Urethral Injuries: Symptoms, Treatment, and Diagnosis

Regarding urethral issues?

Hello, Doctor: I would like to ask you if it is possible for a finger to accidentally enter the urethra.
During my last shower, I think I may have cleaned too vigorously, and it feels like my fingernail might have scratched the inside of the urethra.
When I came into contact with body wash, it felt stinging, and touching the urethra is painful.
Currently, I only feel a dull, stinging sensation when sitting, but not when standing.
Doctor, I would like to know how to handle this situation if my fingernail has indeed scratched the urethra.
Is it appropriate to apply an ointment? Also, if there is an injury inside the urethra, can a urinalysis detect it, or are there other methods to determine the injury? I apologize for the trouble, and thank you for your help.

123, 20~29 year old female. Ask Date: 2015/09/05

Dr. Lü Lizheng reply Obstetrics and Gynecology

The opening of the urethra is quite narrow, and under normal circumstances, it shouldn't be too deep; it may just be a superficial abrasion that will heal on its own within three to five days.
If the pain worsens, a medical consultation is advisable.
If it is merely a superficial abrasion, urinalysis may not show any abnormalities.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/09/05

More Info

Urethral injuries can be concerning, especially when there is a possibility of trauma from an external object or even from personal hygiene practices. Based on your description, it seems you may have inadvertently caused some irritation or minor injury to your urethra while cleaning. Here’s a detailed overview of urethral injuries, their symptoms, diagnosis, and treatment options.

Symptoms of Urethral Injury
Urethral injuries can manifest in various ways, depending on the severity of the injury. Common symptoms include:
1. Pain or Discomfort: You mentioned experiencing a "sting" or pain when washing with soap, which could indicate irritation or injury to the urethra.

2. Dysuria: This refers to painful urination, which can occur if the urethra is inflamed or injured.

3. Hematuria: The presence of blood in the urine, which may not be apparent in your case but is a common sign of more significant injury.

4. Urinary Retention: Difficulty in urinating can occur if there is significant swelling or blockage.

5. Discharge: Any unusual discharge from the urethra may indicate an infection or injury.

Diagnosis of Urethral Injury
To determine if there is an injury to the urethra, several diagnostic methods can be employed:
1. Urinalysis: A urine test can help identify blood, infection, or other abnormalities.

2. Urethroscopy: This is a procedure where a thin tube with a camera is inserted into the urethra to visually inspect for any injuries or abnormalities.

3. Imaging Studies: In some cases, imaging studies like ultrasound or CT scans may be used to assess the surrounding structures and any potential injuries.

Treatment Options
If you suspect that your urethra has been scratched or injured, here are some steps you can take:
1. Avoid Irritation: Refrain from using harsh soaps or any products that could further irritate the area. It’s advisable to use mild, unscented soap and to be gentle when cleaning.

2. Hydration: Drink plenty of water to help dilute your urine, which can minimize discomfort during urination.

3. Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate discomfort.

4. Topical Treatments: While applying ointments directly inside the urethra is not recommended, you can apply soothing creams around the external area if there is irritation. However, consult a healthcare provider before using any topical medications.

5. Monitoring Symptoms: Keep an eye on your symptoms. If they worsen or if you develop new symptoms like fever, increased pain, or difficulty urinating, seek medical attention promptly.

When to Seek Medical Attention
If you experience any of the following, it’s crucial to consult a healthcare professional:
- Persistent or worsening pain
- Blood in urine
- Difficulty urinating
- Signs of infection (fever, chills, increased urgency)
In conclusion, while minor urethral injuries can often heal on their own, it’s essential to monitor your symptoms closely. If you have any concerns or if your symptoms persist, it’s best to consult a healthcare provider for a thorough evaluation and appropriate management. Remember, your health and comfort are paramount, and seeking professional advice is always a prudent choice.

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