Pain, stinging, burning with urination in men - causes and treatment

Normally, the process of urination should not be accompanied by unpleasant sensations. If a man feels a burning sensation while emptying his bladder, pain or pain, this is a cause for serious anxiety.

Causes of pain

In some cases, burning with urination may occur after taking acute, strongly peppered foods, With hypothermia, urination in the cold. These states always pass very quickly and have no consequences.

Acute and chronic urethritis

With urethritis, the pathogen is introduced into the mucous membrane of the urinary canal and causes active inflammation. The clinic of the disease depends on the pathogen itself.

• With gonorrhea, the causative agent of which is the gonococcus, strong rezi develop when urinating, accompanied by false urges and purulent discharge from the urethra.
• With trichomoniasis appear foamy discharge of yellow-green hue, accompanied by itching of the genitals.
• If chlamydia is to blame for the development of urethritis, then pains in the lower abdomen, a discharge with a sharp odor, joints can be affected.
• At quite frequent, now, fungal lesions( thrush) are characterized by a curdled scurf on the head of the penis, redness, itching during sexual intercourse. Thrush previously used to be more common in women, but in recent years, the male population suffered a sharp increase in it.

Urethritis is an inflammation of the urethra( urethra).This inflammation is accompanied by cuts and pains.

Movement of stones and sand from the kidneys

Passing through the urethra, concrements and sand cause a violation of urinary retention and sharp stinging and burning. The condition is accompanied by pain in the lower back and along the ureter. There may be blood and mucus in the urine.

Read: Kidney stones in men - symptoms, diagnosis and treatment

Prostatitis and adenoma of the prostate

In cases of prostate lesions, pain and burning sensation may occur in the act of urination. But these pathologies are always accompanied by other complaints and symptoms - aching pain in the perineum and lower abdomen, a violation of potency, an increase in temperature.

Read more: Symptoms of prostate adenoma

Urethral stricture

Urethral stricture is the narrowing of the urethra after chronic inflammation or trauma. Complication of pathology with difficulty urinating. In addition to the cuts, the patient complains of the need to push hard;Urine is separated slowly, in portions, splashed. Emptying the bladder is not complete, often there are repeated desires.

Stricture( narrowing) of the urethra is one of the causes of painful urination.

Injuries, consequences of insertion of the

catheter In the background of injuries of the inguinal area and after the introduction of the catheter, the urethral mucosa may be affected, which passes independently after a certain period of time. This can be accompanied by burning and pain, having a reversible character.

Diagnosis and instrumental research methods

For the correct diagnosis it is necessary to identify all accompanying complaints in the patient and to conduct instrumental and laboratory methods of investigation.

A smear from the urethra helps to identify a pathogen that causes inflammation of the urethra.

• When urethritis is the most informative smear from the urethra, which reveals the pathogen and helps to select an antibacterial drug.
• With urolithiasis, ultrasound and contrast radiography come to the rescue. They help to clearly define the location of concrements and determine the correct treatment.
• If the urine when urinating occur against a background of prostatitis or prostate adenoma, then to help with the diagnosis comes rectal finger research. The doctor, palpating an enlarged inflamed prostate, can determine the severity of the inflammation and take the detachable to microscopic analysis to identify the pathogen. Confirms the diagnosis of ultrasound of the prostate gland, which is carried out with a full bladder.
• With urethral stricture, the diagnosis is helped by ultrasound, contrast urography and retrograde urethrography. It also helps to determine the degree of narrowing of the rate of urine output over a period of time.

Treatment of

After the correct diagnosis, the doctor can prescribe the appropriate treatment profile.

• Urethritis. When urethritis is prescribed antibiotics or other antibacterial drugs, depending on the pathogen. With acute urethritis and early treatment, complete recovery is possible. Sluggish chronic processes are harder to treat and require additional measures( stimulant, restorative drugs, adaptogens).
• Urolithiasis. When urolithiasis is widely used, the method of ultrasonic crushing. With the localization of stones in the bladder, it is sometimes difficult to aim the apparatus when crushing directly on the calculus because of its high mobility. In this case, use an endoscope and special tools - lithotriptors, which are injected directly into the bladder.
• Pathology of the prostate. The treatment of chronic prostatitis requires a comprehensive approach. In addition to antibacterial drugs( antibiotics, nitrofurans), recommend restorative, physiotherapy, prostate massage through the rectum. With severe inflammation, non-steroidal anti-inflammatory( NSAIDs), antispasmodics( papaverine, no-shpa) are prescribed. Electrostimulation and magnetotherapy are good. The effectiveness of the activities carried out strongly depends on the stage of the process and the degree of its expression.
• Urethral stricture. In the treatment of urethral strictures with concomitant cuts during urination, laser correction is widely used. Effective also urethroplasty, in which the donor tissue of the patient itself is transplanted into the affected area of ​​the urethra( areas of the mucous cheek or foreskin).The tissues are well established and restore the current of urine.
• Consequences of catheterization. Cutting and pain after insertion of the catheter, as a rule, does not require additional treatment and passes by itself. But you need to be completely sure that the infection does not attach and the cause is only related to catheterization. Sometimes a short course of nitrofurans( 5-noc, nitroxaline) is prescribed additionally to prevent infection.

Prognosis and prophylaxis

Sting and pain when urinating in men, usually pass with proper treatment of the underlying disease. It is important not to start the inflammatory process, do not engage in self-medication and prevent the infection from becoming chronic.

For the prevention of pathology, it is necessary: ​​

• to observe the hygiene of the genital organs;
• is not supercooled;
• to avoid promiscuity;
• in time to identify and treat infections of the genitourinary sphere.

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