Painful Urination: Is It Urethritis? - Urology

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Painful urination?


Hello, Doctor Fu.
I have a habit of masturbation, with a frequency of twice a week.
After masturbating yesterday, I started to feel a sharp sensation at the urethral opening when I urinate the next day, but it goes away quickly.
I've been experiencing this sensation every time I urinate for the past few days.
Is this a symptom of urethritis? I have not engaged in sexual intercourse.
Thank you.

Dada, 30~39 year old female. Ask Date: 2015/08/04

Dr. Fu Shizhang reply Urology


It could be a urinary tract infection; it is recommended to visit an outpatient clinic for a urinalysis.

Reply Date: 2015/08/04

More Info


Painful urination, or dysuria, can indeed be a concerning symptom, and it can arise from various causes, including urethritis, urinary tract infections (UTIs), or even irritation from activities such as masturbation. Given your description of experiencing a sharp pain at the onset of urination, it is reasonable to consider urethritis as a potential cause, especially since you mentioned that this symptom began after masturbation.

Urethritis is an inflammation of the urethra, which can be caused by infections (bacterial or viral), chemical irritants, or physical trauma. In your case, since you have a history of masturbation, it is possible that friction or irritation during the act could have led to inflammation of the urethra. This irritation can manifest as a sharp pain when urine first enters the urethra, as you described.

However, it is essential to rule out other potential causes of your symptoms. For instance, sexually transmitted infections (STIs) can also lead to urethritis, even if you have not engaged in penetrative sexual intercourse. Some STIs can be transmitted through oral sex or other forms of sexual contact. Therefore, if there is any possibility of exposure to STIs, it would be prudent to get tested.

Additionally, other factors such as dehydration, excessive alcohol or caffeine consumption, or the use of irritating soaps or hygiene products can contribute to urinary symptoms. If you have recently changed any personal care products or dietary habits, consider whether these could be contributing to your discomfort.

In terms of management, here are some recommendations:
1. Hydration: Increase your fluid intake to help dilute your urine, which may alleviate some of the burning sensation during urination.

2. Avoid Irritants: Stay away from caffeine, alcohol, spicy foods, and acidic foods, as these can irritate the bladder and urethra.

3. Hygiene Practices: Ensure proper hygiene before and after masturbation to minimize the risk of irritation or infection.

4. Seek Medical Attention: If the pain persists, worsens, or is accompanied by other symptoms such as fever, chills, or unusual discharge, it is crucial to consult a healthcare provider. They may perform a urinalysis and possibly a urine culture to identify any underlying infections.

5. Consider STI Testing: If there is any concern about potential exposure to STIs, it is advisable to get tested, even if you have not had penetrative sex.

In summary, while your symptoms could suggest urethritis, it is essential to consider other possible causes and seek medical evaluation if the symptoms do not resolve or if they worsen. Early diagnosis and treatment can help prevent complications and ensure a swift recovery.

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