What Are the Causes of Pain When Urinating?

Urinal tingling (ardor urinae) refers to feeling pain in the urethra, bladder, and perineum during urination. The degree of pain is mild or severe, often burning, such as cutting with a knife, and acupuncture with mild. Urinary tingling is common in urethritis, prostatitis, prostatic hyperplasia, seminal vesiculitis, cystitis, urinary stones, bladder tuberculosis, and pyelonephritis. Clinically, male urination sting may be non-gonococcal urethritis, which is an infectious disease of the male reproductive system. The main infection factor is personal hygiene.

Basic Information

Visiting department: Urology
Common locations: Urethra, bladder, perineum

Common causes: Gonorrhea, non-gonococcal urethritis, prostatitis, etc.
Common symptoms: Pain in the urethra, bladder and perineum during urination, mild and severe, burning

Causes of urinary sting

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

Gonorrhea

If you see a lot of thick purulent discharge in the urethra, it may be gonorrhea.

2. Non-gonococcal urethritis

Only thin white mucus may be non-gonococcal urethritis.

3. Prostatitis

Only those who have a small amount of secretions in the morning or after urination, or even see a small amount of off-white mucus or purulent secretions when squeezing the urethra, may be prostatitis.

Clinical manifestations of urination tingling

Pain in the urethra, bladder and perineum during urination. The degree of pain is mild or severe, often burning, such as cutting with a knife, and acupuncture with mild. Or the urethra has a mild heat sensation, abnormal secretions from the urethra, or frequent urination, urgency, dysuria, dysuria, and hematuria.

Common genitourinary venereal diseases that cause urination tingling:

Gonorrhea

One of the most clinically transmitted sexually transmitted diseases caused by Neisseria gonorrhoeae. The main symptoms are urethritis, urethral swelling, purulence, tingling, and burning sensation. Difficulty urinating and frequent urination. If not treated in time, it can turn into chronic urethritis. Female patients with gonorrhea show cervicitis, purulent discharge from the vaginal opening, vaginal swelling, congestion, and tingling sensation, and other symptoms are not obvious.

2. Non-gonococcal urethritis

A sexually transmitted disease mainly caused by Chlamydia trachomatis and mycoplasma, with symptoms similar to gonorrhea, with an incubation period of 10 to 20 days, mild onset symptoms, urinary pain, urinary tract discomfort, itching, burning or tingling urethra, Secretions, thin, "living" phenomenon in the morning. Improper management or timely treatment can cause premature ejaculation, acute epididymitis, prostatitis, and male infertility.

3. Genital herpes

A sexually transmitted disease caused by herpes simplex virus type II, highly contagious. It is mainly seen in the genitals, itching or burning of thighs or hips, and pain. Then the genitals, buttocks, anus, or other parts of the body are noticeably ulcerated. The injury can heal within a few weeks, but most people can relapse.

4. Condyloma acuminatum

Condyloma acuminatum is the most difficult type of sexually transmitted disease to be cured. Condyloma acuminata virus is human papilloma virus. There are many subtypes, such as HPV 1, 2, 6, 11, 16, 18, 31, 33, and 35. Wait. Genital warts can be born in the vulva, vagina, cervix, and anus. Cauliflower-like growths appear in the genital area. They can rupture, run off, and become infected, even in the throat.

5. Syphilis

A sexually transmitted disease caused by Treponema pallidum infection, which can invade the human heart, eyes, brain, bones and nervous system. It has a long course and symptoms appear and disappear. The natural course of the disease is divided into three stages: the first stage is the appearance of the virus invasion site Erythema, pimples, ulcers, these symptoms can disappear for a period of time; the second stage of the virus multiplies in the blood, and appears on the skin and mucous membranes similar to rose pityriasis, psoriasis, acne, erythema, blood rash, maculopapular rash and so on. If there is no treatment at this time, enter the third stage. Failure to treat in time will be life-threatening.

6. Mycoplasma chlamydia

Mycoplasma chlamydia is a special type of non-gonococcal urethritis. They are neither a bacterial group nor a virus-based microorganism, and are a separate type of microorganism. The harm to the male and female reproductive systems is extremely serious and can cause infertility. Clinically, urinary pain, reddish urethra, frequent urination, endless urination, urinary tract pain, burning sensation, dripping urine, backache, lower abdominal pain, perineal discomfort, etc.

7. Trichomoniasis

Infections caused by parasites are characterized by vaginal discharge, discomfort during intercourse, painful urination, and vaginal malodor.

Urine tingling check

1. Urine routine examination.

2. Examination of urethral and urethral secretions.

3. CT examination of urinary system.

Urinary sting diagnosis

Diagnosis is based on medical history, clinical manifestations, and examinations.

Differential diagnosis of urination tingling

1. Sting pain at the beginning of urination, or those with dysuria, the lesions are mostly in the urethra, which is common in acute urethritis.

2. Pain at the end of urination, and those with urgency, the lesions are mostly in the bladder, which is common in acute cystitis.

3. The pain at the end of micturition is obvious, and the pain is still felt after urination, or if you feel "empty pain", or if you do not urinate, the lesions are mostly in the urethra or adjacent organs, such as bladder triangle, prostatitis, etc.

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

5. Poor urination with soreness: Elderly men are more likely to have benign prostatic hyperplasia, which can also be seen in urethral stones.

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