Itching Urination, After Urinating, No Pain or Skin Rash

HaroldG55 Asked :

I have been experiencing intense itching while urinating which settles but does not go away completely after I stop urinating. The itching sensation is like inside the penis and no matter how much I rub the area or try to scratch around the penis, nothing relieves it. Sometimes the itching gets quite extreme when I am sittingĀ  for long periods and cannot go to the toilet and it suddenly strikes and makes me jump up in my seat.

This has been going on for just over a week but over the past 2 days I noticed smelly mucus in my underwear which I don’t think is semen because it just comes on its own with no sexual activity. My greatest fear is that this is a sexually transmitted disease but I am wondering if there are other causes. I have no skin rash on my penis and there is no pain when I urinate. The itching is quite intense during urination so I can say that it is bordering on burning to some extent. What else could cause this itch?

This question was posted under the What is Dysuria? Causes of Painful Urination, Pain when Urinating article.

Any response by the Health Hype team does not constitute a medical consultation and the advice should be viewed purely as a guide. Always consult with your doctor before making any changes to your current treatment program. The information provided in this article is not an authoritative resource on the subject matter and solely intends to guide the reader based on the questions asked and information provided.

Dr. Chris Answered :

It is likely that the symptoms you are experiencing is due to an infectious cause. A sexually transmitted infection is definitely a consideration in males and since you have raised the concern, you may have some reason as to why you are considering this possibility. If you have unprotected sex and your partner is reporting similar symptoms, then it is in all likelihood a sexually transmitted infection and both of you will need to undergo treatment so as to prevent re-infecting each other.

Based on your symptoms, it is quite likely that you have urethritis due to an infection. Chlamydia and gonorrhea would explain the itching along with the discharge but you should also consider syphilis. The absence of a skin rash does not mean that an infection is not present and even though it is progressing slowly, you should have it investigated by your doctor. There are other causes of an infection that may not be sexually transmitted so further tests may be necessary to help identify the cause. These results can take days which would mean that you will be in discomfort while you wait for it so see your doctor immediately.

There are other non-infectious causes which could account for the itching although the offensive smelling discharge (especially a fishy or rotting odor) is a strong indicator of an infection. Allergic reactions, often caused by latex condoms, can also cause this intense itching. Another possibility is that the urine is concentrated or high in certain compounds like uric acid which can irritate the area and cause itching. If you have been experiencing any dribbling then it is possible that remnants of urine in the urethra is causing the persistent itch and may also raise the possibility of a prostate related disorder.

If you are on any medication, it is important to mention this to your doctor as it could also account for your symptoms. Any progression of your condition, like discolored urine, abdominal pain, frequent urination, incontinence and a fever needs immediate medical attention. Speak to your doctor as soon as possible before this progresses any further or other complications arise. Refer to the article on Urine Problems for more information or urinary symptoms that could guide you further.

Please note that any information or feedback on this website is not intended to replace a consultation with a health care professional and will not constitute a medical diagnosis. By using this website and the comment service you agree to abide by the comment terms and conditions as outlined on this page

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  • steve mitchell

    iam 72 yrs old i have n itching penis on the head i go to the tolet eveyhave houre. iget up from my sleep i have no pain i try to take pills but it dose not help it dose not hurt me when i urint.
    i think it might be my blader or prostate. when i pee i have to seat down on the tolet is very slow peeing some times it gos 2 way thats y i seat on the tole what do u reconment.
    my email is *EMAIL REMOVED* can u email me n let me no

    • Hi Steve. You need to see your family doctor and in all likelihood see a medical specialist who focuses on the urinary system (these specialists are called urologists). There is no way for us to say what may be wrong in your case and tell you what you should take.

      It is possible that this is arising from prostate problems (assuming that you are male and given the age you mention). It is common for the prostate to become enlarged at this stage in life and increases the chances of urinary tract infections, prostate infections and so on. Speak to your doctor and he/she will be able to advise you further.

  • Jen

    My problem is weird…it’s been going on for a long time but I have never brought it up. Sometimes when I pee, I get this itchy feeling inside my stomach around my belly button. The itch feels like it’s on the inside. It almost feels like a cross between itchy and chills. That’s the only thing that happens. I have no idea what it is. It doesn’t happen every time I pee. Any clue about this?
    Thank you.

    • Hi Jen. That is an unusual description of a symptom and it could be related to the bladder which is located in this region. However, it is difficult to say for sure. You may want to mention it to your doctor. Maybe a simple urine dipstick test can be performed to see if there is any infection, a common bladder problems. This may be nothing to worry about but rather get a medical opinion in person.

  • abdi

    there is problem for my skin itching urine problem face inflamation itching all party of skin when i want urinate pls what kind of this problems