Why I Feel A Sharp Prick When The Urine Stops?

Posted on Sat, 17 Apr 2021

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 17 Apr 2021 Answered on

Mon, 6 Jan 2025 Last reviewed on

Question : Hello, so this has happened 8 times in the last 2 months. When i am urinating, urine starts normally and I suddenly feel a sharp prick in my penis while urinating. The urine colour is normal on every ocassion. After I complete urination I can see couple drops of blood mixed with urine leaking out. The blood happens only when i feel the pricks and this has happened only 8 times in the last 2 months. All other urination is normal. Urine routine and culture test is normal, ultrasound of kidney bladder etc is normal. Contrast ct urogram is normal. Only when i feel the prick, there are couple drops of blood post urine. Urine colour is normal otherwise.

Important thing is that urine is normal every time and then suddenly every 10 days i feel a sharp prick. When the urine stops., there is couple of drops of blood leaking out. Next time i urinate its normal until it happens agains

Answered by Dr. Dr. P. T. Patil (6 hours later)

Brief Answer:
Could be due to stone in urethra.

Detailed Answer:
Hello
Thanks for query
Based on the facts that you have posted pain in penis and few drops of blood at the end of urination that you have could be mostly due small stone in urethra and needs to get investigated

Consult qualified Urologist for clinical examination and Get following tests done to establish diagnosis
1) X-Ray of pelvis
2) Ultrasound of penis
3) May need to do endoscopic examination of Urethra and Bladder(Urethrocystoscopy)

Further treatment will depend upon results of these tests.

Thanks and Regards
DR.Patil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (2 days later)

Should i go for a ultra sound of penis and xray of pelvis before considering a cystoscopy . Incase it identifies the problem. So no need for a cystoscopy then

Answered by Dr. Dr. P. T. Patil (10 minutes later)

Brief Answer:
Cystoscopy will be needed if nothing is conclusive on Ultrasound and X-Ray.

Detailed Answer:
Hello
Thanks for writing again .
Cystoscopy will be required if both X-Ray and Ultrasound Scanning are normal..

Thanks and Regards
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar