Urological Pain: Causes and Concerns Explained

Urological Pain Issues

I have a small lump in my penile urethra that hurts when pressed, and it is very uncomfortable when urinating.
What could it be? Thank you.

Mr. Zheng, 30~39 year old female. Ask Date: 2015/10/30

Dr. Li Yilun reply Urology

Your issue is not common, and it is advisable to consult a physician in person if you experience any abnormalities in your body.
The doctor can conduct a detailed interview and physical examination based on your description, which is essential for accurate diagnosis.
It is important to note that your simple description alone cannot determine the condition; a thorough consultation and medical history are necessary.
Therefore, it is still recommended to seek professional medical advice and examination.

Reply Date: 2015/10/30

More Info

Urological pain can be a distressing experience, and your symptoms suggest that you may be dealing with a condition that requires careful evaluation. The presence of a small painful lump in the urethra, especially if it causes discomfort during urination, could indicate several potential issues. Here’s a comprehensive overview of what you might be experiencing and the steps you should consider taking.

Possible Causes of Urethral Pain
1. Urethral Stricture: This is a narrowing of the urethra that can cause pain, especially during urination. It can result from injury, infection, or inflammation.

2. Urethral Caruncle: This is a benign growth that can occur at the urethral opening, often causing discomfort and sometimes bleeding. It is more common in women but can occur in men as well.

3. Urethritis: Inflammation of the urethra, often caused by infections (bacterial or viral), can lead to pain during urination and discomfort in the urethra.

4. Sexually Transmitted Infections (STIs): Conditions such as gonorrhea or chlamydia can cause urethral pain and discomfort. These infections often require specific antibiotic treatment.

5. Calculi (Stones): Urethral stones can form and cause pain, especially if they obstruct urine flow. This can lead to severe discomfort and may require medical intervention.

6. Foreign Body: Occasionally, a foreign object can become lodged in the urethra, leading to pain and discomfort. This is less common but should be considered.

7. Tumors: Although rare, tumors in the urethra can cause pain and discomfort. These require thorough evaluation and possibly biopsy for diagnosis.

Recommended Actions
Given your symptoms, it is crucial to seek medical attention from a urologist. Here are steps you should consider:
1. Schedule an Appointment: Contact a urologist as soon as possible. Describe your symptoms in detail, including the pain, any changes in urination, and the presence of the lump.

2. Diagnostic Tests: The urologist may recommend several tests, including:
- Urinalysis: To check for signs of infection or blood in the urine.

- Ultrasound: To visualize the urinary tract and identify any abnormalities.

- Cystoscopy: A procedure that allows the doctor to look inside the urethra and bladder using a thin tube with a camera.

3. Avoid Self-Diagnosis: While it’s tempting to search for answers online, self-diagnosing can lead to unnecessary anxiety or mismanagement of your condition.

4. Maintain Good Hygiene: Until you see a doctor, ensure you maintain good genital hygiene to prevent any potential infections from worsening.

5. Document Symptoms: Keep a record of your symptoms, including when they occur, their severity, and any other associated symptoms (like fever or discharge). This information can be invaluable for your healthcare provider.

Conclusion
Urological pain, especially when associated with a lump in the urethra, should not be ignored. It can stem from various causes, some of which may require prompt treatment to prevent complications. By consulting a urologist, you can receive a proper diagnosis and appropriate treatment plan tailored to your specific condition. Remember, early intervention is key to managing urological issues effectively.

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