Why does a boy have tingling pain in his urinary tract?

Urinary tract tingling in boys may be related to urethritis, prostatitis, urinary tract stones, sexually transmitted infections, urethral injury and other factors. Urethral tingling usually manifests as a burning sensation or pinprick-like pain during urination, and may be accompanied by symptoms such as frequent urination, urgency, and hematuria. It is recommended to seek medical treatment promptly to determine the cause of the disease and avoid self-medication that delays treatment.

1. Urethritis

Urethritis is mostly caused by bacterial infection. Common pathogens include Escherichia coli, gonococcus, etc. In addition to urethral tingling, patients may also experience symptoms such as increased urethral secretions and turbid urine. Confirmation requires routine urine examination and urine culture examination. For treatment, you can use antibiotics such as levofloxacin tablets and cefixime dispersible tablets as directed by your doctor. At the same time, you need to increase your daily water intake to promote urination and flush the urethra.

2. Prostatitis

Prostatitis is more common in young and middle-aged men who sit for long periods of time and drink alcohol. Inflammatory stimulation can cause pain during urination and radiate to the perineum. It may be accompanied by symptoms such as lower abdominal distension and sexual dysfunction. Digital rectal examination and prostatic fluid examination can assist in diagnosis. For treatment, tamsulosin hydrochloride sustained-release capsules can be used to relieve urinary discomfort, combined with hot compresses on the perineum to improve local blood circulation.

3. Urinary tract stones

When urethra or bladder stones move, they may scratch the mucosa and cause stinging pain. The pain is often paroxysmal and can radiate to the head of the penis. B-ultrasound or CT examination can determine the location and size of stones. For smaller stones, you can take Paishi granules and drink plenty of water as directed by your doctor. Larger stones may require extracorporeal shock wave lithotripsy.

4. Sexually transmitted infections

Unclean sex may lead to Neisseria gonorrhoeae or Chlamydia infection, causing urethral pain and yellow purulent discharge. The pathogen needs to be confirmed by PCR testing. Treatment requires ceftriaxone sodium for injection combined with azithromycin tablets, and sexual partners need to be examined and treated simultaneously to prevent cross-infection.

5. Urethral injury

Catheterization, urethral instrumentation, or trauma may cause damage to the urethral mucosa, causing tingling during urination and gross hematuria. Mild injuries can be relieved by drinking more water, while severe injuries require an indwelling catheter to promote repair. Holding in urine and strenuous exercise should be avoided on a daily basis to reduce urethral irritation.

During the period of urethral tingling, you should drink more than 2000 ml of water per day and avoid stimulating foods such as alcohol and spicy food. Choose pure cotton breathable underwear and change it daily, and wipe clean from front to back after urinating. If symptoms persist for more than 24 hours or symptoms such as fever or low back pain occur, you must immediately see a urology department for urodynamic examination or cystoscopy. Sexual intercourse should be suspended during treatment until symptoms completely disappear and reexamination results are normal.