Painful Urination and Discharge in Balanitis - Urology

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Glansitis with dysuria?


Hello doctor, I apologize for bothering you.
A few days ago, I saw a doctor who diagnosed me with balanitis.
Over the past two days, I have noticed that after applying the medication, urination is very painful, with a burning sensation, and there is a yellowish discharge.
I'm not sure what is going on.

M, 30~39 year old female. Ask Date: 2023/02/03

Dr. Du Shixi reply Urology


Hello: If there is discharge from the urethra, you should seek medical attention and take medication.
You may have not only balanitis but also urethritis.
Be sure to inform your doctor about the yellow discharge.
Wishing you good health.

Reply Date: 2023/02/03

More Info


Balanitis, or inflammation of the glans penis, can be a painful and uncomfortable condition. It is often characterized by symptoms such as redness, swelling, and discharge from the penis. In your case, the burning sensation during urination and the presence of yellow discharge may indicate an underlying infection or irritation that could be exacerbated by the treatment you are currently using.

When you apply topical medications for balanitis, they can sometimes cause irritation, especially if the skin is already inflamed or sensitive. The burning sensation you are experiencing could be due to the active ingredients in the medication, or it might be a reaction to the condition itself. Yellow discharge is often associated with infections, which could be bacterial or fungal in nature. It is essential to differentiate whether this discharge is a result of the balanitis or a secondary infection that may have developed.

In terms of treatment, it is crucial to follow your healthcare provider's recommendations. If the burning sensation and discharge persist or worsen, you should return to your doctor for further evaluation. They may need to perform tests to determine the exact cause of your symptoms, which could include a urinalysis or cultures to identify any pathogens present.

In addition to medical treatment, there are some general care tips you can follow to help alleviate symptoms:
1. Maintain Hygiene: Keep the genital area clean and dry. Gently wash the area with mild soap and water, and avoid using harsh soaps or irritants.

2. Avoid Irritants: Stay away from scented products, lotions, or any substances that may irritate the skin further.

3. Wear Loose Clothing: Opt for breathable, loose-fitting underwear to reduce friction and moisture accumulation.

4. Stay Hydrated: Drinking plenty of water can help dilute your urine, potentially reducing the burning sensation during urination.

5. Follow Up: If symptoms do not improve within a few days or if they worsen, it is essential to follow up with your healthcare provider. They may need to adjust your treatment plan or investigate further for any underlying issues.

In summary, while balanitis can cause discomfort and symptoms like burning during urination and discharge, it is crucial to monitor your symptoms closely. If you notice any changes or worsening of your condition, seek medical attention promptly. Your healthcare provider will be able to provide the best course of action based on your specific situation.

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