Pinching the glans penis causes urethral pain

The phenomenon of pinching the glans and feeling pain in the urethra is most likely caused by urethritis. However, it is difficult to determine whether you have this disease based on a single symptom. We also need to understand the symptoms of the urethra and conduct a comprehensive analysis compared with other symptoms in our body to determine whether we have urethritis. Let's take a look at the situation of urethritis.

Urethritis

Clinical manifestations

Frequent urination, painful urination, urgent urination and hematuria. In the acute phase, males may have urethral secretions, which are mucous at first and then purulent. Females have less secretions. When the disease becomes chronic, it manifests as urethral stinging and discomfort during urination. The urethral secretions decrease and become a thin syrup. In acute attacks, there is dull pain in the suprapubic area and perineum, and the urethral opening is red and has secretions.

Differential diagnosis

1. Acute cystitis

The main symptoms are bladder irritation symptoms such as frequent urination, urgency, and pain during urination. However, patients with cystitis mainly experience pain at the end of urination, and bacterial growth is found in midstream urine culture.

2. Acute pyelonephritis

The main symptoms are sudden urinary frequency, urgency, pain and other urinary tract irritation symptoms, often accompanied by low back pain, chills, fever and other symptoms. Physical examination shows percussion pain in the kidney area, and routine urine examination shows pus cells.

3. Acute prostatitis

Symptoms include frequent urination, urgency and pain when urinating, but prostatitis also causes perineal discomfort, difficulty urinating and fever. Rectal examination reveals enlarged prostate with tenderness.

4. Gonococcal urethritis

Symptoms include frequent urination, urgency and pain when urinating, redness and swelling at the urethral opening, thin or purulent secretions, and often a history of unclean sexual intercourse. A smear test of urethral secretions may reveal gonococci, which can provide a clear diagnosis.

5. Bladder tuberculosis

Symptoms include frequent urination, urgency, and pain during urination. Pus cells are found in the urine. There is often a history of urinary tuberculosis, and acid-fast bacteria can be found in urine acid-fast staining.

6. Trichomonas urethritis

Symptoms include frequent urination, urgent urination, burning pain and itching in the urethra, and trichomonas can be found in urethral secretions.

treatment

1. Antibiotic Application

There are many kinds of drugs currently used for treatment. Two to three drugs should be selected and used in combination according to the type of pathogen and its sensitivity to the drugs. The curative effect is better. The medication should be continued for 7 to 10 days before it can be stopped after the symptoms disappear completely, the urine test is normal, and the bacterial culture is negative.

2. Adjunctive therapy

In the acute stage, you should drink plenty of water to increase urine volume and flush the urethra. If you have frequent urination, urgency, and pain, you can take anti-convulsants and remove various inducements that cause urethritis. Urethritis caused by sexually transmitted diseases should be treated at the same time as your spouse, otherwise it will be difficult to cure.

3. Local treatment

Applicable to chronic urethritis, contraindicated in acute stage. ①Urethra dilation. ②Urethra instillation of drugs. ③Endoscopic electrocautery.