An itchy sensation during urination in males can cause discomfort. This irritation or tingling around the urethra varies in intensity. While unsettling, it often indicates a treatable underlying condition.
Common Underlying Reasons
Infections are a frequent cause of an itchy feeling when urinating in males. Urinary tract infections (UTIs), though less common in males, occur when bacteria enter the urethra and bladder, causing inflammation and irritation that manifests as itching or burning during urination. Sexually transmitted infections (STIs) like chlamydia and gonorrhea can also inflame the urethra, a condition known as urethritis. Prostatitis, an inflammation of the prostate gland, can also cause discomfort or an itchy sensation during urination.
Non-infectious irritations can also cause itching. The skin around the urethra can react to chemical irritants in everyday products. These include:
Harsh soaps
Laundry detergents
Certain lubricants
Spermicides
Such substances cause localized inflammation and sensitivity, leading to itching during urination.
Less common causes include kidney stones. While known for severe pain, a kidney stone passing through the ureter and into the urethra can cause irritation and itching. Allergic reactions to certain foods or medications can also cause generalized itching, sometimes extending to the urinary tract. In rare instances, skin conditions like eczema or psoriasis affecting the genital area may also contribute to localized itching noticeable during urination.
When to Seek Medical Attention
Consult a healthcare professional if an itchy feeling during urination persists or is accompanied by other concerning symptoms. Persistent itching, especially if it does not resolve within a day or two, warrants medical evaluation.
Other symptoms indicating a need for prompt medical attention include:
Pain during urination
Fever
Chills
Unusual penile discharge
Blood in the urine, difficulty urinating, or sudden symptom onset after unprotected sexual activity also indicate a medical visit. Professional evaluation is important for accurate diagnosis and appropriate treatment. Self-diagnosis or delaying consultation can lead to complications or prolonged discomfort.
Understanding the Diagnostic Process
When a male consults a healthcare provider for an itchy feeling during urination, diagnosis typically begins with a thorough review of medical history and symptoms. The provider will ask about the itching’s duration and severity, accompanying symptoms, recent sexual activity, and any new products or medications. This discussion helps narrow down potential causes. A physical examination, which may include examining the genital area, is often performed to look for visible signs of irritation, discharge, or inflammation.
Diagnostic tests identify the underlying cause. A urinalysis is a common first step, testing a urine sample for white blood cells, red blood cells, or bacteria, which can indicate infection or inflammation. If infection is suspected, a urine culture may identify the specific bacteria and determine effective antibiotics. Depending on history and symptoms, tests for sexually transmitted infections (e.g., chlamydia, gonorrhea) may also be conducted. These often involve a urine test or urethral swab.
Approaches to Management
Management strategies for an itchy feeling during urination depend on the identified underlying cause. If a bacterial infection (e.g., UTI, STI, prostatitis) is diagnosed, treatment typically involves antibiotics. Complete the entire prescribed course of antibiotics, even if symptoms improve, to ensure full eradication and prevent antibiotic resistance.
For irritation cases, avoiding the offending irritant is the primary approach. This may involve switching to mild, unscented soaps, using dye- and perfume-free detergents, and opting for breathable underwear made from natural fibers. Good personal hygiene can also help prevent irritation.
While addressing the root cause, general comfort measures can help alleviate symptoms. Staying well-hydrated by drinking plenty of water can help flush the urinary system and reduce irritation during urination. Over-the-counter pain relievers can sometimes help manage discomfort, though specific medications should be discussed with a healthcare provider. Following up with the healthcare provider after treatment is often recommended to ensure the condition has resolved and no further intervention is needed.
References
1. Urethritis. Centers for Disease Control and Prevention. https://www.cdc.gov/std/urethritis/stdfact-urethritis.htm. Accessed August 26, 2025.
2. Prostatitis. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/urologic-diseases/prostate-problems/prostatitis. Accessed August 26, 2025.
3. Urinary Tract Infection (UTI) in Men. Urology Care Foundation. https://www.urologyhealth.org/urologic-conditions/urinary-tract-infection-(uti)-in-men. Accessed August 26, 2025.