Urethral Appearance and Sensitivity Issues: A Urology Perspective - Urology

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Meatal stenosis?


Hello doctor, I have seen some people's urethral openings that look like a hole, while mine appears as a line without any opening sensation.
Which one is normal? Additionally, I have a problem with phimosis.
When I pull back my foreskin to reduce the sensitivity of the glans, the urethral opening sticks to my underwear, and when I pull it away from the underwear, it hurts a lot, while the glans itself doesn't hurt.
This seems abnormal, right? If this were normal, wouldn't those who have undergone circumcision experience pain at the urethral opening? How can I prevent pain when the urethral opening rubs against my underwear? Thank you!

Xiao Xin, 10~19 year old female. Ask Date: 2015/12/25

Dr. Xu Weikai reply Urology


Xiao Xin: Hello, everyone's height, weight, eye size, etc., are different, so the shape of the urethral opening is also different.
Pain is very subjective; frequent friction may lead to habituation, resulting in less pain.
Additionally, your underwear may be sticking; trying different materials for your underwear might help improve the situation.
Online responses can only serve as a reference; if necessary, it is still important to seek medical attention at a healthcare facility.
This message is brought to you by Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2015/12/25

More Info


Understanding urethral appearance and sensitivity issues is crucial for addressing concerns related to urological health. The urethral opening, or meatus, can vary in appearance among individuals, and both a slit-like and a more rounded opening can be considered normal. The key is that the urethral opening should not exhibit any signs of inflammation, discharge, or abnormal growths. If your urethral opening appears as a line rather than a hole, it may simply be a variation of normal anatomy. However, if you are experiencing pain or discomfort, it is essential to consult a urologist for a thorough examination.

Regarding your concern about sensitivity and discomfort when the glans (the head of the penis) comes into contact with clothing, this can be attributed to several factors. The glans is typically more sensitive than other areas of the penis, especially if it has been covered by the foreskin for a long time. When the foreskin is retracted, the glans is exposed to friction and contact with clothing, which can lead to discomfort or pain. This sensitivity is not uncommon, especially in individuals who have not been circumcised.

If you are experiencing pain when the urethral opening comes into contact with your underwear, it may be due to friction or irritation. Here are some suggestions to help alleviate this discomfort:
1. Moisturizing: Applying a gentle, hypoallergenic moisturizer to the glans can help reduce friction and irritation. Be sure to choose a product that is safe for sensitive skin and does not contain fragrances or harsh chemicals.

2. Choosing the Right Underwear: Opt for loose-fitting underwear made from soft, breathable fabrics. Avoid tight-fitting or rough materials that may exacerbate irritation.

3. Hygiene Practices: Maintain good hygiene by gently cleaning the area with mild soap and water. Avoid using harsh soaps or scrubbing too vigorously, as this can lead to irritation.

4. Gradual Exposure: If you have recently retracted your foreskin, it may take some time for your glans to adjust to being exposed. Gradually increasing the time your glans is exposed can help desensitize the area over time.

5. Consult a Urologist: If the pain persists or worsens, it is important to seek medical advice. A urologist can assess your condition, rule out any underlying issues such as infections or skin conditions, and provide tailored recommendations.

Regarding your question about circumcision and sensitivity, it is important to note that individuals who are circumcised may experience different sensations due to the removal of the foreskin. Some may find that they have reduced sensitivity, while others may adapt to the changes over time. Each individual's experience is unique, and there is no one-size-fits-all answer.

In summary, variations in urethral appearance can be normal, but sensitivity and discomfort should not be ignored. Proper hygiene, choosing the right clothing, and consulting a healthcare professional can help manage these symptoms effectively. If you have ongoing concerns about your urological health, do not hesitate to reach out to a urologist for further evaluation and guidance.

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