By Dr George Lee. Dear Dr G, I hope you can help me as my problems are not solved despite seeing many doctors. My name is Dave and I am 32 years old. I am still a bachelor and have a regular sexual partner. We have been together for the last two years.
Identifying your triggers can take some time and self-reflection. Being present in the urine because of a bladder infection. Medicines that are used for chronic pain anticonvulsants. Counselling with cognitive-behavioural therapy. When they occur in the ureter, however, pain may radiate so that it feels as if it's coming from the urethra. Read this next. Some people develop chronic prostatitis in the absence of bacterial infection. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Some men may have no symptoms.
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But, my uroogist says there are no "plaques" in my penis, so bloodflow should be fine. Took a urine test at my MD but he is away for three weeks. Identifying your triggers can take some time and self-reflection. OK then. Accompanied with these symptoms I also have a mild Twinge of pain in penis in my groin, felt at various points all over my penis and in my pubic region. Mine can't be an STD or anything because I haven't had sex. I believe it is related to blood flow somehow. It's not im penis, it's inside Traci lords free nude vids it! I coughed a couple of times and i felt a little twinge in my penis. MedHelp Crisis Resources. Hi Doctor, I have this frequent feeling as if something is moving inside my penis.
The urethra is the tube that drains urine from the bladder.
- Your penis is a complicated thing.
- The Livestrong.
Pain in the urethra the tube that passes from the bladder to the outside of the body can be very uncomfortable. While the pain is often burning in quality depending on the cause , it can sometimes be severe to the point where the thought of urinating is excruciating.
In both men and women, common causes of urethral pain include sexually transmitted diseases STDs such as chlamydia , local irritation from soaps or spermicides, and urinary tract infections UTIs.
In men, prostatitis isn't an uncommon cause, whereas in women, vaginal dryness due to menopause can be an issue. Diagnostic tests may include tests for common STDs, a urinalysis, and further blood tests and imaging studies for the less common causes.
The treatment will depend on the specific cause, with treatment of partners of importance in the case STDs. The urethra is the tube the passes from the bladder to the outside of the body via the urethral sphincter. There are differences in the structure and function of the urethra in men and women, and these differences can play a role in the different conditions that lead to urethral pain.
In female urologic-related anatomy , the urethra serves to carry urine from the bladder to the external sphincter of the urethra and is very short, residing completely within the pelvis. In men, the urethra acts as a conduit not only for urine, but semen, and is much longer, with much of the length lying outside of the pelvis in the penis. The relatively short urethra in women makes it much easier for bacteria to make their way from the skin to the bladder, leading to a much higher incidence of bladder infections cystitis in women.
Many of the causes of urethral pain are the same between the sexes, yet there are also some causes unique to men or women. Urethritis is a medical term that means "inflammation of the urethra. Reactive arthritis Reiter's syndrome is another potential cause of urethral pain, with the classic triad being that of postinfectious arthritis inflammation of joints , nongonococcal urethritis, and conjunctivitis pink eye or uveitis inflammation of the uvea of the eye.
Interstitial cystitis is a somewhat poorly understood condition characterized by severe urethral pain that mimics a bad UTI, but urine cultures are negative. It's thought by some to be a systemic body-wide condition rather than a local condition, and is often associated with other conditions such as fibromyalgia.
Anything that causes obstruction in the urethra can lead to the buildup of urine that stretches the tissues, causing significant urethral pain. There are many potential causes that may occur within the urethra or externally. Urethral strictures narrowing may develop in people who have had chronic urinary tract infections, have had a catheter for a significant period of time, or have had surgery or radiation that involves the urethra.
Tumors such as ovarian cancer, uterine cancer, bladder cancer, or prostate cancer may also press on the urethra, causing an obstruction. Finally, trauma, such as a pelvic fracture, may result in urethral obstruction and pain. Kidney stones may become lodged in the urethra, though this is much less common than in the ureter. When they occur in the ureter, however, pain may radiate so that it feels as if it's coming from the urethra.
Some medications such as Procardia nifedipine can be irritating to the urethra and cause pain. Radiation therapy may also result in chronic pain in this region radiation cystitis. There are some bladder-irritating foods, as well, that may irritate the urethra and cause pain.
Common culprits include coffee and tea, acidic fruits and juices such as orange juice, tomato products, chocolate, and carbonated beverages. Damage to the urethra either related to a traumatic injury, a procedure such as cystoscopy, or the insertion of a foreign body into the urethra may lead to pain.
Some noninfectious skin conditions, when present near the opening of the urethra, may cause pain. A few of these include psoriasis and lichen sclerosis. As noted, benign prostate hyperplasia in men can lead to narrowing of the urethra and pain. Urethral irritation leading to pain is common in women and may be due to spermicides, douches , soaps and lotions, or friction from intercourse.
Yeast infections are another common cause and can cause significant discomfort along with itching. Bacterial vaginosis is yet another cause unique to women, and can be very frustrating due to its often chronic nature and associated symptoms including vaginal discharge and a fish-like odor.
In women who are menopausal, vaginal atrophy can lead to urethral pain along with vaginal pain and dryness. Atrophy of the urethra and vagina can also increase the risk of urinary tract infections. The diagnosis of urethritis begins with taking a careful medical history.
Your doctor will ask you about any risk factors for STDs, such as a new sexual partner or unprotected sex. She will also ask about any urological problems you have had in the past.
A physical exam is then done with special attention given to the presence of urethral discharge, ulcers, enlarged inguinal lymph nodes, and with men, a physician may gently "milk" the penis by pulling down on the shaft to check for discharge. The physical may also include an examination of other pelvic regions such as the scrotum in men and the cervix in women and an examination of the anus and throat for signs of inflammation.
If a yeast infection is suspected, a KOH test will be done. Other lab tests may include a complete blood count if you have a fever or other systemic body-wide signs of infection, kidney function tests including a BUN, creatinine , and electrolytes if there is concern your kidneys may be affected, and a sed rate ESR , C-reactive protein, and possibly HLA B27 if reactive arthritis suspected.
Imaging tests are not often needed to evaluate urethritis, but may be needed in some cases, such as if a kidney infection is present pyelonephritis , or if kidney stones are suspected.
Sometimes, such as with scarring and strictures, the urethra will need to be dilated to relieve symptoms. If it's thought that a mass such as a tumor is causing a urethral obstruction, a pelvic CT scan may be needed. In addition to the conditions noted above, there are a number of medical conditions that may lead to urethral pain. Lumbar disc disease, spinal stenosis, or cysts on the spinal cord may cause nerve compression.
Other conditions that may cause pain include Crohn's disease especially with fistulas , and endometriosis. There are a number of complications that may occur with the common causes of urethral pain, making a proper diagnosis essential. Untreated STDs such as chlamydia can lead to pelvic inflammatory disease , one of the leading causes of infertility.
For both men and women, chronic pelvic pain may occur due to the inflammation and damage from these infections, and this inflammation may also result in the enhanced transmission of HIV if exposure occurs. Non-reproductive and pelvic-related complications of STDs may include things such as septic arthritis and blindness due to gonorrhea. Urethral obstruction may result in the backup of urine into the kidney, resulting in kidney damage.
Chronic urinary tract infections, especially pyelonephritis, may also lead to kidney disease. Even atrophic vaginitis vaginal dryness related to menopause can lead to complications, as it increases the risk of both urinary tract infections and contracting STDs. The treatment of urethral pain depends on the underlying cause. For sexually transmitted diseases due to bacteria, treatment will depend on the particular bacteria causing the disease.
Unfortunately, antibiotic resistance is increasing, and it's important that you see a doctor familiar with the latest recommendations. Protozoal infections such as trichomoniasis are treated with drugs for the parasite, and herpes may be treated with antiviral medications.
It's important that partners be treated as well. For urinary tract infections, antibiotics are used as well and cultures are done to ensure the antibiotic prescribed is effective. There are a number of treatment options for atrophic vaginitis, including lubricants and vaginal estrogen and androgen therapy.
Treatment of urethral obstruction will depend on the cause and may include dilatation if scar tissue or strictures are present, or treatment of a tumor that is pressing on the urethral externally. Safe sex practices , such as always using a condom, limiting the number of sexual partners you have, and getting regular STD testing are important.
Tips for reducing the risk of urinary tract infections include staying hydrated, washing before and after sex, urinating right after sex, and not holding urine. Wearing loose cotton underwear and avoiding harsh lotions is also beneficial.
For men who are uncircumcised, cleaning under the foreskin regularly may reduce risk. It is never normal to have pain in the urethra, and this symptom should always be evaluated by a physician unless it is transient with a clear cause, such as having an onset immediately after using a new personal care product that stings. You should see your doctor urgently if you have a fever or chills, severe pain, blood in your urine, or are unable to urinate. If your symptoms are mild or intermittent, it's still important to make an appointment.
Untreated infections with chlamydia and gonorrhea can do damage to reproductive organs even in the absence of symptoms and lead to long-term complications. Because some of the causes of urethral pain are sexually transmitted diseases, people are sometimes hesitant to talk to their doctor.
There are many potential causes of urethral pain, and even if you have an STD, these are common and nothing to be embarrassed about. Pain, in general, is our body's way of letting us know that something is wrong, and with urethral pain, listening to your body may not only help you obtain relief from the pain but may prevent or reduce the risk of complications related to many of the causes.
Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Urinary tract infections in women: etiology and treatment options. Int J Gen Med. Diseases Characterized by Urethritis and Cervicitis. Reactive Arthritis. Urology Care Foundation. Guidelines of guidelines: a review of urethral stricture evaluation, management, and follow-up. Transl Androl Urol. Cleveland Clinic. Bladder-Irritating Foods.
Prostatitis: Inflammation of the Prostate. Jin J. Vaginal and Urinary Symptoms of Menopause. National Library of Medicine.
What is Cystoscopy? J Chiropr Med. Centers for Disease Control and Prevention. Urinary Tract Infection. Kasper, Dennis L.. Fauci, and Stephen L.. Harrison's Principles of Internal Medicine. New York: McGraw Hill education, Kumar, Vinay, Abul K.
Abbas, and Jon C.
I don't know the names for these kinds of doctors, but they may have the answer for us. MedHelp Crisis Resources. Tenosynovial giant cell tumor TGCT is a group of rare tumors that form in the joints. By: The Livestrong. Doctors waiting to answer your question.
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Defining your penis pain is the first step in identifying the cause. There can be many different types of penis pain. Penis pain can be internal or external. It can be concentrated in one area or throughout the penis. It can be dull or sharp, constant or intermittent. Pain that is related to an infection tends to be caused by skin irritations or lesions. Trauma to your penis may produce pain localized to the point of trauma or pain throughout the penis, depending on the injury.
When penis pain occurs is also an important part of discovering the cause. There are several common conditions that cause penis pain during an erection. It is defined as covering any personal information that has been or can be collected on any particular natural person that resides in an EEA country. Recent EEA court opinions have further broadened this definition. We have examined the work required for our company to become fully compliant with GDPR. After comparing the costs against the number of customers we have within the EEA, we have determined that it's not something we can undertake at this time.
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Urethral Pain: Causes, Treatment, When to See a Doctor
Prostatitis is pain and swelling, inflammation, or both of the prostate gland. Men feel a frequent, urgent need to urinate, and urination, erection, ejaculation, and defecation may be painful.
Symptoms of prostatitis, regardless of the cause, may be treated with warm sitz baths, relaxation techniques, and drugs. Prostatitis usually develops for unknown reasons. Prostatitis can result from a bacterial infection that spreads to the prostate from the urinary tract or from bacteria in the bloodstream. Bacterial infections may develop slowly and tend to recur chronic bacterial prostatitis or develop rapidly acute bacterial prostatitis.
Some people develop chronic prostatitis in the absence of bacterial infection. This type may or may not involve inflammation. Occasionally, prostatitis without bacterial infection causes inflammation but no symptoms. In all types of prostatitis that cause symptoms, many of the symptoms are caused by spasm of the muscles in the bladder and pelvis, especially in the area between the scrotum and the anus the perineum.
Pain develops in the perineum, the lower back, and often the penis and testes. Men also may need to urinate frequently and urgently, and urinating may cause pain or burning. Pain may make obtaining an erection or ejaculating difficult or even painful. Constipation can develop, making defecation painful. Bacterial prostatitis can result in a collection of pus abscess in the prostate or in epididymitis inflammation of the epididymis.
The prostate, examined through the rectum by a doctor, may be swollen and tender to the touch, particularly in men with acute bacterial prostatitis. Samples of urine and, sometimes, of fluids expressed from the penis after massaging the prostate during the examination are taken for analysis and culture. Urinalysis may reveal white blood cells, indicating inflammation, or bacteria, indicating infection.
Urine cultures reveal bacterial infections located anywhere in the urinary tract. In contrast, when infection is found by culturing fluid from the prostate, the prostate is clearly the cause of the infection. When prostatitis occurs without bacterial infection, urine cultures reveal no infection. Without infection, treatments to relieve symptoms, such as prostate massage, sitz baths, biofeedback, and drugs, and procedures.
When cultures reveal no bacterial infection, prostatitis is usually difficult to cure. These treatments for symptoms can also be tried in chronic bacterial prostatitis. However, it is not clear how effective these treatments are. Nondrug treatments may include periodic prostate massage done by a doctor by placing a finger in the rectum and sitting in a warm sitz bath.
Relaxation techniques biofeedback to relieve spasm and pain of the pelvic muscles have also been used. Among drug therapies, stool softeners can relieve painful defecation resulting from constipation. Analgesics and anti-inflammatory drugs may relieve pain and swelling regardless of its source. Alpha-adrenergic blockers such as doxazosin , terazosin , tamsulosin , alfuzosin , and silodosin may help relieve symptoms by relaxing the muscles within the prostate. For reasons that are not understood, antibiotics sometimes relieve symptoms in nonbacterial prostatitis.
If symptoms are severe despite other treatments, surgery, such as partial removal of the prostate, may be considered as a last resort. Destruction of the prostate by microwave or laser treatments is an alternative. To treat acute bacterial prostatitis, an antibiotic that can penetrate prostate tissue such as trimethoprim -sulfamethoxazole is taken for at least 30 days. Taking antibiotics for less time may lead to a chronic infection.
Chronic bacterial prostatitis can be difficult to cure. It is treated for at least 6 weeks with an antibiotic that can penetrate prostate tissue. If a prostate abscess occurs, surgical drainage is usually necessary. Merck and Co. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world.
The Manual was first published in as a service to the community. Common Health Topics. No infection Infection. Test your knowledge. Phimosis and paraphimosis are disorders of the penis. They both develop only in which of the following? Add to Any Platform. Prostatitis Prostatodynia By Gerald L. Click here for the Professional Version.
The cause is sometimes a bacterial infection. Pain can occur in the area between the scrotum and anus or in the lower back, penis, or testes. Urine and sometimes fluids expressed from the prostate gland are cultured.
Physical examination. With bacterial infection, antibiotics. Prostatitis Foundation. Andriole, MD. Was This Page Helpful? Yes No. Prostate Abscess.