Pain at the Urethral Opening: When to Seek Medical Attention? - Urology

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Pain at the urethral opening?


I was washing myself yesterday and while applying soap, I rubbed my glans like I was rolling a dumpling.
After masturbating, I noticed that the urethral opening of my glans hurts, and there's a sharp pain when I urinate, which makes me hesitant to go to the bathroom now.
It doesn't seem to have any external injuries, just a bit redder than usual.
Will it heal on its own in a few days, or should I see a doctor?

321, 10~19 year old female. Ask Date: 2005/08/14

Dr. Xu Weikai reply Urology


321: Hello, your condition seems to be a chemical irritation, specifically inflammation of the glans caused by soap.
For the next few days, try to minimize the use of soap when cleaning the glans; it should improve in a few days.
If there is no improvement after three days, it is best to see a physician.
Generally, we do not recommend using soap for cleaning the glans; rinsing with plain water is sufficient.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Dr.
Hsu Wei-Kai.

Reply Date: 2005/08/14

More Info


Experiencing pain at the urethral opening, especially after an activity like masturbation, can be concerning. Based on your description, it seems you may have caused some irritation or minor trauma to the area, which can lead to discomfort and redness. Here’s a detailed overview of what you might be experiencing and when it’s advisable to seek medical attention.


Understanding Urethral Pain
The urethra is a sensitive structure, and any form of friction or irritation can lead to pain. The symptoms you describe—pain at the urethral opening and a stinging sensation during urination—are common after vigorous activity. This can be due to:
1. Mechanical Irritation: Rubbing or friction can cause inflammation or micro-tears in the delicate skin of the urethra or glans (the tip of the penis).

2. Infection: Although you mentioned no visible external injury, irritation can sometimes lead to an increased risk of urinary tract infections (UTIs) or sexually transmitted infections (STIs), especially if there was any pre-existing condition or if the area was not clean.

3. Allergic Reaction: If you used a new soap or lubricant, it could cause an allergic reaction or irritation.


When to Seek Medical Attention
While minor irritation often resolves on its own, there are specific signs that indicate you should see a healthcare provider:
- Persistent Pain: If the pain does not improve within a few days or worsens, it’s essential to consult a doctor.

- Increased Redness or Swelling: If you notice significant swelling or redness that spreads, this could indicate an infection.

- Discharge: Any unusual discharge from the urethra, especially if it is cloudy, yellow, or has an odor, warrants medical evaluation.

- Fever or Chills: These symptoms can indicate a more serious infection that requires immediate attention.

- Difficulty Urinating: If you experience difficulty starting urination or a weak stream, this could suggest a blockage or severe irritation.


Self-Care Measures
In the meantime, here are some self-care measures you can take to alleviate discomfort:
1. Avoid Irritants: Refrain from using soaps or products that may irritate the area further. Stick to mild, unscented products.

2. Warm Compress: Applying a warm compress to the area can help soothe irritation and reduce discomfort.

3. Hydration: Drink plenty of water to help dilute your urine, which can ease the burning sensation when urinating.

4. Avoid Sexual Activity: Until the pain subsides, it’s wise to avoid any sexual activity, including masturbation, to prevent further irritation.


Conclusion
In summary, while it’s possible that your symptoms may resolve on their own, it’s crucial to monitor your condition closely. If you experience any of the concerning symptoms mentioned above, do not hesitate to seek medical attention. A healthcare provider can perform a thorough examination, rule out infections, and provide appropriate treatment if necessary. Remember, it’s always better to err on the side of caution when it comes to your health.

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