[24M] Experiencing transient urethral tingling post-ejaculation

Patient Description

A 24-year-old male reported a transient tingling sensation in the urethra that began approximately 20 minutes after ejaculation and resolved on its own. This was the first occurrence of such a symptom, and it was described as intermittent. The patient also confirmed a recent history of new sexual partners and unprotected intercourse, along with a fever and severe genital pain. No other urinary symptoms such as pain during urination or unusual discharge were reported. The patient has no known drug allergies, is not on any medications, and has no known family history of urological conditions. No recreational drug use was reported, and there are no known pre-existing conditions or chronic illnesses.

Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

Urinary Tract Infection (UTI): This is an infection in any part of your urinary system, which includes your kidneys, bladder, ureters, and urethra. UTIs can cause a variety of symptoms, including a tingling sensation in the urethra. However, they are typically also associated with other symptoms such as a burning sensation during urination, frequent urge to urinate, and cloudy, strong-smelling urine.
Sexually Transmitted Infection (STI): Certain STIs, such as gonorrhea or chlamydia, can cause unusual discharge from the penis, which could potentially be the white "string" you noticed. However, these STIs usually also cause other symptoms, such as burning during urination, which you did not report.
Prostatitis: This is inflammation of the prostate gland, which can cause a variety of symptoms, including a tingling sensation in the urethra. However, prostatitis is usually also associated with other symptoms such as difficulty urinating, frequent urination, and pain in the groin area.

What you can do

Given your symptoms and recent sexual activity, it would be best to consult a healthcare professional for a formal assessment. They may need to perform tests, such as a urine test or a swab test, to determine the cause of your symptoms. In the meantime, it's important to practice safe sex to prevent the potential spread of any STIs.