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Urology/sensation during urine

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Question
Hi Dr. Leslie I have a question. When males urinate on a normal basis how much sensation should one feel as the urine exits the body? should u feel a warm sensation? The reason I ask is bc I do feel a warm sensation but i sometimes worry if this is something serious. two years ago I had an oral sex encounter which is my only encounter till date since I am still a virgin and I worry a lot about what if I have an std since I dont have any symptoms that u hear about like cold sores or discharge but im confused on the urine part bc I can go to the bathroom so I dont know if i fully understand if I know what it means when I real burning/pain sensation? Does that mean it burns in a way that you cant even go to the bathroom bc its that bad? is there a range of the burn? Any help would be appreicated.

Very worried25

Answer
It is difficult to describe what is "normal" regarding urinary sensation.  In general, a mild feeling of warmth during voiding is not unusual.  When this is unusually severe or painful, we typically would then call it burning or dysuria and consider it abnormal.  An STD given your history is not totally impossible but quite unlikely but a standard urethritis (inflammation of the tube in the penis) would be far more common.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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