Urethral Syndrome Symptoms & Diagnosis

Symptoms

The symptoms of urethral syndrome are similar to those of urethritis. Symptoms may include:

• Pain and/or burning while urinating
• Difficulty urinating (especially after intercourse)
• Increase in urinary:
  • Frequency
  • Urgency
  • Blood in the urine
• Swelling and/or tenderness in the groin
• Pain during intercourse
• In men:
  • Discharge from penis
  • Blood in semen
  • Pain during ejaculation
  • Swollen and/or tender testicles

Diagnosis

The doctor will ask about your symptoms and medical history, and perform a physical exam including a pelvic exam. Urethral syndrome is usually diagnosed when symptoms of urethritis are present, but there is no evidence of an infection as the cause.

Tests may include:

• Urine tests or urethral swab tests for lab study
• Tests for sexually transmitted diseases
• Cystoscopy and/or urethroscopy—use of a thin, lighted tube to examine the inside of the bladder and/or urethra; this investigation is usually required when symptoms persist and/or do not respond to simple treatments.
• Pelvic ultrasound —to look at the bladder and the reproductive system