Treatment/Therapy

In the case of mild symptoms of pain in the urethra, especially in women, an increased drinking volume is often sufficient to flush out the germs. However, if the symptoms are more severe, an antibiotic should be prescribed. For this, primarily “Fosfomycin” or “Pivmecillinam”, a drug related to penicillin, can be used. If a pregnancy exists, for example, “Cefuroxime” must be used. In addition, more complicated inflammations, i.e. those that have infected other organs such as the renal pelvis, the prostate or the epididymis, or a man’s cystitis must be treated with an antibiotic much more specifically for the germs detected.

Duration

The duration of pain in the urethra depends on the cause. If there is a bladder infection, the duration can vary greatly. Such painful irritation of the bladder and urethra can last from a few hours to several weeks.

In most cases, however, it heals completely within a few days. However, if the symptoms persist or even intensify after a few days, it is recommended to consult a doctor without delay. Under antibiotic therapy, the symptoms subside significantly within one day and disappear completely in the following days. If this is not the case, the therapy must be changed, which makes a further visit to the doctor necessary.

Pain at the urethral outlet

These complaints go hand in hand with the pain in the urethra from irritation, such as frequent cystitis. It goes hand in hand with inflammation of the urethra and the urethral outlet, as the bacteria have migrated from the outside first through the opening of the urethra and then along the entire length of the urethra to the bladder itself. This is particularly easy in women because of the anatomical proximity of the urethra and its opening with the area of the rectum and the vagina. However, if the man complains of pain at the urethral outlet, other sites of inflammation must also be considered, such as the tip of the penis itself. Since we have particularly many nerve endings at the urethral opening, we take the strongest pain of the entire urethra there.