What causes urethral pain when urinating

When you feel a stinging sensation in the urethra when you urinate, the most common cause is a urinary tract infection. The stinging sensation is a bit like a burning sensation, and sometimes when it is more serious, it can feel like a knife cutting. Many diseases can cause this phenomenon, such as urethritis, cystitis, etc. In addition, kidney dysfunction, nephritis, kidney stones, or urinary tract stones may also cause such diseases. In addition, sexually transmitted diseases such as gonorrhea can easily induce such symptoms. If such symptoms occur, you should go to the hospital for examination in time, determine the cause, and then receive timely treatment.

Causes

Inflammation caused by sexual contact with people infected with Chlamydia and Mycoplasma.

1. Gonorrhea

If a large amount of thick purulent discharge is seen at the urethral opening, it may be gonorrhea.

2. Non-gonococcal urethritis

Only thin white mucus may be non-gonococcal urethritis.

3. Prostatitis

If there is only a small amount of secretion in the early morning or after urination, or even a small amount of grayish white mucus or purulent secretion is seen when squeezing the urethra, it may be prostatitis.

Differential Diagnosis

1. If there is obvious stinging pain at the beginning of urination or combined with difficulty urinating, the lesions are mostly in the urethra, which is common in acute urethritis.

2. If there is pain at the end of urination and urgency, the lesion is mostly in the bladder, which is common in acute cystitis.

3. If there is obvious pain at the end of urination, pain still exists after urination, or a feeling of "empty pain", or pain occurs even without urination, the lesions are mostly in the urethra or adjacent organs, such as trigone inflammation, prostatitis, etc.

4. Sudden interruption of urination accompanied by pain or urinary retention: seen in bladder, urethral stones or foreign bodies in the urinary tract.

5. Difficult urination accompanied by distension and pain: This often indicates prostate hyperplasia in elderly men and can also be seen in urethral stones.

6. Stinging or burning pain during urination: more common in acute inflammatory stimulation, such as acute urethritis, cystitis, prostatitis, and pyelonephritis.

Symptoms of urinary tract infection should be confirmed by urine routine test and urine culture, and then appropriate antibiotics should be used for treatment to relieve the symptoms. Urine culture should include mycoplasma, chlamydia, common bacteria and drug-resistant bacteria. After clarifying the type of pathogenic microorganisms and drug sensitivity, the most sensitive antibiotic should be selected for continuous treatment for at least one week. Pay attention to hygiene, avoid unclean sexual intercourse, and change and wash underwear frequently. Drink plenty of water.