Why does the urethra hurt after childbirth?

Many pregnant women experience this phenomenon after delivery, that is, there is a tingling sensation at the urethral opening. This situation is relatively common, and most of the time the tingling is caused by bacteria infecting the urethral opening. If you encounter such symptoms, you should first check and find out the cause.

1. Urethritis is a common disease, and the most common pathogens are Escherichia coli, Streptococcus and Staphylococcus. In most cases, urinary tract irritation symptoms are obvious, with or without sterile urine. The number of white blood cells in urine sediment is >5/high-power field of view.

2. In acute urethritis, the external urethral opening becomes red and swollen. Male patients may experience inflammation of the penis and foreskin, and mucous or purulent secretions may be seen at the urethral opening. Female patients have less urethral secretions. Patients often experience frequent urination, urgency, and pain during urination, and may have pyuria. Some patients may have hematuria. In the three-cup urine test, hematuria or pyuria may be seen in the first cup.

3. In chronic urethritis, the lesions are mainly located in the posterior urethra, bladder neck and bladder trigone. The external urethral opening may become scarred and contracted due to chronic inflammation, resulting in a thinner urine stream and difficulty in urination. However, the symptoms of urinary tract irritation are usually not obvious, and sometimes a small amount of serous secretions can be seen sticking to the urethral opening in the early morning.

4. If the patient has urinary tract irritation symptoms and conventional antimicrobial treatment is ineffective, and there are no complicating factors, mycoplasma, chlamydia or viral infection should be considered, and tetracycline can be used as the first treatment. If there is resistance to tetracycline, erythromycin, methyl erythromycin or roxithromycin can be used instead. The above drugs are effective against mycoplasma and chlamydia. If the above treatments are still ineffective, it may be acute urethral syndrome.