Urination Pain - Male

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DEFINITION

• Discomfort (pain, burning or stinging) when passing urine
• May include urgency (can't wait) and frequency (passing small amounts) of urination.

General Information

• All males with painful urination need to be examined and get testing to see if an infection is present.

Common Causes of Painful Urination

• Urinary Tract Infection:  Urinary tract infections (e.g., bladder infection, prostatitis) are the most common cause of painful urination.
• Sexually Transmitted Disease: Sexually transmitted diseases (e.g., gonorrhea, chlamydia) can also cause painful urination. Most men with this type of infection will describe a clear-white to light yellow discharge from the penis. The two main organisms that can cause this are Gonnorhea and Chlamydia.
• In younger men, it is more likely that a sexually transmitted disease is causing the pain with urination. In older men, a bladder infection or prostatitis is more likely.

See More Appropriate Topic (instead of this one) If

• Questions about STD – PREVENTION

WHEN TO CALL YOUR DOCTOR

Call 911 Now (you may need an ambulance) If

• Very weak (can't stand)

Call Your Doctor Now (night or day) If

• You feel weak or very sick
• Unable to urinate or only a few drops and your bladder feels very full
• Severe pain
• Fever of 100.5 F (38.1 C) or higher
• Shaking chills
• Side (flank) or back pain is present
• Abdominal pain is present
• Pain or swelling in scrotum
• Have diabetes mellitus or a weakened immune system (e.g. HIV positive, cancer chemotherapy, chronic steroid treatment, splenectomy)
• Are bedridden (e.g. nursing home patient, stroke, chronic illness, recovering from surgery)
• Are a transplant patient (e.g. liver, heart, lung, kidney)

Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If:

• Blood in urine
• Pus (white, yellow) from end of penis
• All other men with painful urination

HOME CARE ADVICE FOR PAINFUL URINATION (pending talking with your doctor)

1. Fluids: Drink extra fluids. (Reason: to produce a dilute, non-irritating urine) 
2. Call Your Doctor If:
   • You become worse

And remember, contact your doctor if you develop any of the "Call Your Doctor" symptoms.