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

Urethral tingling when men urinate may be caused by urethritis, prostatitis, urinary tract stones, sexually transmitted infections, urethral injury, etc. It can be relieved by anti-infective treatment, drinking more water, local hot compress, adjusting diet, and timely medical treatment.

1. Urethritis

Urethritis is an inflammatory reaction of the urethral mucosa, usually caused by bacterial infection. Common pathogens include Escherichia coli, gonococcus, etc. Patients may experience symptoms such as urethral tingling, frequent urination, and urgency. Treatment requires the use of antibiotics as directed by the doctor, such as levofloxacin tablets, cefixime dispersible tablets, azithromycin granules, etc. It is necessary to keep the perineum clean every day and avoid holding in urine.

2. Prostatitis

Prostatitis is more common in young and middle-aged men and may be related to factors such as prolonged sitting, drinking, and spicy diet. Typical symptoms include urethral tingling, perineal distension and pain, and difficulty in urinating. You can use tamsulosin hydrochloride sustained-release capsules, Qianlieshutong capsules, celecoxib capsules and other drugs as directed by your doctor. It is recommended to avoid riding for a long time and take a warm sitz bath appropriately.

3. Urinary tract stones

When urinary tract stones move, they may scratch the urethral mucosa, causing pain during urination, often accompanied by hematuria and waist cramps. The components of stones are mostly calcium oxalate or uric acid crystals. Paishi granules, sodium potassium hydrogen citrate granules, diclofenac sodium suppositories and other drugs can be used for treatment. The daily water intake should be more than 2000 ml, and the intake of high-oxalate foods should be limited.

4. Sexually transmitted infections

Sexually transmitted diseases such as gonorrhea or non-gonococcal urethritis can cause urethral tingling, often accompanied by increased urethral discharge. The diagnosis needs to be confirmed through secretion testing, and antibiotics such as ceftriaxone sodium injection, doxycycline tablets, and azithromycin dispersible tablets are commonly used for treatment. Sexual intercourse is prohibited during treatment, and sexual partners need to be checked simultaneously.

5. Urethral injury

Urethral instrumentation, trauma, or strenuous sexual behavior may cause damage to the urethral mucosa and cause pain during urination. Minor injuries can be relieved by drinking more water and taking sodium bicarbonate tablets. Severe injuries require urethrography and, if necessary, urethral dilation. Spicy foods should be avoided during the recovery period.

When symptoms of urethral tingling occur, it is recommended to record a urination diary and observe whether it is accompanied by fever, hematuria, etc. Wear loose cotton underwear every day to avoid overexertion. Eat a light diet and limit alcohol and caffeine intake. If symptoms persist for more than 48 hours or worsen, you should promptly seek medical advice from a urology department to complete routine urine examinations, urinary tract ultrasound and other examinations. During the treatment period, strictly follow the doctor's instructions and do not adjust the dosage or stop the medication on your own.