Urological issues
Hello doctor, my entire urethra is very itchy (the glans and urethral opening are not itchy, but the urethra inside the penis is very itchy, and I constantly feel the urge to scratch it; the itchiness extends to the base of the penis near the anus).
What could this symptom indicate?
yī yī y, 20~29 year old female. Ask Date: 2016/01/31
Dr. Xu Weikai reply Urology
Hello, you may be experiencing a urinary tract infection or something similar.
If you have any further questions, feel free to ask, and we can discuss and research it together.
Information from the internet should only be used as a reference; if necessary, you should visit a medical facility for treatment.
This message is from Dr.
Hsu Wei-Kai, the Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.
Reply Date: 2016/01/31
More Info
Urethral itching can be a distressing symptom and may arise from various underlying causes. Understanding the potential reasons for this discomfort is crucial for effective management and treatment.
Firstly, it is important to note that itching in the urethra, particularly when it extends to the base of the penis and near the anus, can be indicative of several conditions. One of the most common causes is a urinary tract infection (UTI). UTIs can lead to inflammation and irritation of the urethra, resulting in itching and discomfort. Symptoms may also include a burning sensation during urination, frequent urination, and cloudy or foul-smelling urine.
Another potential cause of urethral itching is sexually transmitted infections (STIs), such as gonorrhea or chlamydia. These infections can cause urethritis, which is inflammation of the urethra, leading to symptoms like itching, burning, and discharge. It is essential to consider recent sexual activity and any potential exposure to STIs when evaluating this symptom.
Allergic reactions or irritations can also lead to urethral itching. This may occur due to the use of certain soaps, lotions, or personal hygiene products that may irritate the sensitive skin of the genital area. Additionally, the use of condoms or lubricants containing irritants can also cause localized itching.
Another possibility is a skin condition, such as eczema or psoriasis, which can affect the genital area and lead to itching. Fungal infections, such as candidiasis, can also cause itching and discomfort, particularly if there is an overgrowth of yeast in the area.
In some cases, urethral itching may be related to more serious conditions, such as prostatitis (inflammation of the prostate gland) or urethral stricture (narrowing of the urethra). These conditions may require more extensive evaluation and treatment.
Given the variety of potential causes, it is crucial to consult a healthcare professional for a thorough evaluation. A doctor may perform a physical examination, take a detailed medical history, and possibly order laboratory tests, such as urine analysis or cultures, to determine the underlying cause of the itching.
In the meantime, there are some general recommendations that may help alleviate the symptoms. Maintaining good hygiene, avoiding irritants, and wearing loose-fitting cotton underwear can help reduce irritation. Additionally, avoiding sexual activity until a diagnosis is made may prevent further irritation or transmission of infections.
In conclusion, urethral itching can stem from various causes, including infections, irritations, and skin conditions. It is essential to seek medical advice for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and provide relief from discomfort. If you are experiencing persistent symptoms, do not hesitate to reach out to a healthcare provider for assistance.
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