Symptoms of a Small Hole Near the Urethra: Causes and Treatments

Q: Symptoms of a Small Hole Near the Urethra: Causes and Treatments

Hello： It should have healed, leaving scar tissue. <br>If you're not at ease, please return for a follow-up with your physician. <br>Wishing you good health.

A small hole or wound in the area of the meatus (the opening of the urethra) may indicate a variety of conditions, such as a urethral injury, infection, or a skin lesion. It is important to evaluate the symptoms associated with it, such as pain, bleeding, discharge, or difficulty urinating, to determine the underlying cause. A medical consultation is

Hello doctor, I have noticed a small hole in the meatus, and it hurts when I rub it.
I visited a urologist who prescribed me tetracycline hydrochloride ointment to apply, but after nearly a month of use, it still hasn't healed.
What could this symptom indicate? I do not experience any pain during urination.

Tongxue, 20~29 year old female. Ask Date: 2022/04/20

Dr. Du Shixi reply Urology

Hello: It should have healed, leaving scar tissue.
If you're not at ease, please return for a follow-up with your physician.
Wishing you good health.

Reply Date: 2022/04/20

More Info

Hello,
Thank you for reaching out with your concerns regarding the small hole near your urethra. Based on your description, it seems that you are experiencing a localized issue that has not improved with the treatment provided. Here are some potential causes and recommendations for further evaluation and treatment.

Possible Causes
1. Urethral Diverticulum: A small hole or pouch can form in the urethra, which may cause discomfort or pain when irritated. This condition can sometimes be asymptomatic except for localized pain.

2. Infection or Inflammation: Conditions such as urethritis (inflammation of the urethra) or a localized skin infection could lead to the formation of a small opening or sore. Even if you are not experiencing pain during urination, localized irritation can still occur.

3. Skin Conditions: Dermatitis, psoriasis, or other skin conditions can cause lesions or openings in the skin around the urethra. These conditions may not always present with pain during urination but can be sensitive to touch.

4. Trauma or Irritation: If there has been any recent trauma or irritation to the area (e.g., from vigorous sexual activity, friction from clothing, or personal hygiene products), this could lead to the development of a sore or hole.

5. Sexually Transmitted Infections (STIs): Certain STIs can cause lesions or sores in the genital area. While you mentioned that urination is not painful, it is still important to rule out any infections.

Recommendations for Further Evaluation
1. Follow-Up with a Urologist: Since you have already seen a urologist, it may be beneficial to return for a follow-up appointment. Bring up your ongoing symptoms and the lack of improvement with the current treatment.

2. Additional Testing: Ask your urologist about the possibility of further testing, such as:
- Urinalysis: To check for any signs of infection or abnormalities.

- Ultrasound: To visualize the area and check for any underlying issues.

- Culture Tests: To rule out any infections, including STIs.

3. Dermatological Consultation: If the urologist suspects a skin condition, a referral to a dermatologist may be warranted. They can provide specialized care for skin-related issues.

4. Topical Treatments: Discuss the possibility of alternative topical treatments if the current medication is not effective. Sometimes, a different type of ointment or cream may be more beneficial.

5. Avoid Irritants: In the meantime, avoid any potential irritants, such as harsh soaps, scented products, or tight clothing that may exacerbate the condition.

Conclusion
It is essential to address this issue promptly, especially since it has not improved with the initial treatment. Persistent symptoms warrant further investigation to determine the underlying cause and appropriate treatment. Please ensure you communicate openly with your healthcare providers about your symptoms and any changes you notice.

Take care, and I hope you find relief soon.

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