting your sleep and overall well-being, it may be beneficial to speak with a mental health professional who can help you manage these feelings.

In terms of your concern about whether normal masturbation could cause the urethral opening to become permanently enlarged or change shape, it is unlikely. The body has a remarkable ability to heal and return to its baseline state after minor irritations or injuries. However, if you continue to manipulate the area frequently, it could lead to more significant changes over time. Moderation and gentle handling are key.

If you are still experiencing pain, changes in urination, or any other concerning symptoms, it is advisable to seek a follow-up appointment with a urologist. They can perform a physical examination and possibly recommend imaging studies or other diagnostic tests to rule out any underlying conditions.
In summary, while your symptoms may be concerning, they are not uncommon after using sex toys, especially if there was any degree of irritation or trauma involved. Monitoring your symptoms, practicing gentle care, and seeking professional advice when needed will help ensure your health and peace of mind.

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