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Urology  (Expert Forum)
 | 
urethral irritation
Answered by
Stephen Liroff, MD - Urology, Pediatric Urology, Peyronie’s disease
Henry Ford Hospital West Bloomfield - MI
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

urethral irritation

by lynn31, Jul 10, 2008 01:14PM
having stinging pain upon urination.( worse in the morning time than in the afternoon and night. warm shower helps).had urine cultures x 3 which has been negative. seen gyn-no inflammation seen around the vaginal area. std test negative. last year had the same symptoms but had a UTI. took cipro which killed the bacteria however, the burning/stinging pain upon urination was still present. saw a urologist had a kidney scan which was normal and another test where a catheter was inserted inside the urethra which was normal as well. after the test few days later symptoms totally gone.

now dealing with the same burning/stinging pain upon void, feels like inside of the urethra the skin is damaged but not sure. any suggestions.

thank you.

by Stephen Liroff, MD, Jul 22, 2008 10:30PM
If you are post menopause, then I would suggest premarin vaginal cream (1/2 applicator per vagina every evening for a month, then once a week). This is ultimately a very low dose of hormone and does not require any progesterone nor does it even approach estrogen replacement. Very low risk, but I would certainly recommend a pelvic exam and breast exam/mammogram before starting.
If you are not menopausal, you can use pyridium daily, 100-200 mg. tablets up to 3 per day. Also, get a pelvic MRI looking for a urethral diverticulum.
Good luck!
S.A.Liroff, M.D.
Member Comments (3)

by lynn31, Jul 24, 2008 08:24AM
To: stephen Liroff
thank you dr. liroff for your reply. i have a question that i am wondering if you can answer. when some people say that cystoscopy causes dilation. my question is what casues the dilation. Is it the act of a catheter inserted into the urethra causes dilation or the amount of fluid that is instilled into the bladder that causes dilation. i thank you in advance for your help. have a great day.

by pleasehelpme08, Jul 24, 2008 08:52AM
Dr. Liroff,

I have been on several different antibiotics over the course of the past month (Doxycycline 11 days, Metronidazole 7days, and I am currently on valtrex).  I have finished all of the other medications, but I am currently on Valtrex twice a day for another five days.  Recently, I have not be urinating as much as a usually do.  However, if I drink a bunch of liquid in a short period of time, I will urinate normally, but if i don't drink alot, i still urinate it just doesn't seem to be as much as i used to.  My question is, could the medications that I listed above be causing me to have acute renal failure?  I have no swelling, no metallic taste in my mouth, no vomiting or nausea.  It just seems that I am urinating less than I used to.  Does this sound like acute renal failure to you?  Do these medications usually cause acute renal failure?  Should I see a doctor?

Thanks so much for your response!!
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