Urological Issues: Burning Sensation and Erection Changes - Urology

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Penile issues


Hello Doctor: Recently, I have been experiencing a burning sensation at the urethral opening while showering, but there is no discomfort when urinating.
Additionally, I have noticed that achieving an erection is not as easy as it used to be, and both the hardness and duration of the erection are not as satisfactory as before.
I would like to ask what this issue might be and whether I should see a doctor.
Thank you for taking the time to respond.

Niming, 30~39 year old female. Ask Date: 2010/09/15

Dr. Xu Weikai reply Urology


Hello, if this is an occasional occurrence, it should be monitored further.
However, if it happens frequently, it is advisable to consult a physician for an examination.
Additionally, it is not recommended to use a handheld showerhead for rinsing.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
This message is from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2010/09/15

More Info


The symptoms you are experiencing, including a burning sensation at the urethral opening during showering and changes in erectile function, can be indicative of several underlying urological issues. It is essential to address these concerns promptly, as they may be related to infections, inflammation, or other medical conditions.

1. Burning Sensation: The burning sensation you feel at the urethral opening could be due to a urinary tract infection (UTI), urethritis (inflammation of the urethra), or irritation from soaps or other products used during bathing. UTIs are common and can cause symptoms such as burning during urination, frequent urination, and sometimes blood in the urine. If the burning sensation occurs only during showering and not while urinating, it may suggest irritation rather than an infection. However, if you notice any other symptoms like increased frequency of urination, urgency, or fever, it is crucial to seek medical attention.

2. Changes in Erection: The changes in your ability to achieve or maintain an erection can be multifactorial. Psychological factors such as stress, anxiety, or depression can significantly impact erectile function. Additionally, physical factors such as hormonal imbalances, vascular issues, or nerve damage can also play a role. Conditions like diabetes, hypertension, and high cholesterol are known to affect erectile function. It is important to consider whether these changes are recent or if they have been ongoing, as this can help determine the underlying cause.

3. When to See a Doctor: Given the combination of symptoms you are experiencing, it is advisable to consult a healthcare professional. A urologist can perform a thorough evaluation, which may include a physical examination, urine tests, and possibly blood tests to assess for infections, hormonal levels, or other underlying conditions. Early diagnosis and treatment can prevent potential complications and improve your quality of life.

4. Potential Tests and Treatments: Depending on the findings, your doctor may recommend various tests, such as a urinalysis to check for infections, a culture to identify specific pathogens, or even imaging studies if structural issues are suspected. Treatment may include antibiotics for infections, lifestyle modifications, or medications to address erectile dysfunction if deemed necessary.

5. Lifestyle Considerations: In the meantime, consider making some lifestyle changes that can promote urological health. Staying hydrated, practicing safe sex, and maintaining a healthy diet can all contribute positively. Avoiding irritants such as harsh soaps or chemicals in the genital area may also help alleviate symptoms.

In conclusion, while your symptoms may not necessarily indicate a severe condition, they warrant further investigation to rule out any underlying issues. Seeking medical advice is the best course of action to ensure appropriate diagnosis and treatment. Remember, open communication with your healthcare provider about your symptoms and concerns is vital for effective management.

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