Differential diagnosis of painful urination in men

For men, if they have urinary stinging, the problem is often more serious than that of women. This is mainly because the male urethra is directly connected to the reproductive system. Therefore, men must pay attention to timely identification and diagnosis when they have urinary stinging, so that they can receive targeted treatment. However, many male friends do not know what disease causes urinary stinging. This article will introduce this situation in detail.

Painful urination

It refers to the pain in the urethra, bladder and perineum when urinating. The pain can be mild or severe, often with a burning sensation. In severe cases, it feels like a knife cutting, while in mild cases, it feels like a needle pricking. Urinary pain is common in urethritis, prostatitis, prostatic hyperplasia, seminal vesiculitis, cystitis, urinary tract stones, bladder tuberculosis, pyelonephritis, etc. The characteristics of urinary pain can help to clarify the diagnosis of the disease.

Nongonococcal urethritis

40%-50% are caused by Chlamydia trachomatis biovar, and 20%-30% are caused by Ureaplasma urealyticum. The mycoplasmas related to humans include Mycoplasma pneumoniae, Mycoplasma hominis, and Mycoplasma genitalium. Mycoplasmas and Chlamydia can exist in healthy carriers. Ureaplasma urealyticum has the ability to decompose urea into ammonia, which is toxic to cells. Mycoplasmas have no cell wall and are resistant to antibiotics that disturb the cell wall, such as penicillin.

Painful urination in men

The main symptom of painful urination is inflammation, which is caused by sexual contact with people infected with chlamydia and mycoplasma. Symptoms generally include urethral itching, burning sensation and painful urination. A few people have frequent urination and the urethra opening is slightly red. There is a small amount of mucous secretion or only a crusty opening at the urethra opening in the morning, or the pantyhose is dirty and the urine stream is bifurcated when urinating. Some patients need to squeeze hard with their hands to make the secretions overflow from the urethra opening. The symptoms are similar to gonococcal urethritis, but the degree is milder. Some patients have no symptoms. Patients are also infected with gonorrhea at the same time.

After knowing the differential diagnosis of male urinary pain, we need to remind all male friends that no matter what the cause of male urinary pain is, it must be treated in time. In order to reduce the occurrence of this situation, I hope that all male friends can keep themselves clean and not have sexual relations with women they don’t know. This way, they can better protect their reproductive system and make themselves healthier.