The stinging sensation at the urethra during coital ejaculation is considered to be related to glansitis, urethritis, seminal vesiculitis, and urethral trauma. 1. glans: glans is related to pathogen infection and circumcision. Typical symptoms of patients have local itching, pain and pressure, but also easily accompanied by local skin and mucous membrane edema, erythema and so on. For some patients with glans, there may be a stinging sensation at the urethra when ejaculating during intercourse. 2. Urethritis: some patients with urethritis may have a tingling sensation at the urethral opening during coital ejaculation, which is easily accompanied by frequent urination, painful urination, increased urethral secretion and other symptoms. The occurrence of urethritis is mainly related to gonococcal infection, mycoplasma infection and so on. 3. vesiculitis: the disease can cause ejaculatory pain, which is manifested as a tingling sensation at the urethra during coital ejaculation. Spermatitis is mainly related to pathogen infection, excessive sexual intercourse, perineal injury and other triggering factors, the patient is prone to perineal distension and pain, urinary frequency, urgency, urinary pain, bloody semen and other symptoms. 4. Urethral trauma: urethral trauma is related to external violence, various urethral operations, etc. Typical symptoms of patients include urethral bleeding, localized pain, difficulty in urination, urine leakage, etc., which can be manifested as a stabbing sensation at the urethral opening when ejaculating in the same room. Urethral pain during ejaculation may also be caused by other factors, it is recommended that patients go to the regular hospital in a timely manner to the medical examination, clear the cause of the treatment as prescribed by the doctor, and strive for early recovery.