Pain During Urination: Causes and Solutions - Urology

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Understanding pain during urination can be complex, as it may stem from various underlying causes, including urological, neurological, or even psychological factors. Based on your description, it seems that the pain you experience at the base of the penis during urination may be related to a combination of factors, including frequent ejaculation and potential nerve irritation.


Possible Causes of Pain During Urination
1. Nerve Irritation: Frequent ejaculation, particularly through masturbation, can lead to temporary nerve irritation or inflammation in the pelvic region. This can manifest as pain or discomfort during urination, especially if the pelvic muscles are tense or fatigued. The pain you describe as "抽痛" (sharp pain) could indeed be a form of neuralgia, where the nerves in the area become sensitive due to overuse or strain.

2. Muscle Tension: The pelvic floor muscles play a crucial role in urination and sexual function. If these muscles are overly tense or fatigued from frequent sexual activity, they may contribute to discomfort during urination. This tension can lead to a sensation of tightness or pain, particularly when pressure is applied to the area.

3. Urethritis or Infection: While you mentioned that the pain often correlates with masturbation, it is essential to rule out any potential infections or inflammation of the urethra (urethritis) or bladder (cystitis). Symptoms of infection can sometimes mimic nerve pain, so if the pain persists or worsens, a medical evaluation may be warranted.

4. Prostatitis: In men, inflammation of the prostate gland (prostatitis) can cause pain during urination and may be exacerbated by sexual activity. This condition can be acute or chronic and may require specific treatment.

5. Psychological Factors: Anxiety or stress related to sexual performance or frequency of sexual activity can also manifest as physical symptoms, including pain during urination. It's essential to consider the psychological aspect of your symptoms, especially if you notice a pattern related to emotional states.


Recommendations for Management
1. Rest and Recovery: If you suspect that your symptoms are related to frequent ejaculation, consider taking a break from sexual activity for a period. Allowing your body time to recover may help alleviate the pain.

2. Pelvic Floor Exercises: Engaging in pelvic floor exercises (Kegel exercises) can help strengthen and relax the pelvic muscles, potentially reducing tension and discomfort.

3. Hydration: Staying well-hydrated can help dilute urine and may reduce irritation during urination.

4. Warm Compresses: Applying a warm compress to the pelvic area may help relieve discomfort and relax tense muscles.

5. Medical Evaluation: If the pain persists, worsens, or is accompanied by other symptoms such as fever, unusual discharge, or blood in urine, it is crucial to seek medical attention. A healthcare provider may recommend urine tests, imaging studies, or a physical examination to rule out infections or other underlying conditions.

6. Limit Irritants: Avoiding irritants such as caffeine, alcohol, and spicy foods may also help reduce urinary discomfort.


Conclusion
While your symptoms may be related to nerve irritation from frequent sexual activity, it is essential to approach this issue holistically. Monitoring your symptoms, practicing self-care, and seeking medical advice when necessary can help you manage and understand your pain during urination effectively. Remember, open communication with a healthcare provider is key to addressing any concerns you may have about your sexual health and urinary function.