What should a man do if his urethra hurts when he urinates?

Urethral tingling when men urinate can be treated by drinking more water, applying heat to the perineum, taking oral antibiotics, topical drugs, and dilating the urethra. Urethral tingling is usually caused by urinary tract infection, urethral stones, prostatitis, urethral injury, sexually transmitted diseases, etc.

1. Drink more water

Drinking more than 2000 ml of warm water every day can help dilute urine and reduce urethral irritation. Avoid drinking coffee, alcohol and other irritating drinks. You can try to rinse the perineum with warm water when urinating to relieve local muscle spasm. Keep urinating 6-8 times a day and don't hold it in deliberately.

2. Apply hot compress to perineum

Apply a hot towel at about 40℃ to the perineum for 10-15 minutes, repeat 3-4 times a day. Hot compress can improve local blood circulation and relieve urethral smooth muscle spasm. Keep the perineum dry after applying hot compress and avoid wearing underwear that is too tight. If accompanied by testicular swelling and pain, the scrotum can be elevated.

3. Oral antibiotics

For bacterial urethritis, antibiotics such as levofloxacin tablets, cefixime dispersible tablets, and azithromycin capsules can be used as directed by the doctor. Gonococcal infection requires ceftriaxone sodium injection combined with azithromycin. It is forbidden to drink alcohol while taking the medicine. After completing the prescribed course of treatment, urine routine must be reviewed even if the symptoms disappear.

4. External use drugs

When the urethral orifice is red and swollen, erythromycin ointment or mupirocin ointment can be applied. Candida infection requires the use of clotrimazole cream. Clean hands before use, apply along the urethral opening to the periphery, and apply 2 times a day. Avoid using ointments containing hormones. If there is no improvement after 3 days of use, you need to seek medical attention.

5. Urethral dilation

Urethral stricture causing painful urination requires urethral dilation. Preoperative evaluations such as uroflowmetry and urethrography need to be completed. A urinary catheter was left in place for 1-3 days after surgery, and tamsulosin sustained-release capsules were taken orally to improve urination. Perform regular urethral dilation maintenance to prevent re-stenosis.

It is recommended to wear pure cotton breathable underwear and avoid riding or sitting for long periods of time. The diet should be light and the intake of spicy food should be limited. If you develop hematuria, fever, or lower back pain, seek medical attention immediately. Sexual intercourse is prohibited during treatment, and sexual partners need to be checked simultaneously. Pay attention to changes in urination frequency, urine line thickness and other changes on a daily basis, and review routine urinalysis and urinary tract ultrasound regularly.