Discomfort after each urination

As the saying goes, people have three urgent needs. Urination is something we have to do every day in our daily life. Urination can help us excrete toxins from the body. It can be said that urination is an instinct of human beings and something we can do since birth. Sometimes when you urinate, you may find that you feel uncomfortable down there afterwards. Due to the privacy of that area, this kind of thing always makes people feel embarrassed. What is the reason for the discomfort down there every time after having sex?

If you feel uncomfortable after urinating, it may be urethritis. The common causes of urethritis are as follows:

①

Urethral injury: abrasions of the urethral mucosa caused by urethral instrument examination can destroy the defense function of the urethral mucosa and lead to bacterial infection;

②

Foreign bodies in the urethra: foreign bodies placed from outside or stones in the urethra, etc., can cause urinary tract infection if left there for a long time;

③

Urethral obstruction: such as stenosis of the prepuce, stenosis of the external urethral opening, urethral stenosis, posterior urethral valve, urethral tumor, female hymen umbrella, fusion of hymen at the urethral opening, etc., due to poor urination, urine accumulates in the urethra and can cause secondary urethral infection;

④

Inflammation of adjacent organs, such as prostatitis, seminal vesiculitis, vaginitis or cervicitis, can spread to the urethra, which is often a stubborn focus of chronic posterior urethritis;

⑤

It is often related to sexual life, and unclean sexual life can easily cause urinary tract infection.

Clinical manifestations

Frequent urination, painful urination, urgent urination and hematuria. In the acute phase, men may have urethral secretions, which are initially mucous and later purulent. Women have less secretions. When it becomes chronic, it manifests as urethral stinging and discomfort during urination. The urethral secretions decrease and become a thin serous substance. During the acute attack, there is dull pain in the suprapubic area and perineum, and the urethral opening is red and has secretions.

examine

Urinalysis shows increased white blood cell count or pyuria, accompanied by increased red blood cell count, and a few cases show macroscopic hematuria. The three-cup urine test shows a large number of pus cells and red blood cells in the first cup, while the second and third cups are basically normal. The number of bacteria in first-stream urine cell culture is significantly higher than that in mid-stream urine. In urethral or vaginal secretion smear examination, intracellular or extracellular gonococci can be seen in gonococcal urethritis. Non-specific urethritis can be cultured with secretions or anterior urethral swabs, and a large number of bacteria can be seen. If no bacteria are found in secretion smears and cultures, there is a possibility of mycoplasma or chlamydia infection, and special methods of culture or PCR examination can be performed.

Chronic urethritis requires urethrocystoscopy to clarify the cause of the disease. Sometimes a metal urethral probe can be used to test whether there is stricture in the urethra. Urethral angiography can be performed when necessary. In the acute phase, the use of instruments for examination in the urethra should be avoided.