HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes Severe Pain In Urethra Post Hysterectomy?

Hi, I had an abdominal hysterectomy and just have ovaries. It was just 1/22/16. When my catheter was removed I was screaming in pain. I have horrible pain in urethra while urinating. My gy said I have some vaginal discharge and sent me for ct with contrast. All came back good. I did a round of uti meds to be safe and took the analgesic pill that makes your urine orange with no relief. Any suggestions were to go from here?
Mon, 4 Apr 2016
Report Abuse
OBGYN 's  Response
Hallow Dear,

You had catheter after surgery. Even while you had catheter in, you were having agonising pain. There are two possibilities:

1. There is an abrasion in the urethra due to the catheter. However, pain due to abrasion would have become less and subsequently subsided with Phenazopyridine (Pyridacil or Pyridium) - the medicine which is causing your urine orange coloured. It is specific urinary painkiller. Hence, I would advise you to continue these tablets which subsequently will give you relief.

2. Urerthal infection (?due to urethral injury due to catheter or otherwise): To confirm this diagnosis, please get your urine examination done. In fact this should have been the first investigation and not CT. If it shows infection, you will have to have an a course of antibiotics. However, I would suggest you to get urine culture and sensitivity done to identify the organisms and the antibiotics to which they are sensitive. Accordingly, specific antibiotics may be started.

If there is no urinary infection, Phenazopyridine with urinary systemic alkalinizers like Citralka will give you symptomatic relief.

3. Crystalls in the urine: Depending up on the type of crystals, urine will have to be made alkaline or acidic and accordingly diet will have to be modified and you will have to drink plenty of water. However, crystaluria will not cause pain in urethra while catheter in situ.

Till the diagnosis is confirmed, along with Phenazopyridine, drink plenty of water to minimize the urethral irritation by irritant urine. Whatever the cause, please drink plenty of water.

I hope this helps you.

Dr. Nishikant Shrotri
I find this answer helpful

Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What Causes Severe Pain In Urethra Post Hysterectomy?

Hallow Dear, You had catheter after surgery. Even while you had catheter in, you were having agonising pain. There are two possibilities: 1. There is an abrasion in the urethra due to the catheter. However, pain due to abrasion would have become less and subsequently subsided with Phenazopyridine (Pyridacil or Pyridium) - the medicine which is causing your urine orange coloured. It is specific urinary painkiller. Hence, I would advise you to continue these tablets which subsequently will give you relief. 2. Urerthal infection (?due to urethral injury due to catheter or otherwise): To confirm this diagnosis, please get your urine examination done. In fact this should have been the first investigation and not CT. If it shows infection, you will have to have an a course of antibiotics. However, I would suggest you to get urine culture and sensitivity done to identify the organisms and the antibiotics to which they are sensitive. Accordingly, specific antibiotics may be started. If there is no urinary infection, Phenazopyridine with urinary systemic alkalinizers like Citralka will give you symptomatic relief. 3. Crystalls in the urine: Depending up on the type of crystals, urine will have to be made alkaline or acidic and accordingly diet will have to be modified and you will have to drink plenty of water. However, crystaluria will not cause pain in urethra while catheter in situ. Till the diagnosis is confirmed, along with Phenazopyridine, drink plenty of water to minimize the urethral irritation by irritant urine. Whatever the cause, please drink plenty of water. I hope this helps you. Dr. Nishikant Shrotri