Doctors may use a number of approaches to treat this condition. Lifestyle changes, medications, and in rare cases surgery can help relieve your symptoms and prevent the condition from coming back. Your doctor may ask you to stop using products or doing activities that can irritate your urethra, such as using scented soaps or going on long bike rides. The following are the most common classes of medications used for urethral syndrome:. In some cases, your doctor may need to widen your urethra by performing surgery or using dilators.
Surgery is done only if the symptoms are thought to be due to constriction of the urethra. Constriction can occur due to injury, inflammation, and scar tissue. Shop for cotton underwear. Talk to your doctor to figure out if medications or lifestyle changes are best for you. These can provide relief and help prevent your symptoms from returning.
Urethritis is a condition in which the urethra, or the tube that carries urine from the bladder to outside the body, becomes inflamed and irritated. Do you have a bladder infection? Learn about seven remedies for bladder infections that can ease symptoms and get rid of the infection.
Some of these…. Read about the causes of abdominal pain and painful urination, which include STIs, kidney stones, cancer, and more. The test uses a thin, flexible tube cystoscope. It has a light and camera attached. The scope is inserted into the urethra. How is urethritis treated? When to call your healthcare provider Call your healthcare provider right away if you have any of the following: Fever of All rights reserved. This information is not intended as a substitute for professional medical care.
Always follow your healthcare professional's instructions. Sign up here! Yes, I agree to the privacy policy. Wellness Library. The questions you should be asking your doctor during your annual wellness exam. By Cynthia Alexander, MD. Mount Nittany Physician Group.
Lanadelumab injection. Cocaine topical solution or spray. Methadone tablets. Use a cotton-tip swab or your fingertip. Premarin is usually prescribed for a short time until the urethral prolapse gets better.
If Premarin is used in large amounts or for a long time, your daughter's breasts may grow a little. This is a harmless and temporary side effect.
Your child's breasts will return to the normal size when treatment with Premarin stops. A warm, shallow sitz bath twice a day for 15 to 20 minutes will help the urethral prolapse area heal and keep the area clean. Girls with urethral prolapse should not take bubble baths or use strong soaps. These can irritate the skin. The doctor will prescribe antibiotics only if your daughter also has an infection.
Antibiotics do not treat the urethral prolapse itself. Sometimes, treatment with Premarin cream and sitz baths do not resolve the urethral prolapse or urethral prolapse comes back. Your doctor may suggest surgery to reduce the prolapse by pushing back the inner lining of the urethra that is sticking out or to remove the prolapse tissue if:. If your child does need surgery, she will receive sedation for the operation.
After the operation, your child may have a catheter in her urethra for a couple of days to help her urinate. She will be given pain medicine and should begin treatments with Premarin cream and sitz baths again.
Other conditions such as heavy coughing, constipation, obesity or genital trauma may lead to urethral prolapse. Sometimes, urethral prolapse happens again after treatment.
Sometimes the urethral prolapse re-occurs when a child coughs or strains while going to the bathroom. Here are some things you and your daughter can do to help prevent urethral prolapse from happening again:. Common culprits include:. Damage to the urethra can lead to pain. Examples of trauma include:. 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 can occur in people with a prostate. It can lead to narrowing of the urethra and cause pain. Other conditions that may result in urethral pain in people with a penis include:. Urethral irritation that leads to pain is common in people with a vagina. This irritation may be due to:.
Yeast infections are another common cause. These fungal infections can cause significant discomfort and itching. Bacterial vaginosis is yet another cause related to the vagina.
This infection can be very frustrating due to its often chronic nature. Symptoms include vaginal discharge and a fishy odor. In those who are menopausal, vaginal atrophy can lead to urethral pain and vaginal pain, and dryness. When severe, the urethra can push out of the urethral opening urethral prolapse. Vaginal atrophy can also increase the risk of UTIs. There are many things that can cause urethral pain. Some causes are specific to the anatomy of the prostate and penis or vagina. Diagnosis of urethritis starts with a careful medical history.
Your healthcare provider will ask you about any possible risk factors for STDs, such as a new sexual partner or unprotected sex. They will also ask about any urological problems you have had in the past. Your doctor will then perform a physical exam. They will pay special attention to the presence of urethral discharge, ulcers, enlarged inguinal lymph nodes lymph nodes in the groin. Additionally, they may gently "milk" the penis by pulling down the shaft to check for discharge.
Your doctor may also examine other areas, such as the scrotum, cervix, anus, and throat, for signs of inflammation. Depending on the results, they may order further tests or recommend a referral to a urologist.
Lab tests to evaluate urethral pain include a urinalysis. This test looks for:. If your doctor suspects a yeast infection, they will also do a KOH prep test.
Tests for STDs may involve:. Your doctor may do a urine culture to determine if an infection is present. This test can determine the type of bacteria present and its sensitivity to antibiotics. This knowledge helps determine the specific antibiotic that will be most effective in fighting the infection. Other lab tests may include:. Imaging tests are typically not used to evaluate urethritis.
However, it may be necessary if your doctor suspects a kidney infection pyelonephritis or kidney stones, or if there is a significant amount of blood in the urine. More often, imaging tests look for complications of STDs, such as an abscess in an ovary or fallopian tube. A cystoscopy is a test that involves inserting a narrow lighted tube into the urethra and bladder.
It may be done to:. Sometimes, if there is scarring and strictures, your doctor may need to dilate open the urethra to relieve symptoms. If your doctor suspects that a mass is causing a urethral obstruction, they may order a pelvic computed tomography CT scan to get a better look. In addition to the conditions noted above, several medical conditions may lead to urethral pain.
These include:.
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