Itching in the Penis and Urethra: Causes and Solutions

Itchy sensation at the junction of the penis and the body?

Dr.
Hsu Wei-Kai from Zhi Dong Medical recently treated me for kidney stones, which were removed via lithotripsy.
After the procedure, I experienced discomfort and visited you for a consultation.
Initially, I had a feeling of fullness and pain in my lower abdomen and bladder, but after taking the medication you prescribed, I have felt much better, and the discomfort has not returned.
Thank you for your treatment.

However, I have a new concern.
Recently, I have noticed a slight itching sensation in the area below my bladder, specifically around my penis and pubic hair.
There is no pain, but sometimes I feel a little discomfort in my bladder when urinating, along with a slight stinging sensation in my urethra.
Could this be a sign that some stone fragments remain and are causing an infection? Should I continue taking the anti-inflammatory and pain relief medication you prescribed, or would it be better for me to come in for another examination? Thank you.

Ke lian di Shan mu, 30~39 year old female. Ask Date: 2006/10/19

Dr. Xu Weikai reply Urology

Hello! I believe it could be local irritation caused by the process of stone passage or an infection.
It is advisable to drink more water to maintain a daily urine output of about 1500cc, which should help improve the situation.
Occasionally, consuming cranberry juice, around 300-500cc per day, can effectively help control infections.
Additionally, if the condition is severe or cannot be resolved, it is important to seek medical attention promptly.
Sincerely, Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2006/10/19

More Info

Itching in the penis and urethra can be a distressing symptom and may arise from various causes. Given your recent history of kidney stones and the discomfort you experienced in your lower abdomen and bladder, it’s understandable that you might be concerned about the possibility of residual stones or an infection.

Possible Causes of Itching in the Penis and Urethra
1. Urinary Tract Infection (UTI): UTIs can cause irritation and itching in the urethra and may also lead to discomfort during urination. Symptoms can include a burning sensation, increased frequency of urination, and sometimes a feeling of pressure in the bladder.

2. Post-Operative Effects: After procedures such as lithotripsy (the procedure to break up kidney stones), it is not uncommon to experience some irritation in the urinary tract. This could manifest as itching or discomfort in the urethra.

3. Skin Irritation or Allergies: Sometimes, irritation can be caused by soaps, lotions, or laundry detergents that come into contact with the genital area. Allergic reactions can lead to itching without significant pain.

4. Fungal Infections: Conditions like candidiasis (yeast infection) can cause itching and irritation in the genital area. This is more common in individuals who have had recent antibiotic treatment, as antibiotics can disrupt the normal flora.

5. Sexually Transmitted Infections (STIs): Certain STIs can cause itching and discomfort in the genital area. While you mentioned that you do not have pain, it is still a possibility that should be ruled out, especially if you have had new sexual partners.

6. Residual Stones or Obstruction: If there are still fragments of stones or if there is any obstruction in the urinary tract, this could lead to irritation and discomfort.

Recommendations
Given your symptoms and history, here are some steps you might consider:
1. Follow-Up Appointment: It would be prudent to schedule a follow-up appointment with your healthcare provider. They can perform a physical examination and possibly order tests, such as a urinalysis or imaging studies, to rule out any residual stones or infections.

2. Medication: If you are currently taking anti-inflammatory or antibiotic medications as prescribed by your doctor, continue to do so unless advised otherwise. However, do not hesitate to inform your doctor about your new symptoms, as they may need to adjust your treatment plan.

3. Hydration: Ensure you are drinking plenty of fluids. Staying well-hydrated can help flush out the urinary system and may alleviate some discomfort.

4. Avoid Irritants: Pay attention to any products you use in the genital area. Switching to hypoallergenic soaps and avoiding scented products may help reduce irritation.

5. Monitor Symptoms: Keep track of any changes in your symptoms. If the itching worsens, or if you develop additional symptoms such as fever, chills, or significant pain, seek medical attention promptly.

6. Consider STI Testing: If you have had new sexual partners or if there is any concern about STIs, it may be wise to get tested.

Conclusion
While it is possible that your symptoms are related to your recent kidney stone treatment, it is essential to consult with your healthcare provider to determine the exact cause of your itching and discomfort. Early intervention can help prevent complications and ensure that you receive the appropriate treatment. Your health and comfort are paramount, so do not hesitate to reach out to your doctor for further evaluation.

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