Enlarged Urethral Opening: Symptoms and Solutions

Enlargement of the urethral opening?

Before the urethral opening became enlarged, there was bleeding.
It has not healed yet, and there is a slight pain during urination.
During ejaculation, the semen flows out, and the urine stream is not as strong as before.
Is there a way for the doctor to address this? What kind of symptoms are these?

xiezi, 20~29 year old female. Ask Date: 2010/05/28

Dr. Liu Jiaju reply Urology

Based on your description of painful urination, further examinations such as a urinalysis or imaging studies may be necessary to rule out the possibility of a urinary tract infection or stones.
Additionally, considering your young age and the presence of urinary difficulties and weak ejaculation, it may be important to evaluate for potential underlying conditions such as diabetes or other issues.
It is recommended that you consult with a physician for a detailed discussion and to arrange appropriate tests for targeted treatment.

Reply Date: 2010/05/28

More Info

Enlarged urethral opening, or urethral meatal stenosis, can manifest with various symptoms, including bleeding, pain during urination, and changes in urinary stream strength. The symptoms you describe—bleeding before the enlargement, slight pain during urination, and a weaker urinary stream—suggest that there may be an underlying issue affecting the urethra or the surrounding structures.

The enlargement of the urethral opening can be caused by several factors, including infections, trauma, or congenital abnormalities. In your case, the bleeding prior to the enlargement could indicate an infection or irritation that may have led to inflammation and subsequent changes in the urethra. Conditions such as urethritis (inflammation of the urethra), sexually transmitted infections, or even physical trauma can contribute to these symptoms.

The pain during urination and the change in the force of the urinary stream could be indicative of a blockage or narrowing further down the urethra, which may require medical evaluation. It’s essential to consult a urologist for a thorough examination, which may include a physical examination, urinalysis, and possibly imaging studies to assess the urinary tract's condition.

Treatment options will depend on the underlying cause of the symptoms. If an infection is present, antibiotics may be prescribed. If the enlarged urethral opening is due to scarring or other structural changes, procedures such as dilation or surgical correction may be necessary. In some cases, a urethral meatotomy (surgical enlargement of the urethral opening) may be performed to alleviate symptoms and restore normal urinary function.

In addition to medical treatment, it is crucial to maintain good hygiene and follow any recommendations provided by your healthcare provider to prevent further complications. If you experience persistent symptoms or worsening conditions, it is vital to seek immediate medical attention.

In summary, the symptoms you are experiencing could be related to an infection or structural changes in the urethra. A urologist can provide a comprehensive evaluation and recommend appropriate treatment options to address your concerns. Early intervention is key to preventing potential complications and restoring normal urinary function.

Similar Q&A

Understanding Urethral Meatal Stenosis: Symptoms and Treatment Options

Hello, Dr. Du: Since high school, the opening of my urethra has been continuously enlarging. It was originally about 1 cm, but now it has split to the left side of the frenulum, almost connecting with the left sulcus, making the glans appear as if it has been longitudinally incis...

Dr. Du Shixi reply Urology
Hello: An enlarged urethral opening generally does not require treatment, but it is important to have a urologist examine it to check for any issues such as phimosis. Wishing you good health.

Understanding Swelling at the Urethral Opening: Causes and Solutions

The urethral opening may appear swollen and persistently enlarged for various reasons. Common causes include inflammation, infection, or irritation of the urethra, which can lead to conditions such as urethritis. Other possibilities include cysts or benign growths. It is importan...

Dr. Liu Jianting reply Urology
It's normal!

Understanding Urethral Discomfort: Causes and Treatment Options

Hello, doctor. Could you please take a look at my urethral opening? It is usually wrinkled, red, and slightly recessed. The front part feels uncomfortable, sometimes with a sharp pain, and at times I experience a burning sensation when urinating. I have been to the hospital for a...

Dr. Du Shixi reply Urology
Hello: Generally, people are like this without any special conditions. If the urine test is normal, it may be necessary to pay attention to lifestyle. Ensure an intake of at least 2000cc of fluids (preferably plain water), limit the consumption of beverages, spicy foods, and alco...

Understanding Urethral Enlargement: Causes, Concerns, and Solutions

Hello doctor, recently my girlfriend has been performing oral sex and manual stimulation on me. Due to the intensity, I have noticed that my urethral opening seems to be torn and stretched. Previously, my urethral opening was about 0.3 cm, but now it has increased to around 0.6 t...

Dr. Du Mingyi reply Urology
The urge to urinate and the desire to urinate are two different matters; it is usually caused by psychological factors. The current condition does not affect function, and there is no surgical intervention available.