Urinary Pain, Help!!

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Sungirl1
Regular Member


Date Joined Mar 2014
Total Posts : 26
   Posted 2/25/2017 2:23 PM (GMT -6)   
After a pap test, which was normal, I got an UTI. The lubricant she used burned terribly afterwards, and I have never had this to happen before then. During the UTI, I started having pain after urinating (a burning sensation). The dr. contributed it to the infection. Once the infection was gone, I continued to have (and still do) the pain.
I saw an urologist who performed an ultrasound on the kidneys/ bladder along with a cystoscopy.
All tests were normal. The urologist said I "could have" had an allergic reaction to the lubricant used.
The pain finally went away but is back again. There are times when I sit down, it is uncomfortable in my private area.
I was diagnosed with fibromyalgia a few months ago. Other than that, I am healthy and on no meds other than the lowest dosage for fibromyalgia as needed. Also, I am in menopause.
Has anyone ever experienced this type of discomfort after urinating?
Now, I am scared to go get a pap test for fear it will really hurt this time and cause more issues.

Mercy&Grace
Veteran Member


Date Joined Jun 2013
Total Posts : 1685
   Posted 2/25/2017 10:31 PM (GMT -6)   
I have never heard of an UTI being normal after a pap. I am 63 and have had more paps and pelvic exams than I can count.

Sungirl1
Regular Member


Date Joined Mar 2014
Total Posts : 26
   Posted 2/26/2017 7:12 AM (GMT -6)   
I was referring to the pap test being normal. Not the UTI.

(Seashell)
Veteran Member


Date Joined Dec 2012
Total Posts : 665
   Posted 2/26/2017 10:23 AM (GMT -6)   
Sungirl:
Just because your CT scan is "normal" does not mean that some type of trauma/injury has been sustained to the sensory nerves of the pelvis.

The ultrasound and cystocopy are limited to showing physical and anatomical deficits that may be a source of pain. There are any number of sources of pain that do not have a physical/anatomical basis. You can have a normal CT scan and still have legitimate pain.

The peduncle nerve is a principle nerve bundle that innervates the lower pelvis. Peduncle nerve irritation can be one source of ongoing pelvic pain.

You may have had some allergy or sensitivity to the lubricant used - much like a latex sensitivity or nickel sensitivity. If so, you may be fortunate in that the pain you currently experience will dissipate with time.

The UTI, itself, may have irritated the sensory nerve endings that innervate the tissue of the bladder or urethra - similar to a contact dermatitis.

If you have had normal pap smear, you can safely lengthen your intervals between exams - 3 to 5 years - if you are in a relationship with a single partner. Concern of contact with the Herpes virus is the single strongest reason for a PAP test.

If your pain persists, I would encourage you to locate a pelvic floor specialist at a women's health center (MD or physical therapist). Uvulaitis is a common pain disorder and successfully treated by pelvic floor specialists. You will find more compassion and sensitivity to your distress with a pelvic floor specialist than you may be finding with a bread-and-butter urologist.

Bottom Line: A normal ultrasound and cystocopy does not mean that your pain is "in your head." Your pain is legitimate. Irritation to the sensory nerves of the bladder or urethra would be one source of ongoing intermittent pain with urination. Each time you urinate, the flow of urine and the ph balance of the urine (acidic or alkaline) over the irritated sensory nerves would cause pain. Individuals with cystitis (inflammation of the bladder) have high levels of pain with urinating. Pedundal nerve irritation would be another potential source of pain. You may need a more sensitive clinical practitioner (MD or Nurse Practitioner or physical therapist) to better identify the root source of your ongoing pain.
- Karen -

Post Edited ((Seashell)) : 2/26/2017 9:32:04 AM (GMT-7)


Sungirl1
Regular Member


Date Joined Mar 2014
Total Posts : 26
   Posted 2/26/2017 12:53 PM (GMT -6)   
Thank you for your input on getting a pelvic floor specialist.

pitmom
Veteran Member


Date Joined Jan 2015
Total Posts : 2113
   Posted 2/26/2017 7:27 PM (GMT -6)   
If you experience this pain again I suggest you get to a doctor and get a Herpes smear done. UTI's usually cause pain and burning DURING urination, not after.

It's horrifying to think about but some doctors don't wash their hands well enough between patients. Sometimes the instruments aren't cleaned sufficiently.

That said, there is a medication that supresses herpes quite well. I've used Valtrex for years now and have had good experience with it. I was diagnosed with HSV II after a relationship with a guy that had cold sores. Neither of us realized the complications it could cause. Since then, I've had 2 children successfully delivered by C-section for their safety.

Hopefully, your sensitivity will resolve on it's own, but if it happens again, get tested.
multiple surgeries for rotator cuff both shoulders with residual chronic impingement syndrome, ulnar nerve transposition, carpal tunnel release, wrist ganglionectomies/denervectomies/tenolysis, multiple herniated discs, tarlov cyst, whiplash, bursitis of hips, tendonitis, torus, 3rd degree shoulder separation, torn labrum, ovarian cysts, fibroid tumors of the uterus

Sungirl1
Regular Member


Date Joined Mar 2014
Total Posts : 26
   Posted 2/26/2017 7:48 PM (GMT -6)   
Thank you so much for your help and input.
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