Post-Urination Pain: Causes and Concerns

Q: Post-Urination Pain: Causes and Concerns

Ahn： Hello, experiencing pain should not be considered normal and further examination is necessary. <br>We need to rule out infection, so a urinalysis is required, and treatment will be based on the results of the tests. <br>It is also possible that prolonged sitting may compress

Pain in the genital area after urination?

Sometimes, when the urine volume is low (less than 100cc) and one forces urination (such as during a car ride or an exam), there may be a slight cramping sensation at the base of the penis.
Is this normal? What causes this?

Ahn, 30~39 year old female. Ask Date: 2009/11/20

Dr. Xu Weikai reply Urology

Ahn: Hello, experiencing pain should not be considered normal and further examination is necessary.
We need to rule out infection, so a urinalysis is required, and treatment will be based on the results of the tests.
It is also possible that prolonged sitting may compress nerves, which can lead to this type of pain.
Additionally, riding for extended periods, such as cycling, may also cause similar symptoms.
If there are any unclear points, please feel free to ask again, and we can discuss and research further.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Taiwan.
Director: Hsu Wei-Kai.
Response.

Reply Date: 2009/11/20

More Info

Experiencing pain or discomfort at the base of the penis after urination, especially when the volume of urine is low, can be concerning and may have several underlying causes. While occasional mild discomfort may not be unusual, persistent or severe pain should be evaluated by a healthcare professional.
One possible explanation for the pain you are experiencing could be related to the bladder and urinary tract. When you force urination, especially when the bladder is not full, it can lead to increased pressure in the bladder and urethra. This pressure can cause discomfort as the muscles contract to expel urine. The sensation of pain or cramping at the base of the penis may be due to the contraction of the pelvic floor muscles or the bladder itself.
Another potential cause could be related to the prostate gland. In men, the prostate can become inflamed or enlarged, leading to conditions such as prostatitis or benign prostatic hyperplasia (BPH). These conditions can cause discomfort during urination, especially if the bladder is not fully distended. The pain may also radiate to the base of the penis, leading to the sensation you described.

Additionally, if there is any irritation or inflammation in the urethra, which can occur due to infections or sexually transmitted infections (STIs), this could also result in pain during or after urination. Urethritis, for instance, can cause a burning sensation or pain at the tip of the penis or along the shaft, and this discomfort may be felt more acutely when urinating.

It is also worth considering psychological factors. Anxiety or stress, particularly in situations like exams or while traveling, can lead to muscle tension in the pelvic area, which may contribute to discomfort during urination.
If this pain is infrequent and mild, it may not be a cause for concern. However, if you notice that the pain persists, worsens, or is accompanied by other symptoms such as changes in urination frequency, urgency, burning sensations, or any unusual discharge, it is essential to seek medical attention. A healthcare provider can perform a thorough evaluation, which may include a physical examination, urine tests, or imaging studies, to determine the underlying cause of your symptoms.

In summary, while occasional discomfort after urination may not be unusual, it is essential to pay attention to the frequency and severity of the pain. If you have concerns about your symptoms, it is always best to consult with a healthcare professional for a proper diagnosis and treatment plan.

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