Why do women feel pain when they are about to urinate?

Defecation is supposed to be a very pleasant thing, but for some friends with health problems, defecation can become a troublesome thing. For example, there are many hemorrhoid patients in life. What they fear most is going to the toilet. Urination is okay, but defecation is very painful. In life, some women are often troubled by defecation and always feel extreme pain in the urethra after urinating. So, why do women feel pain when they are about to urinate?

Dysuria refers to pain in the urethra or in the suprapubic area or perineum when the patient urinates. The pain can be mild or severe, often a burning sensation, and in severe cases it can feel like a knife cutting. Painful urination is common in urethritis, prostatitis, prostatic hyperplasia, seminal vesiculitis, cystitis, urinary tract stones, bladder tuberculosis, pyelonephritis, etc. To treat urinary pain, the first step is to control the acute infection, and at the same time use external washing with drugs, and then decide on the treatment plan based on the local condition of the external urethral opening.

The most common cause of urinary pain in women is urinary tract infection, including pyelonephritis, cystitis and urethritis. In addition, vaginitis, senile atrophic vaginitis, bladder contraction and sphincter relaxation, and bladder tumors can also cause urinary pain.

If women experience pain at the end of urination and urgency, the lesions are mostly in the bladder, which is common in acute cystitis. If the pain is obvious at the end of urination, and the pain continues after urination, or there is pain even when not urinating, the lesions are mostly in the urethra or adjacent organs, such as trigone inflammation.

Midstream urine bacterial culture should be performed first. If the urine colony count is ≥105/mL, the diagnosis of urinary tract infection can be established. At this time, the upper and lower urinary tract infections should be further confirmed. Urine antibody-encapsulated bacteria examination, or urine lysozyme and urine fibrin degradation product (FDP) measurement can be performed. If necessary, ureteral catheterization or sterilized bladder urine culture can be performed to distinguish between upper and lower urinary tract infections. Urinary tract angiography can identify urinary tract abnormalities and other risk factors for urinary tract infection and causes of recurrence.

The first step in treating urinary pain is to control the acute infection and decide on the treatment plan based on the local condition of the urethral opening.