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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Urethral Pain And Itching Post Menopause

I am a 45 year old female post menopausal that has developed urethral pain and itching on and off. No significant flank pain, but that comes occassionally. I have had a history of calcium oxolate stones since I was 12 and sometimes pass baby stones I didn't even know were there. And then sometimes I get the boogers that get stuck in the UVJ and give me major problems. My urethra has been stretched several times. Could that solve the problem of the pain and contant itching. Oh, by the way....I am not sexually active at this time. Not by choice! Thanks.
posted on Thu, 6 Feb 2014
Twitter Thu, 6 Feb 2014 Answered on
Twitter Thu, 6 Feb 2014 Last reviewed on
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OBGYN 's  Response
Hi,

Thanks for using Health care magic.

I understand that you have frequent calcium oxalate stones as well as pain and itch in the urethral area. Also you seemed to have undergone urethral dilatation a few times.

The possible reasons for these could be
1. urethral stenosis: a condition where the tip of the urethra becomes narrow due to repeated trauma, infection or menopause. This leads to difficulty in passing urine, recurrent infections leading to pain and itch. For this you will need to undergo an examination by a surgeon as well as a urine test for culture and microscopic examination to rule out infection.
2. urethral caruncle; a small growth at the urethral tip leading to narrow urethra and infection.
3. vulval dystrophies; conditions where white patches along with severe itch develop on the vulva and sometimes surrounding the urethra. A gynec examination will help in diagnosis.
4. vaginitis leading to urethritis: sometimes infections of the vagina [especially fungal infections] spread to involve the urethra
5. repeated passage of urethral stones leading to trauma and infection.

In any case, I suggest you check to see if there is any redness, white discharge or white patches near the urethra. Also see if you have been passing stones too frequently. Also it would help to get examined by a gynecologist to determine the other causes. Antibiotics or anifungal agents will help control any infection, and your doctors will help you with it once the examination and testing is over. This will help you get over the pain and itch.

Also drink plenty of water to decrease stone formation and try to avoid food favoring calcium stones like milk products, seeds etc.

Hope I was able to help you. Thanks for using Health Care Magic.
I would be happy to answer any further queries.
Have a nice day.
Dr. Madhuri Bagde
Consultant Obstetrician and Gynecologist
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Suggest Treatment For Urethral Pain And Itching Post Menopause

Hi, Thanks for using Health care magic. I understand that you have frequent calcium oxalate stones as well as pain and itch in the urethral area. Also you seemed to have undergone urethral dilatation a few times. The possible reasons for these could be 1. urethral stenosis: a condition where the tip of the urethra becomes narrow due to repeated trauma, infection or menopause. This leads to difficulty in passing urine, recurrent infections leading to pain and itch. For this you will need to undergo an examination by a surgeon as well as a urine test for culture and microscopic examination to rule out infection. 2. urethral caruncle; a small growth at the urethral tip leading to narrow urethra and infection. 3. vulval dystrophies; conditions where white patches along with severe itch develop on the vulva and sometimes surrounding the urethra. A gynec examination will help in diagnosis. 4. vaginitis leading to urethritis: sometimes infections of the vagina [especially fungal infections] spread to involve the urethra 5. repeated passage of urethral stones leading to trauma and infection. In any case, I suggest you check to see if there is any redness, white discharge or white patches near the urethra. Also see if you have been passing stones too frequently. Also it would help to get examined by a gynecologist to determine the other causes. Antibiotics or anifungal agents will help control any infection, and your doctors will help you with it once the examination and testing is over. This will help you get over the pain and itch. Also drink plenty of water to decrease stone formation and try to avoid food favoring calcium stones like milk products, seeds etc. Hope I was able to help you. Thanks for using Health Care Magic. I would be happy to answer any further queries. Have a nice day. Dr. Madhuri Bagde Consultant Obstetrician and Gynecologist