Married for 4 months, still no wedding night because “touching” his wife is painful

Dr. BS Nguyen Dinh Lien – Head of the Department of Nephrology, Urology Surgery and Andrology (Hospital E) said that although people’s awareness of health problems has increased, there are still many people who still have problems with their health. has a great influence on health and quality of life, especially male and sexual health.

Recently, Doctor Lien received and treated a young man from Nam Dinh, who was married but had a problem with his “little boy”.

So for many months, although he was very desirable, he did not dare to have “sex” with his wife.

According to the male patient’s share, since he was unmarried, he has been urinating many times a day, an average of 12-15 minutes to urinate once. Worth mentioning, every time you urinate, it is not comfortable, but there is pain, burning, discomfort.

In particular, in the past 2-3 years, in addition to the constant urination, the patient’s foreskin is also itchy. He went to the hospital in the province and was prescribed a topical medication, but it didn’t help.

“Indeed, I haven’t dared to have sex with my wife for 3-4 months now, although I am very eager, I only hug my wife to sleep through the day, because during sex, especially when ejaculating, it is very painful and unbearable.” male patient shared.

At the hospital, through examination, Doctor Lien diagnosed the patient with ureteral stenosis (narrowing of the anterior urethra, at the mouth of the flute) and conducted treatment. “After the treatment period and the day I took out the urinal, I felt extremely happy. I can urinate a lot, the rays are big and I like it very much, since I was a child, I have not felt like that,” the patient said.

Doctor Lien recommends that, in this case, this patient will still be treated with drugs after withdrawing the nebulizer, and at the same time must practice holding back urine to dilate the bladder and clean the foreskin. When having sex, you should use a condom.

The disease is more common in men than in women

According to TS.BS Nguyen Dinh Lien, urethral stricture is a decrease in the diameter of a segment or the entire urethra, usually due to the fibrous organization inside or around the urethra, which obstructs the flow of urine from the bladder out. outside the body. It usually occurs after trauma, inflammation or infection. Urethral stricture is more common in men than in women.

There are many causes of urethral stricture, including the following:

– Sequelae of trauma, urethral rupture due to occupational accident, daily life accident, traffic accident.

– Sequelae of urethral infection: Tuberculosis, gonorrhea, HPV… According to research, urethritis is usually caused by gonococcal bacteria. Inflammation from the urethral lining of the Littre glands spreads from the Morgagni cyst, causing scarring and narrowing of the urethra in many places: anterior urethra, membranous urethra.

Narrowing of the urethra due to tuberculosis from damage to the kidney or bladder, spreading to the prostate gland, the bulbar urethra. Urethral stricture is also caused by an infection of the foreskin that is narrowed and is usually transmitted through intercourse. Urethral stricture due to infection is mainly from the opposite direction, caused from outside in.

– Complications of treatment: urethral catheterization, laparoscopic surgery for prostate enlargement, urethral stone removal, after circumcision…

Signs of urethral stricture

Urethral stricture can cause a variety of symptoms ranging from mild to severe. Some signs of this disease are feeling difficult to urinate, slow flow, decreased urine volume, blood in the urine, lower abdominal pain, urethral discharge, urinary tract infection. The patient could not go to the bathroom as usual, but had to have a catheter placed over the pubic bone to bring urine from the bladder out.

With the level and specific patient, doctors will have appropriate indications. Usually, the doctor will initially treat a urinary infection, then remove the urethral stricture to restore circulation and eliminate urinary disturbances.

In case of emergency, doctors will prescribe urethral dilation, urethral catheterization, cystostomy or intraurethral cutting with a cold knife or laser anastomosis using skin flaps or grafts.

“In summary, urethral stricture not only causes physical damage but also mental damage, patients often feel guilty, lose confidence… Currently, urethral plastic surgery is an effective treatment method for patients. urethral stricture.

When there are abnormal symptoms such as: Difficulty urinating – urinary retention, fluid retention, cystitis … men should go to a medical facility with ornithology for specific examination and advice by doctors. Doctor Lien recommended.