Sudden Urethral Pain: Should You See a Doctor?

Sudden pain in the urethra?

A few months ago, I was diagnosed with a 0.56 cm left kidney stone.
Yesterday, I felt some pain in my left lower back, but it didn't last long and was intermittent.
After it stopped hurting, I didn't pay much attention to it.
However, just now, while urinating, I suddenly experienced severe pain in my urethra for about 10 seconds to a few dozen seconds, but it went away quickly.
Should I see a doctor or wait and observe? Please advise.

Li Zimin, 20~29 year old female. Ask Date: 2022/05/26

Dr. Chen Jiansheng reply Urology

Please seek medical attention.

Reply Date: 2022/05/26

More Info

Experiencing sudden urethral pain can be concerning, especially in the context of a history of kidney stones. Given your previous diagnosis of a 0.56 cm left kidney stone, it is essential to approach this situation with caution. The pain you described, which occurred during urination and lasted for a brief period, could be indicative of several underlying issues related to your urinary tract.

Firstly, it is important to understand that urethral pain can arise from various causes, including urinary tract infections (UTIs), kidney stones, or even irritation from certain substances. In your case, the history of kidney stones raises the possibility that the stone may be causing intermittent obstruction or irritation as it moves through the urinary tract. This could lead to episodes of pain, particularly during urination when the urethra is under pressure.

Additionally, the pain you felt in your lower back prior to the urethral pain could suggest that the kidney stone is still present and may be causing discomfort as it shifts position. While the pain subsided quickly, it is crucial to monitor for any recurrence or worsening of symptoms. If the pain returns, becomes more severe, or is accompanied by other symptoms such as blood in the urine, fever, or persistent discomfort, it would be advisable to seek medical attention promptly.

In general, if you experience sudden urethral pain, especially with a history of kidney stones, it is prudent to consult a healthcare professional. A urologist would be the most appropriate specialist to evaluate your symptoms, conduct necessary imaging studies (such as an ultrasound or CT scan), and determine if any intervention is required. They can assess whether the kidney stone is still present, whether it has caused any complications, and provide guidance on pain management and preventive measures.

Moreover, if you notice any changes in your urinary habits, such as increased frequency, urgency, or changes in the appearance of your urine, these are also important symptoms to report to your doctor. Early intervention can prevent potential complications, such as urinary tract infections or further obstruction.

In summary, while the pain you experienced was brief, it is essential to remain vigilant and consider seeking medical advice, particularly given your history of kidney stones. A thorough evaluation by a urologist can help ensure that any underlying issues are addressed, and appropriate treatment is provided to prevent future episodes of pain. Always prioritize your health and do not hesitate to reach out to a healthcare provider when in doubt.

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