Why does a man's urethra hurt when he urinates?

Urethral tingling when men urinate may be caused by urinary tract infections, urethral stones, prostatitis, sexually transmitted diseases, urethral injuries, etc. It can be relieved by anti-infective treatment, stone removal treatment, anti-inflammatory treatment, targeted sexually transmitted disease treatment, urethral repair, etc. It is recommended to seek medical treatment promptly to determine the cause.

1. Urinary tract infection

It is a common cause for bacteria to invade the urethra and trigger an inflammatory reaction, which is typically characterized by burning pain during urination accompanied by frequent urination and urgency. It may be related to insufficient drinking water and poor perineal hygiene. Routine urine examination is required to confirm the diagnosis, and drugs such as levofloxacin hydrochloride tablets, cefixime dispersible tablets, and Sanjin tablets can be used as directed by the doctor. During the treatment period, it is necessary to maintain a daily water intake of more than 2000 ml.

2. Urethral stones

When urinary system stones move, they scratch the urethral mucosa and cause sharp pain, often accompanied by interruption of urination. It may be related to high oxalate diet and metabolic abnormalities. The diagnosis can be confirmed by urinary tract ultrasound. It is recommended to use Paishi granules combined with diclofenac sodium suppositories for pain relief. In severe cases, extracorporeal shock wave lithotripsy is required.

3. Prostatitis

Congestion and swelling of the prostate compresses the urethra, causing radiating pain, which is more common in people who sit for long periods of time and drink alcohol. Symptoms include perineal swelling and pain and difficulty urinating. The diagnosis can be confirmed by digital rectal examination and prostate fluid examination. Qianlieshutong capsules, tamsulosin hydrochloride sustained-release capsules and warm water sitz bath can be used.

4. Sexually transmitted diseases

Urethritis caused by gonococcal or chlamydial infection manifests as purulent discharge with tingling pain, and usually occurs after high-risk sexual behavior. A secretion smear test is required. After diagnosis, drugs such as ceftriaxone sodium for injection and azithromycin dispersible tablets are used. Sexual partners need to be treated simultaneously.

5. Urethral injury

Catheterization or external impact may cause damage to the urethral mucosa, which may manifest as knife-like pain during urination and hematuria. The degree of injury can be assessed through urethrography. Mild injuries can heal spontaneously, but severe injuries require an indwelling urinary catheter or surgical repair.

Daily care should be taken to keep the perineum clean and dry, and avoid holding in urine and overexertion. The diet should be light and limit the intake of alcohol and spicy food. It is recommended to choose cotton breathable underwear and pay attention to cleaning before and after sex. If symptoms persist for more than 3 days or fever, hematuria, etc. occur, you should seek medical attention immediately and do not take long-term antibiotics on your own. Regular urinary system exams can help detect potential problems early.