Pain After Urination: Possible Causes and When to See a Doctor - Urology

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Experiencing pain after urination, particularly in the area where the penis connects to the body, can be concerning and may indicate several underlying issues. Given that this pain occurs infrequently (about once or twice a month) and has persisted for approximately two years, it is essential to consider various potential causes and the importance of seeking medical advice.

One possible explanation for your symptoms could be chronic prostatitis, which is inflammation of the prostate gland. Chronic prostatitis can manifest as pelvic pain, discomfort during or after urination, and sometimes even pain during ejaculation. The fact that your pain is sharp enough to bring you to tears suggests that it may be significant and warrants further investigation. Chronic prostatitis can be caused by various factors, including bacterial infections, pelvic floor muscle tension, or even nerve-related issues.

Another potential cause could be urethritis, which is inflammation of the urethra. This condition can result from infections, sexually transmitted diseases, or irritation from chemicals or soaps. Urethritis can lead to pain during urination and discomfort afterward. Given that your symptoms have been intermittent, it might be challenging to pinpoint the exact cause without a thorough evaluation.

Additionally, you mentioned the possibility of prolonged sitting contributing to your symptoms. While poor posture and prolonged sitting can lead to muscle tension and discomfort in the pelvic region, they are less likely to be the primary cause of the sharp pain you are experiencing after urination. However, it is worth considering that muscle tension in the pelvic floor could exacerbate any underlying conditions.

It is crucial to consult a healthcare professional regarding your symptoms. A urologist would be the most appropriate specialist to evaluate your condition. During your visit, the doctor may perform a physical examination, including a digital rectal exam, to assess the prostate and check for any abnormalities. They may also recommend urine tests to rule out infections or other issues. If necessary, further imaging studies or tests may be conducted to gain a clearer understanding of your condition.

In summary, while your symptoms could be related to chronic prostatitis, urethritis, or even muscle tension, it is essential to seek medical attention to obtain an accurate diagnosis and appropriate treatment. Ignoring these symptoms could lead to worsening conditions or complications. Therefore, I strongly encourage you to make an appointment with a urologist to discuss your symptoms in detail and receive the necessary care. Early intervention can often lead to better outcomes and relief from discomfort.