Why does it hurt when men urinate?

A slight tingling sensation when men urinate may be related to factors such as urethritis, prostatitis, urinary tract stones, cystitis, and urethral trauma. It can be relieved by drinking more water, medication, surgery, etc.

1. Urethritis

Urethritis is usually caused by a bacterial infection and presents with symptoms such as tingling during urination, frequency of urination, and urgency of urination. It may be related to unclean sex life and poor personal hygiene. For treatment, you can use drugs such as levofloxacin tablets, cefixime capsules, and azithromycin dispersible tablets as directed by your doctor. 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. It may be caused by sitting for a long time, drinking alcohol, spicy food, and is accompanied by perineal swelling and pain, and difficulty in urination. Treatment requires tamsulosin hydrochloride sustained-release capsules, Qianlieshutong capsules, celecoxib capsules and other drugs. It is recommended to avoid cycling that puts pressure on the perineum.

3. Urinary tract stones

When urethral or bladder stones move, they may scratch the mucosa, causing pain at the end of urination and possibly hematuria. Stone formation is associated with insufficient drinking water and a high oxalate diet. Stones smaller than 6 mm can be expelled by taking Paishi granules and Desmodium granules along with multiple exercises. Larger stones require extracorporeal shock wave lithotripsy.

4. Cystitis

Cystitis is common with frequent urination, urgency and burning pain during urination, which may be caused by weakened immunity and urinary tract obstruction. Fosfomycin trometamol powder, Sanjin tablets, Relinqing granules and other drugs are needed. Drink more than 2000 ml of water every day to avoid caffeine drinks irritating the bladder.

5. Urethral trauma

Mechanical injuries to the urethra, such as catheterization operations and straddling injuries, may cause pain during urination, which may be accompanied by urethral bleeding. Mild injuries can heal on their own with rest, but severe ruptures require urethral anastomosis. During the recovery period, sexual intercourse is prohibited and the stool should be kept smooth to reduce abdominal pressure.

It is recommended to wear loose cotton underwear to reduce friction and wash the vulva daily and wipe it from front to back. Avoid irritating foods such as chili peppers and alcohol, and eat moderate amounts of diuretic fruits and vegetables such as winter melon and pears. If symptoms persist for 3 days without relief or fever or hematuria occur, a urology department must be consulted promptly to investigate the cause. Avoid taking antibiotics on your own. It is necessary to confirm the diagnosis through urine routine, ultrasound and other examinations and then provide targeted treatment.