Male Urethritis: Symptoms, Treatment, and Recovery - Urology

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Male urethritis


About a month ago, I had urethritis.
After taking antibiotics for four days, the burning sensation during urination has subsided, and a follow-up examination at the hospital showed that my urine was normal.
However, sometimes I still experience a slight burning sensation in the morning when urinating, and there is also a burning sensation during ejaculation, along with occasional itching and tingling.
The doctor prescribed a medication that changes the color of urine for me to take for two weeks.
During the course of taking the new medication, I still occasionally experience burning in the morning when urinating, but the itching and tingling sensations have eased.
However, there are times when I notice a little discharge.
I would like to know if this indicates that I am recovering.

Hong Guohua, 20~29 year old female. Ask Date: 2015/09/17

Dr. Li Yilun reply Urology


You should consult your physician regarding your issue, as they cannot determine your condition based solely on a brief description.
A thorough assessment often requires a detailed medical history, physical examination, and diagnostic tests to establish an accurate diagnosis and treatment plan.

Reply Date: 2015/09/17

More Info


Understanding male urethritis involves recognizing its symptoms, treatment options, and the recovery process. Urethritis is an inflammation of the urethra, often caused by infections, which can be sexually transmitted or due to other bacterial infections. The symptoms typically include a burning sensation during urination, discharge from the urethra, and sometimes itching or irritation around the genital area.

In your case, it seems that you initially experienced typical symptoms of urethritis, such as burning during urination and possibly discharge. After a four-day course of antibiotics, you reported that the burning sensation during urination had improved, and follow-up tests indicated that your urine was normal. However, you still experience occasional burning sensations in the morning and during ejaculation, along with some itching and a slight discharge.

These lingering symptoms can be concerning, but they are not uncommon in the recovery phase of urethritis. It is important to understand that even after the initial treatment, some individuals may continue to experience symptoms for a while. This can be due to several reasons:
1. Residual Inflammation: Even after the infection is cleared, inflammation in the urethra can persist, leading to ongoing discomfort. This inflammation may take time to resolve completely.

2. Post-Infectious Symptoms: Sometimes, the symptoms can linger even after the infection has been treated. This is often referred to as post-infectious urethritis, where the urethra remains sensitive and reactive for a period.

3. Re-infection or Co-infection: If there was exposure to another sexually transmitted infection (STI) or if the initial infection was not fully resolved, symptoms may return. It's crucial to ensure that any sexual partners are also tested and treated if necessary.

4. Medication Side Effects: The new medication you mentioned, which causes urine discoloration, may also have side effects that could contribute to your symptoms. Always discuss any new medications with your healthcare provider to understand their potential impacts.

Regarding your current symptoms, it is a positive sign that the itching and some discomfort have lessened, indicating that you may be on the path to recovery. However, the persistent burning sensation during urination and ejaculation, along with any discharge, should not be ignored. Here are some recommendations for managing your symptoms and ensuring a smooth recovery:
- Follow-Up with Your Doctor: Since you are still experiencing symptoms, it is advisable to return to your healthcare provider for further evaluation. They may want to perform additional tests to rule out any remaining infections or other underlying issues.

- Hydration: Drink plenty of fluids to help flush out your urinary system. Staying well-hydrated can also dilute your urine, which may reduce irritation during urination.

- Avoid Irritants: Steer clear of potential irritants such as spicy foods, alcohol, and caffeine, which can exacerbate urinary symptoms.

- Safe Sexual Practices: If you are sexually active, consider using protection to prevent potential re-infection or transmission of STIs. It may also be wise to abstain from sexual activity until you have fully recovered and received clearance from your doctor.

- Warm Baths: Taking warm baths can help soothe discomfort in the genital area.
- Monitor Symptoms: Keep track of your symptoms, including any changes in discharge, pain levels, or new symptoms. This information will be valuable for your healthcare provider.

In conclusion, while some lingering symptoms can be part of the recovery process from urethritis, it is essential to remain vigilant and consult your healthcare provider if symptoms persist or worsen. Early intervention can prevent complications and ensure a complete recovery.

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