Urethral pain is actually a general term. When the urethra stings, it is likely due to pain in the urethra, bladder or perineum. There are many reasons for urethral pain, such as inflammation, gonorrhea and non-gonococcal urethritis. To treat this situation, you need to first find the cause of the disease, and then treat it according to the primary disease before you can recover. 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. Pain in the urethra, bladder, and perineum when urinating. The pain can be mild or severe, often feeling like a burning sensation, with severe cases feeling like a knife cut and mild cases feeling like a needle prick. Or there may be a mild feeling of heat in the urethra, abnormal secretions from the urethra, or symptoms such as frequent urination, urgency, pain, difficulty urinating, and hematuria. |
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