Urinary system
Hello, doctor.
I would like to ask three questions:
1.
Sometimes when I urinate, I have to pause in the middle and then continue.
During the pause, I experience a cramping sensation on one side in the perineal area, lasting about 10 seconds and it is quite painful.
What could be the reason for this?
2.
I have pain located approximately on the left side of the bladder, which can be described as a line from 9 cm left and down at a 45-degree angle from the navel to 9 cm directly below the navel.
The pain occurs unexpectedly, about 2 to 3 times a month, lasting around 5 to 7 seconds.
What could this indicate?
3.
I apologize, but I would like to ask if spraying 75% alcohol on the testicular area could cause harm to the testicles.
Sometimes it causes a burning sensation.
My intention is to disinfect and keep the area clean.
xiang anxin, 20~29 year old female. Ask Date: 2010/11/04
Dr. Xu Weikai reply Urology
Hello, to ensure your peace of mind: 1.
It could be neuropathic pain or urinary tract stones, and further examination is needed.
2.
It's uncertain; many types of pain can cause discomfort in the area you mentioned, requiring further investigation.
3.
Alcohol can cause damage to the perineal skin, and long-term use may lead to chronic changes such as skin keratinization.
If there are any unclear points, feel free to ask again for further discussion and research.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.
Reply Date: 2010/11/04
More Info
When it comes to urological issues, particularly those involving pain during urination and concerns about alcohol use on the testicles, it's essential to approach the situation with a comprehensive understanding of the underlying mechanisms and potential causes.
1. Pain During Urination and Cramping Sensation: The experience of pain or cramping in the perineal area during urination can be attributed to several factors. One possibility is the presence of pelvic floor muscle tension or spasms. The pelvic floor muscles play a crucial role in urination, and if these muscles are tense or spasming, it can lead to discomfort or pain during the act of urination. This can be exacerbated by anxiety, stress, or even certain positions during urination. Additionally, conditions such as prostatitis (inflammation of the prostate) or urethral stricture (narrowing of the urethra) could also contribute to these symptoms. It is advisable to consult a urologist for a thorough evaluation, which may include a physical examination and possibly imaging studies to rule out any underlying conditions.
2. Localized Pain in the Abdomen: The pain you describe, located approximately 9 cm from the navel towards the left side, could be related to various issues. Given its intermittent nature and the specific location, it may be associated with gastrointestinal issues, such as diverticulitis or irritable bowel syndrome, or it could be related to urological conditions such as kidney stones or referred pain from the bladder or prostate. The fact that it occurs sporadically and lasts only a few seconds suggests it may not be a chronic condition, but it is still essential to monitor the frequency and intensity of the pain. Keeping a diary of when these episodes occur, along with any associated symptoms (like changes in urination, bowel habits, or diet), could be helpful for your healthcare provider in diagnosing the issue.
3. Use of Alcohol on the Testicles: Spraying 75% alcohol on the testicles is not recommended. While alcohol is an effective antiseptic, it can cause irritation and dryness of the skin, leading to discomfort or a burning sensation. The skin in the genital area is sensitive, and applying high concentrations of alcohol can disrupt the natural barrier, potentially leading to irritation or even dermatitis. If your goal is to maintain cleanliness and reduce bacteria, consider using mild soap and water for washing the area. If you are concerned about hygiene, there are also specific products designed for intimate areas that are less likely to cause irritation. If you experience persistent burning or discomfort after using alcohol, it would be wise to discontinue its use and consult a healthcare provider for alternative recommendations.
In summary, the symptoms you are experiencing warrant a thorough evaluation by a healthcare professional, particularly a urologist, who can provide a tailored approach based on your medical history and specific symptoms. It is crucial to address these issues promptly to ensure that any underlying conditions are diagnosed and treated appropriately. Additionally, when it comes to personal hygiene practices, opting for gentler methods is advisable to avoid irritation and maintain skin health.
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